Kirkwood By The River

Location & what’s nearby

Open in Google Maps ↗ · Directions ↗ · Larger map ↗

Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

42.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 125 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 20.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 45 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.42 therapist hours per resident per day in 2026Q1 — more than 72% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 1% of this home’s weekday level — it runs therapy on weekdays, with essentially none at the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 61 beds and averages 54.2 residents a day — about 89% occupied, or roughly 7 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Weekend coverage: total nurse staffing is 4.18 hrs/resident/day on weekends vs 4.90 on weekdays — 15% thinner on weekends. RN hours go from 0.53 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 36% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

This trend is not current. The most recent of these two inspections was over 4 years ago; the arrow describes what inspectors found then, not what the home is like now.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

• Potential for harm · Dcited before2021-10-07 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and review of the facility's Infection Prevention and Control Program, the facility failed to ensure Employee Identifier (EI) #3, laundry staff, changed gloves and sanitized her hands between residents during delivery of resident clothing, and did not place small baskets on the residents' dressers and return them to the clean laundry cart. This occurred on 10/6/21, one of three days of survey, and was observed while EI #3 was delivering clothing to four resident rooms. Findings Include: The facility's Infection Prevention and Control Program dated 9/12/17 documented . D. Hand Hygiene Protocol: 1. All staff shall wash their hands when coming on duty, between resident contacts, after handling contaminated objects, . J. Linens: 1. Laundry and direct care staff shall handle, store, process, and transport linens so as to prevent spread of infection. On 10/6/21 beginning at 3:26 PM, EI #3, housekeeping/laundry aide, was observed delivering clothing to four resident rooms while wearing…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2019-03-28 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, interviews, and a review of facility policies titled, FOOD Safety Requirements, Handwashing Guidelines Dietary Employees, Maintaining a Sanitary Tray Line, and Monitoring of Cooler/Freezer Temperatures, the facility failed to ensure: 1. food temperatures were taken prior to serving food from the tray line to residents on the skilled unit; 2. hands were washed by the kitchen worker serving tray line on the skilled unit while multi tasking; 3. refrigerator temperature was maintained to keep frozen food frozen solid; 4. employees hair was fully restrained and 5. green beans were not served to residents after a foreign object was removed from the green beans. These deficient practices had the potential to affect all 53 residents served meals from the kitchen. Findings Include: 1. Food temperatures were not taken prior to serving food from the tray line to residents on the skilled unit. A review of a facility policy titled, Maintaining a Sanitary Tray Line dated 11/10/2017, revealed: POLICY: This facility priorities tray assembly to ensure foods are handled safely…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2019-03-28 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and review of a facility policy Maintaining a Sanitary Tray Line, the facility failed to ensure: 1. a Certified Nursing Assistant (CNA) did not touch a resident wheelchair with gloves then with the same gloves cut a resident's sandwich in quarters; and 2. a laundry aide did not deliver the resident clothing to the unit uncovered, did not take a small basket into multiple resident rooms then return it to the clean clothes cart and did not allow resident clothing to touch the floor as she carried them from the cart to the resident closet. This had the potential to affect one of one residents in the dining room and 41 residents whose laundry was done by the facility. Findings Include: 1. A review of a facility policy Maintaining a Sanitary Tray Line with effective date of 11/10/17 revealed Policy: This facility prioritizes tray assembly to ensure foods are handled safely . Compliance Guidelines: . 3. During tray assembly, staff shall: . c. Wear gloves when handling food items, particularly when direct contact between the hands and food occurs . such as…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2018-03-22 · tag F0550 — failed to protect resident dignity and rights — isolated
  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview, medical record review and a review of the facility's policy titled, Personal Cell Phones Policy, the facility failed to ensure staff did not use a personal cell phone during resident care. This affected Resident Identifier (RI) #207, one of 15 residents who were observed during the provision of care. Findings Include: A review of a facility's policy titled, Personal Cell Phones dated 04/22/2016, documented: . Cell phones are to be kept in your handbag or vehicle while on duty. They may not be kept on your person or work area . while working.You may not use your cell phone in any residential area . even if you are on break or off duty . RI #207 was readmitted to the facility on [DATE] with a diagnosis of Fracture of Unspecified Part of Neck of Right Femur. On 03/21/2018 at 12:10 p.m., the surveyor entered RI #207's room. RI #207 stated around 10 a.m. that morning, Employee Identifier, (EI) #2, the Certified Nursing Assistant (CNA), came in the room to change him/her brief because the resident…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2018-03-22 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, medical record review and a review of the facility's policy titled, Medications Administration and a review of [NAME] and Perry's Fundamentals of Nursing, the facility failed to ensure staff obtained Resident Identifier (RI) #12's heart rate before administering Metoprolol Tartrate. This affected one of 11 residents observed during medication administration observation. Findings Include: A review of the facility's policy titled, Medications Administration dated 11/19/12 revealed the following: Policy Medications are administered as prescribed, in accordance with good nursing principles and practices. Procedure: . 2. Medications are administered in accordance with written orders of the attending physician . A review of [NAME] and Perry's Fundamentals of Nursing Eighth Edition, chapter 23, Legal Implications in Nursing Practice, page 305, revealed the following: Health Care Providers' Orders . Nurses follow health care providers' orders . RI #12 was admitted to the facility on…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2018-03-22 · tag F0659 — isolated
  Provide care by qualified persons according to each resident's written plan of care.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and a record review, the facility failed to ensure staff followed Resident Identifier (RI) #12's care plan titled, . impaired cardiovascular status related to medical diagnosis of hypertension, by not obtaining RI #12's heart rate/vital signs as ordered. This affected one of 11 residents observed during medication administration observation and one of 15 residents whose care plans were reviewed. Findings Include: RI #12 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnoses including: Pneumonia and Unspecified Diastolic (Congestive) Heart Failure. A review of RI #12's Quarterly Minimum Data Set (MDS) dated [DATE], revealed RI #12's Brief Interview for Mental Status (BIMS) score 12, indicating moderate impairment in cognition. A review of RI #12's care plan revealed, (RI #12) has impaired cardiovascular status related to medical diagnosis of hypertension . Approaches . Obtain . vital signs as ordered . A review of RI #12's March 2018 Physician's orders…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2018-03-22 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, interviews and a review of the facility's policies titled, Wound Care and Clean Dressing Change, the facility failed to ensure staff wiped Resident Identifier's (RI) #42's wound located on mid back from the inner to the outer aspect in one continuous wipe and cleaned the peri-wound area. This affected, RI #42, one of two residents observed during wound care. Findings Include: A review of the facility's policy titled, Wound Care dated 11/16/16 revealed the following: . Purpose The purpose of this procedure is to provide guidelines for the care of wounds to promote healing. Steps in the Procedure . 11. Wash tissue around the wound that is usually covered by the dressing, tape, gauze with wound cleanser or normal saline . A review of the facility's policy titled, Clean Dressing Change dated 10/16/16, revealed the following: . Policy: It is the policy of this facility to provide wound care in a manner to decrease potential for infection and/or cross-contamination . Policy…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2018-03-22 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, medical record review, interview and a review of the facility's policies titled, Skin Care and Gloves, the facility failed to ensure staff changed soiled gloves after cleaning Resident Identifier (RI) #42's wound and before applying a clean dressing. The facility further failed to ensure staff washed hands after removing soiled gloves and before applying clean gloves. This affected RI #42, one of two residents observed during wound care. Findings Include: A review of the facility's policy titled, Skin Care dated 11/16/12 revealed the following: . Procedure I. Dressing-Clean Technique: . 9. Remove dressing and discard . Remove gloves and wash hands. 10. Apply clean gloves. 11. Cleanse area . 12. Remove gloves, wash hands . A review of the facility's policy titled, Gloves dated 03/23/06, revealed the following: . handwashing is to be done after removal of gloves. If gloves become soiled, change during care . RI #42 was admitted to the facility on [DATE] with diagnoses including: Weakness,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 10 rows in the source record cover these 7 parties — each is shown once here with every role it holds. Nothing is omitted. The source lists no ownership percentage for any of them — PECOS records a share only for equity interests, not for board or management roles.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in AL