CCN 015433

St. Martin's in the Pines

4941 MONTEVALLO ROAD, Irondale, AL 35210 · Jefferson County

Phone: (205) 956-1831
Ownership: Non profit - Church related
Certified beds: 128
Residents per day: 97.8
Health citations: 13
Penalties: 1
Fines: 0 · $0
Map: Open location

Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Overall

CMS overall star rating in this file.

Health inspection

Compared with other homes in the state.

Staffing

Based on reported PBJ nurse hours.

Quality measures

Long-stay 3 · short-stay 1.

Provider Information star ratings. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

CMS indicates the most recent health inspection was more than two years before this file was processed.

Staffing hours

Reported hours per resident per day come from the Payroll-Based Journal figures in the Provider Information file. Case-mix and adjusted hours account for how much care CMS expects given the residents’ needs. State and U.S. figures are averages from the same release.

Measure: This home; State; U.S.
Nurse aide: 2.72; 2.44; 2.32
LPN/LVN: 0.56; 0.79; 0.86
Registered nurse: 0.72; 0.65; 0.69
Total nurse staff: 4.00; 3.88; 3.86
Weekend total: 3.68; 3.26; 3.42
Weekend RN: 0.60; 0.36; 0.48

Adjusted total nurse hours: 4.13. Adjusted RN hours: 0.74. Case-mix total: 3.72. Case-mix index: 1.358.

Total nursing staff turnover: 58.2%. RN turnover: 67.7%. Administrators who left: 2.

How to read staffing hours

Payroll-Based Journal figures in Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Fines and penalties

CMS reports 0 fines totaling $0, and 1 payment denial.

Date	Type	Amount or days
July 18, 2025	Payment Denial	3 days

Cycle 1 standard survey: October 3, 2019. Health deficiencies counted in cycle 1: 2. Cycle 1 total health score: 12.

Cycle 2 standard survey: September 26, 2018. Cycle 2/3 health deficiencies: 5. Total weighted health survey score: 44.25.

Penalties file and Provider Information. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Health inspection citations

The Health Deficiencies file lists 13 citations for this home, including 1 at immediate jeopardy and 0 at actual harm. CMS may display some citations here that are not used in the health inspection rating, including citations under dispute.

July 18, 2025

3 citations

Tag	What CMS cited	Scope and severity	Status
F689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Complaint survey · Cycle 2	K: pattern, immediate jeopardy to resident health or safety	Deficient, Provider has date of correction · August 26, 2025
F677	Provide care and assistance to perform activities of daily living for any resident who is unable. Quality of Life and Care Deficiencies · Complaint survey · Cycle 2	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · August 26, 2025
F697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Complaint survey · Cycle 2	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · August 26, 2025

October 3, 2019

2 citations

Tag	What CMS cited	Scope and severity	Status
F812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 1	E: pattern, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · November 6, 2019
F693	Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Quality of Life and Care Deficiencies · Standard survey · Cycle 1	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · November 6, 2019

September 26, 2018

2 citations

Tag	What CMS cited	Scope and severity	Status
F657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 2	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · October 19, 2018
F812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Standard survey · Cycle 2	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · October 19, 2018

August 24, 2017

6 citations

Tag	What CMS cited	Scope and severity	Status
F371	Store, cook, and serve food in a safe and clean way. Nutrition and Dietary Deficiencies · Standard survey · Cycle 3	F: widespread, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 28, 2017
F372	Dispose of garbage and refuse properly. Environmental Deficiencies · Standard survey · Cycle 3	F: widespread, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 28, 2017
F279	Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Standard survey · Cycle 3	E: pattern, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 28, 2017
F282	Provide care by qualified persons according to each resident's written plan of care. Quality of Life and Care Deficiencies · Standard survey · Cycle 3	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 28, 2017
F369	Provide special eating equipment and utensils for each resident who needs them. Nutrition and Dietary Deficiencies · Standard survey · Cycle 3	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 28, 2017
F441	Have a program that investigates, controls and keeps infection from spreading. Environmental Deficiencies · Standard survey · Cycle 3	D: isolated, no actual harm, with potential for more than minimal harm	Deficient, Provider has date of correction · September 28, 2017

Health Deficiencies. Data from CMS, updated September 1, 2026. CMS Provider Data Catalog · How we rate · Corrections

Other facts in the provider file

Provider type: Medicare and Medicaid.
CMS flags this provider as a continuing care retirement community.
Chain name in the file: Diversicare Healthcare (44 facilities). Chain average overall rating: 2.5.
Legal business name: Pines Birmingham Opco LLC.
First approved for Medicare and Medicaid services: July 9, 1997.
Resident and family council: Resident.
Automatic sprinklers in all required areas: Yes.
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Questions

What is the CMS overall rating for St. Martin's in the Pines?

St. Martin's in the Pines has an overall rating of 2 out of 5. The health inspection rating is 2, staffing is 3, and the quality measure rating is 2.

How many health citations does CMS list for St. Martin's in the Pines?

The Health Deficiencies file lists 13 health citations for this home. 1 are coded immediate jeopardy (J, K, or L) and 0 are coded actual harm that is not immediate jeopardy (G, H, or I).

What nurse staffing does CMS report for St. Martin's in the Pines?

CMS reports 4.00 total nurse hours per resident per day, including 0.72 registered nurse hours. These are Payroll-Based Journal measures in the Provider Information file.

CMS file

Staffing hours

Fines and penalties

Health inspection citations

July 18, 2025

October 3, 2019

September 26, 2018

August 24, 2017

Other facts in the provider file

Questions

Opening the record…

Staffing hours

Fines and penalties

Health inspection citations

July 18, 2025

October 3, 2019

September 26, 2018

August 24, 2017

Other facts in the provider file

Questions