CCN 015047 · Jefferson County, Alabama

Northway Health and Rehabilitation, LLC

1424 North 25th Street, Birmingham, AL 35234

Northway Health and Rehabilitation, LLC is a 113-bed for-profit nursing home in Birmingham, Alabama, first certified for Medicare or Medicaid in 1976. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 108.3 residents a day, about 96% of its certified beds. It has an active FHA-insured Section 232 loan: $3.7 million originally, at 3.15%, with $2.4 million outstanding as of September 30, 2026 and maturity in July 2042.

Facility facts

Certified beds
113
Average residents per day
108.3 (95.8% of beds)
Ownership type
For profit - Limited Liability company
Certification
Medicare and Medicaid
Legal business name
Northway Health and Rehabilitation, LLC
Certified since
Nov 1, 1976
Chain or affiliated group
Nhs Management (43 facilities, chain average 2.9 stars)
Location
Urban

Ratings and staffing

Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.

MeasureThis facilityAlabama medianUS median
Overall rating3 of 5State spread: 42 at 1, 45 at 2, 50 at 3, 41 at 4, 45 at 5
Health inspections2 of 5
Quality measures5 of 5
Staffing3 of 5
Total nurse hours per resident per day3.573.883.68
RN hours per resident per day0.350.640.58
Weekend nurse hours per resident per day2.86
Nursing staff turnover51.8%46.7%44.9%
Occupancy (residents / beds)95.8%88.2%85.7%
Fines reported by CMSNone
Health deficiencies, latest standard survey6 (Apr 17, 2024)

HUD 223(f) Express Lane: the CMS part

HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Northway Health and Rehabilitation, LLC meets that part today: 3 stars overall, 2 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.

Who owns and operates it

These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.

NameRoleShareSince
Northport Holding Operations, LLCOrganizationDirect Ownership Interest100%01/01/2003
James N Estes Jr Family Dynasty Tr No 2OrganizationIndirect Ownership Interest18%12/27/2012
James Norman Estes Jr TrOrganizationIndirect Ownership Interest6%06/30/2013
Jennifer E Agee Family Dynasty Tr No 2OrganizationIndirect Ownership Interest18%12/27/2012
Jennifer Lee Estes Tr 031093OrganizationIndirect Ownership Interest6%06/30/2013
Estes, JamesIndividualIndirect Ownership Interest51%01/01/2003
Capital Funding LLCOrganizationMortgage Interestn/a06/01/2012
Capital Funding LLCOrganizationSecurity Interestn/a06/01/2012
Holding Facilities Group LLCOrganizationSecurity Interestn/a06/01/2012
Northway Health Realty LLCOrganizationSecurity Interestn/a06/01/2012
Servisfirst BankOrganizationSecurity Interestn/a08/29/2018
Holmes, LetcherniqueIndividualOperational / Managerial Controln/a01/03/2022
Kilgore, JordanIndividualOperational / Managerial Controln/a01/15/2024
Patterson, DerekIndividualOperational / Managerial Controln/a01/03/2022

Holders of a 5% or greater mortgage interest reported in the enrollment record: Capital Funding LLC.

Changes of ownership

No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.

HUD Section 232 loans

HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.

EndorsedProgramOriginal amountStatusFHA number
Jun 27, 2012223(f) refinance or purchaseHUD project name: Northport7-Northway Health and Rehabilitation, 113 beds. Lender at endorsement: Capital Funding LLC$3,666,000Active: 3.15%, $2,354,504 balanceMatures Jul 1, 2042. Servicer: Capital Funding LLC06222070

Watch this facility

Get one email when the monthly CMS or HUD files show a change at Northway Health and Rehabilitation, LLC: a new owner, operator or lender of record, a change of ownership, a new overall star rating, or a change to its HUD loan.

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Sources and dates

Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.

SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.