CCN 015455 · Jefferson County, Alabama
Elite Nursing and Rehabilitation Care Center
300 Royal Tower Drive, Birmingham, AL 35209
Elite Nursing and Rehabilitation Care Center is a 143-bed for-profit nursing home in Birmingham, Alabama, first certified for Medicare or Medicaid in 2005. CMS rates it 1 out of 5 stars overall in its September 2026 data, and it averaged 120.6 residents a day, about 84% of its certified beds. We found no FHA-insured Section 232 loan for it in HUD's healthcare endorsement database (fiscal 2001 onward).
Facility facts
- Certified beds
- 143
- Average residents per day
- 120.6 (84.3% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Mount Royal Operations LLC
- Certified since
- Nov 3, 2005
- Chain or affiliated group
- None listed by CMS
- Location
- Urban, part of a continuing care retirement community
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.
| Measure | This facility | Alabama median | US median |
|---|---|---|---|
| Overall rating | 1 of 5 | State spread: 42 at 1, 45 at 2, 50 at 3, 41 at 4, 45 at 5 | |
| Health inspections | 1 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 3 of 5 | ||
| Total nurse hours per resident per day | 3.28 | 3.88 | 3.68 |
| RN hours per resident per day | 0.51 | 0.64 | 0.58 |
| Weekend nurse hours per resident per day | 2.98 | ||
| Nursing staff turnover | 52.4% | 46.7% | 44.9% |
| Occupancy (residents / beds) | 84.3% | 88.2% | 85.7% |
| Fines reported by CMS | 1 totaling $6,682 | ||
| Health deficiencies, latest standard survey | 9 (Mar 29, 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). Elite Nursing and Rehabilitation Care Center does not meet it today: overall rating 1, health inspection rating 1. 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.
| Name | Role | Share | Since |
|---|---|---|---|
| Aschendorf, JonathanIndividual | Operational / Managerial Control | n/a | 05/01/2023 |
| Bell, TishaIndividual | Operational / Managerial Control | n/a | 10/19/2021 |
| Kaplan, YisroelIndividual | Operational / Managerial Control | n/a | 10/19/2021 |
| Paisley, PeytonIndividual | Operational / Managerial Control | n/a | 12/03/2023 |
Changes of ownership
| Effective | Buyer | Seller |
|---|---|---|
| Oct 19, 2021 | Mount Royal Operations LLC | Vestavia Hills Ltd-An Alabama Limited Partnership |
HUD Section 232 loans
No FHA-insured loan matching this facility appears in HUD's database of healthcare endorsements, which covers fiscal 2001 onward (HUD data run of July 8, 2026). A loan could still exist under a different project name or from before 2001.
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.