Elite Nursing & Rehabilitation Center

    300 Royal Tower Dr, Birmingham, AL 35209
    • Independent Living
    • Assisted Living
    • Memory Care
    • Skilled Nursing

    Spotless facility with excellent care

    I'm very pleased with my experience here. The facility is spotless and welcoming, staff are consistently friendly, compassionate, and professional, and the care and rehab services (plus activities, good meals, and an on-site salon) are excellent. Communication and admission were smooth, my family feels reassured, and I'd recommend this community to others.

    Current/former resident
    Jul 2026

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    Reviews

    3.84·(141)

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.2
    • Staff

      3.8
    • Meals

      3.1
    • Amenities

      2.9
    • Value

      2.5

    Pros

    • Compassionate and attentive direct-care staff
    • Strong rehabilitative therapy and positive rehab outcomes
    • Engaging on-site activities and arts programs
    • Accessible in-house services (hair salon, bank)
    • Bright, spacious resident rooms and natural light
    • Accessible apartment-style independent living options
    • On-site transportation and scheduled outings
    • Consistent three-meal service and home-style options
    • Warm front-desk welcome and friendly reception
    • Comfortable end-of-life and palliative support
    • Reasonable pricing for some levels of care
    • Clean and well-maintained areas reported in parts of the campus
    • Memory-care staff with demonstrated empathy
    • Efficient admission and rehab intake processes

    Cons

    • Inconsistent staffing levels and high staff turnover
    • Unreliable call/light response and nurse availability
    • Gaps in medication-administration and clinical oversight
    • Sanitation and odor concerns in specific units
    • Laundry and personal-belonging management failures
    • Weak maintenance responsiveness (HVAC, hot water, repairs)
    • Inconsistent meal timing and variable food quality
    • Pest-control concerns
    • Insufficient family communication and phone access
    • Operational safety gaps contributing to fall risk
    • Perceived profit-focused priorities over care
    • Allegations of theft and financial mishandling

    Summary of reviews

    Reviews for Elite Nursing & Rehabilitation Center are mixed, with families describing both demonstrable strengths in hands-on care and recurring operational weaknesses. Many accounts praise direct-care staff—CNAs and therapists—who provide attentive personal care, effective rehabilitation, and engaging activity programming. Several families highlighted positive features such as bright, apartment-style rooms, on-site amenities (hair salon, bank), regular meal service, and a welcoming front desk. Memory-care and rehab units were specifically cited for staff empathy and measurable therapy progress in some cases.

    At the same time, a substantial set of concerns recurs across reviews. Staffing consistency and coverage were frequent issues: reviewers described slow or unreliable responses to call lights, limited RN/LPN hours, and overall high turnover that affected continuity of care. These workforce gaps were linked to operational safety problems, including delays in assistance during transfers and falls. Several families also expressed concerns about medication administration and clinical oversight, citing delayed or missed medications and inadequate follow-up on changing medical needs.

    Facility operations and environment yielded polarized observations. Parts of the campus are described as clean, bright, and well-maintained, while other units reportedly experienced sanitation and odor concerns, inconsistent housekeeping, and delayed maintenance of heating, cooling, and hot-water systems. Laundry handling and the management of residents' personal belongings were called out as problematic in multiple accounts. There are also multiple mentions of pest-control concerns and inconsistent responsiveness to those issues.

    Dining and activities are similarly uneven. Many residents and families praised the activity schedule, arts programs, outings, and home-style meal offerings; others reported late meals, limited menu variety at times, and food that had been left sitting. Transportation options exist (mini-bus, scheduled trips) but reviewers noted limits on weekend or specialized transport and occasional dependence on ride-hailing.

    Management and communication represent another area of concern. Reviews describe uneven administrative responsiveness, difficulty reaching management by phone, and inconsistent follow-through on family inquiries. A subset of reviewers raised serious financial concerns, including allegations of mishandling of benefits and missing personal items; these are significant enough that some families advised regulatory follow-up.

    For prospective residents and families: tour multiple units at different times of day, ask about current staffing levels and RN/LPN coverage, verify the call-light system functionality, inquire about laundry and personal-belonging procedures, request recent inspection or complaint records, and clarify maintenance and pest-control protocols. Because experiences vary markedly by unit and timeframe, on-site observation and specific operational questions will provide the best insight into whether the facility’s current practices meet an individual’s needs.

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    Medicare Ratings

    1·/ 5
    • Overall

    • Health Inspection

    • Staffing

    • Quality Measures

    Ratings from the U.S. Centers for Medicare & Medicaid Services (Care Compare). View on Medicare.gov

    Location

    Map showing location of Elite Nursing & Rehabilitation Center

    Elite Nursing & Rehabilitation Center is located at 300 Royal Tower Dr, Birmingham, AL, 35209.

    About Elite Nursing & Rehabilitation Center

    Elite Nursing & Rehabilitation Center sits in Vestavia Hills with 143 certified beds, offering a wide range of senior care services like nursing, rehab, home health, assisted living, adult day care, and memory care, and though the place talks about compassion and excellence and tries to provide specialized care for people with Alzheimer's or other forms of dementia, you'll find they have had their share of inspection issues, including 22 deficiency citations, three related to infection control, and several concerning problems like not keeping a safe, clean, homelike environment, trouble with notifying residents and families about important things, and not responding the right way to violations, so there's certainly room for improvement, but they do have a team that's trained for dementia and Alzheimer's care, and nurses on-site all the time, and the nurse staffing is at 3.62 hours per resident per day, though they've had a high nurse turnover rate of 62%, showing some staff challenges. The building's designed to focus on residents' comfort, with features like private bathrooms, furnished rooms, and spaces for socializing, and you'll see things like elevators, internet/Wi-Fi, cable TV, and even a library or barber shop, and people can eat in a restaurant-style dining room with meals that a registered dietitian approves, which is nice if you enjoy good food. Families can visit the outdoor patio and park areas or use technology that helps with staying connected, and staff members speak both English and Spanish. Security measures stay active, and there's a 24-hour emergency call system for peace of mind. They offer therapy services daily, covering things like physical, occupational, and speech therapy, and have programs for stroke or neuro-rehabilitation, even respiratory care like CPAP or tracheostomy support, so residents with different medical needs can get extra help. Amenities include activities, games, fitness programs, and cultural events, along with services such as grooming in the beauty shop and medication management, and if someone needs short- or long-term care, the center can accept admissions at any time day or night. While the facility highlights comprehensive programs, physician services for dental and psychiatric care, and a focus on safety, it's important to pay attention to the inspection history, including the infection control concerns and the need for better communication with families, because those things matter a lot for daily life and trust in a place like this.

    People often ask...

    Elite Nursing & Rehabilitation Center offers independent living, assisted living, memory care, and skilled nursing.

    There are 24 photos of Elite Nursing & Rehabilitation Center on Mirador.

    Yes, Elite Nursing & Rehabilitation Center allows residents to age in place and adjust their level of care as needed.

    The full address for this community is 300 Royal Tower Dr, Birmingham, AL 35209.

    No, Elite Nursing & Rehabilitation Center does not offer respite care. Respite care in assisted living communities provides temporary, short-term relief for primary caregivers by offering professional care for their loved ones. It allows individuals to stay in an assisted living community for a limited time, giving caregivers a break while ensuring residents receive necessary support and assistance with daily activities.

    Disclaimer

    Mirador Living is not affiliated with the owner or operator(s) of Elite Nursing & Rehabilitation Center. The information above has not been verified or approved by the owner or operator. For exact information, please contact Elite Nursing & Rehabilitation Center directly. There is no cost for this service. We are compensated by the community you select.

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