22670 Main Street, Fairhope, AL 36532 · Baldwin County · (251) 928-2177
83 certified beds, about 59 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2002
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015447 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on March 10, 2023, inspectors cited 3 health deficiencies (the Alabama average is 4, the national average 9.2).
None of its 7 health citations since April 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.34 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 1.15 of those hours.
74.3% of nursing staff left within the year CMS measured (Alabama average 46.9%).
CMS links it to Arabella Healthcare Management, an affiliated group of 12 nursing homes.
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 7 health citations on file.
Inspectors wroteBased on observation, interview, the 2022 United States (U.S.) Public Health Service Food and Drug Administration (FDA) Food Code, and the facility's policies for FOOD STORAGE, and Handwashing/Hand Hygiene; the facility failed to ensure: 1. foods were properly stored in the reach-in freezer; 2. a dietary staff member washed her hands between going from the dirty side to the clean side of the dish machine during dishwashing and; 3. there was not heavy dust accumulation on a ceiling air vent and overhead pipes. This had the potential to affect 65 of 65 residents receiving meals from the facility kitchen. Findings Include: 1.) The facility's policy for Food Storage, undated, included the following: Policy Sufficient storage facilities are provided to keep foods safe, wholesome, and appetizing. 17. Freezer Temperatures: a. [...]
Inspectors wroteBased on observations, interviews, and review of the facility's, Facility Information & (and) Reference Guide, the facility failed to ensure that a resident had a ceiling suspended curtain to provide total visual privacy, in combination with adjacent walls and curtains, in Room Locator (RL) #1. This deficient practice affected one of 58 residents residing in a semi-private room at the facility. Findings Include: A review of the facility's Facility Information & Reference Guide, undated, revealed, . The Resident's Rights *YOU have the right to be treated with dignity, privacy, respect, and to live in a safe, clean, comfortable and homelike environment. Resident Identifier (RI) #7 was admitted to the facility on [DATE] and readmitted on [DATE] with diagnosis to include Post-Traumatic Hydrocephalus and Paraplegia. On 03/07/2023 at 9:27 AM, RL #1 observed, no privacy curtain for RI #7. [...]
Inspectors wroteBased on observations, interviews and review of the facility's policy titled, Posting Direct Care Daily Staffing Numbers, the facility failed to ensure the staff posting reflected the name of the facility and the actual hours staff were scheduled to work for the shifts on four of four days of the survey. This deficient practice had the potential to affect all 65 residents residing in the facility.
Inspectors wroteBased on observation, interviews and review of a facility policy titled, Confidentiality of Information and Personal Privacy, the facility failed to ensure Employee Identifier (EI) #4 did not park her medication cart in front of Resident Identifier (RI) #3's room, walk away from her computer into RI #3's room, leaving RI #3's personal and private information open and exposed. This deficiency had the potential to affect one of five residents observed during medication administration. Findings Includes: A review of a facility policy titled, Confidentiality of Information and Personal Privacy with a revised date of 10/2017, revealed the following: . 1. The facility will safeguard the personal privacy and confidentiality of all resident personal and medical records . [...]
Inspectors wroteBased on an interview, review of the facility GRIEVANCE/COMPLAINT LOG, the accompanying CONCERN form and a facility policy titled, Abuse Investigation and Reporting, the facility failed to report an allegation of abuse. This affected Resident Identifier (RI) #111, one of four residents sampled for dignity.
Inspectors wroteBased on observation, review of the facility's policy titled, Proper Hand Washing and Glove Use and interviews with staff, the facility failed to ensure staff routinely washed hands before putting on new gloves. This occurred during the preparation and service of food at the 04/17/19 supper tray line. This had the potential to affect all 62 residents for whom meals were prepared and served at the time of this survey. Findings Include: The facility's policy, Proper Hand Washing and Glove Use (2016), revealed: All employees will use proper hand washing procedures and glove usage in accordance with State and Federal Sanitation Guidelines Procedure: .3. All employees will wash hands . between all tasks. 4. Employees will wash hands before and after handling foods . 6. Hands are washed before donning gloves and after removing gloves. 9. [...]
Inspectors wroteBased on observations, the 2017 Food Code, and interviews with staff, the facility failed to ensure the temperature gauge of the final rinse water of the dish machine was functioning properly to ensure dishes were effectively sanitized. This had the potential to affect 62 residents for whom meals were prepared and served. Findings Include: The 2017 Food & (and) Drug Administration Food Code revealed: .4-501.112 Mechanical Warewashing Equipment, Hot Water Sanitization Temperatures. (A) .in a mechanical operation, the temperature of the fresh hot water SANITIZING rinse as it enters the manifold may not be more than . (194 (degrees) (Fahrenheit) F), or less than: .(180 degrees F) . On 04/16/19 at 8:30 AM, a Dietary Aide, Employee Identifier (EI) #1, processed a rack of dishes through the dish machine. [...]
7 fire safety citations on file: 2 on March 10, 2023, 4 on September 16, 2021, 1 on April 18, 2019.
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Alabama | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.34 | 3.88 | 3.86 |
| Registered nurses | 1.15 | 0.65 | 0.69 |
| All nursing staff on weekends | 2.98 | 3.26 | 3.42 |
| Nurse aides | 1.90 | ||
| Licensed practical nurses | 0.29 | ||
| Nursing staff turnover (share who left in a year) | 74.3% | 46.9% | 45.8% |
| Registered nurse turnover | 77.8% | 39.5% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.27 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.49 on weekdays and 2.98 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.50 in April to June 2025 to 3.34 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.34 | 1.15 | 3.49 | 2.98 | 0.0% | 0 of 90 | 59 |
| Oct to Dec 2025 | 3.48 | 1.01 | 3.63 | 3.08 | 0.0% | 0 of 92 | 59 |
| Jul to Sep 2025 | 3.27 | 0.68 | 3.41 | 2.91 | 0.0% | 0 of 92 | 61 |
| Apr to Jun 2025 | 3.50 | 0.96 | 3.73 | 2.93 | 0.0% | 0 of 91 | 64 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Alabama, Jan to Mar 2026 | 3.88 | 0.63 | 4.13 | 3.27 | 0.9% | 0.2% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Staff pay reports
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Alabama, all employers | |||
| CNAs (nursing assistants) | $16.41 | $14.45 to $17.49 | 25,250 |
| LPNs and LVNs | $27.42 | $23.15 to $29.71 | 11,580 |
| Registered nurses | $37.06 | $30.53 to $40.09 | 54,340 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Alabama | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 7.0 | 12.0 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 2.4 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 2.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.6 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.2 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 2.6 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 11.1 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 29.4 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 7.5 | 11.3 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.8 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.2 | 1.7 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Altera Health and Rehabilitation Center's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (43.2% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.
43.2% this home
No different from the national rate
US median of homes 51.5% · Alabama: 41 better, 10 worse
Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 124 eligible stays.
14.1% this home
No different from the national rate
US median of homes 10.7% · Alabama: 1 better, 3 worse
Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 123 eligible stays.
10.0% this home
No different from the national rate
US median of homes 7.1% · Alabama: 0 better, 1 worse
Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 101 eligible stays.
61.9% this home
Median of homes: Alabama50.0% · US 56.6%
Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 63 residents counted.
0.9% this home
Median of homes: Alabama0.0% · US 0.0%
Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 114 residents counted.
0.8% this home
Median of homes: Alabama2.1% · US 1.7%
Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 114 residents counted.
87.9% this home
Median of homes: Alabama100.0% · US 98.7%
Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 33 residents counted.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Legal business name: ARABELLA HEALTH & WELLNESS OF FAIRHOPE OPCO LLC. CMS links this home to Arabella Healthcare Management, a group of 12 nursing homes averaging 2.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Arabella Health & Wellness of Fairhope Propco LLC | 5% or greater mortgage interest | Organization | 08/25/2023 | |
| Hertzel, Chaim | Corporate officer | Individual | 08/25/2023 | |
| Arabella Healthcare Management LLC | Operational/managerial control | Organization | 08/25/2023 | |
| Hertzel, Chaim | Operational/managerial control | Individual | 08/25/2023 | |
| Ray, Kristina | Operational/managerial control | Individual | 08/25/2023 | |
| Thomas, Jessica | Operational/managerial control | Individual | 06/16/2024 | |
| Fein, Miriam | Individual is an owner, partner or trustee of any ADP of the SNF | Individual | 04/29/2025 | |
| Arabella Health & Wellness of Fairhope Propco LLC | Adp of the SNF | Organization | 08/25/2023 | |
| Arabella Healthcare Management LLC | Adp of the SNF | Organization | 03/14/2025 | |
| Arco Kano Irrv Tr | Adp of the SNF | Organization | 03/04/2024 | |
| Gnh Irrv Tr | Adp of the SNF | Organization | 03/04/2024 | |
| Hwood Partners LLC | Adp of the SNF | Organization | 03/04/2024 | |
| Hertzel, Chaim | Adp of the SNF | Individual | 08/25/2023 | |
| Ray, Kristina | Adp of the SNF | Individual | 08/25/2023 | |
| Thomas, Jessica | Adp of the SNF | Individual | 06/16/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Chosen from this home's own inspection record.
These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.