13750 Highway 90 West, Grand Bay, AL 36541 · Mobile County · (251) 865-6443
92 certified beds, about 71 residents a day · For profit - Corporation · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 015406 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on August 17, 2023, inspectors cited 1 health deficiency (the Alabama average is 4, the national average 9.2).
Of 21 health citations since June 2021, 7 were rated as actual harm or immediate jeopardy to residents (7 immediate jeopardy).
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.64 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.68 of those hours.
72.1% 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 21 health citations on file.
Inspectors wroteBased on interviews, residents record review, review of a facility policy titled Abuse, Neglect and Exploitation, review of a Facility Reported Incident (FRI), and review of the facility's investigative file, the facility failed to ensure Resident Identifier (RI) #33 and RI #42 did not physically abuse each other. Specifically, On 04/08/2025 staff failed to provide supervision and intervene when RI #33 was upset and yelling out at RI #42. As RI #42 passed by RI #33, RI #33 hit RI #42, which resulted in RI #42 hitting RI #33 back. According to RI #33's plan of care when RI #33 had acute behaviors staff should intervene promptly to reduce the risk of escalation. This deficiency was cited as the result of the investigation of complaint/report number AL00051008. Findings Include: Review of an undated facility's policy titled, Abuse, Neglect and Exploitation, revealed the following: Policy: [...]
Inspectors wroteBased on interviews, record review, review of the Job Description of the Administrator (ADM) and review of the facility's Abuse Policy, the facility's Administrator failed to identify and report sexual abuse in a timely manner to the State Agency. The ADM failed to thoroughly investigate an occurrence of sexual abuse to determine causal factors and develop an action plan for prevention of sexual abuse in the facility. On 01/13/2025 at approximately 2:00 AM, Licensed Practical Nurse (LPN) #13 observed Resident Identifier (RI) #20 sitting on RI #44's bed next to RI #44 who had severely impaired cognition and did not have the capacity to consent to the situation. RI #20 was nude from the waist down and was looking at RI #44 and caressing RI #44's hip and thigh. [...]
Inspectors wroteBased on interviews, record review, review of facility policies titled Abuse, Neglect and Exploitation and Quality Assessment and Assurance Committee, the facility's Quality Assurance and Performance Improvement (QAPI) committee, failed to review all allegations of abuse and injuries of unknown origin to ensure thorough investigations were conducted, investigations were conducted per facility policy, residents were protected, and reporting was timely. The Quality Assessment and Assurance (QAA or QAPI) committee did not review incidents of abuse that occurred to ensure the Abuse Policy was fully implemented for all allegations of abuse including staff identifying, stopping (protecting the resident from further abuse), and reporting abuse. [...]
Inspectors wroteBased on interviews, resident record reviews, review of a facility policy titled Abuse, Neglect and Exploitation, review of Facility Reported Incidents (FRIs) received by the State Agency, and review of the facility's investigative files, the facility failed to protect the residents' right to be free from sexual, physical, and verbal abuse perpetrated by staff and residents. 1.) On 01/13/2025 at approximately 2:00 AM, Licensed Practical Nurse (LPN) #13 observed Resident Identifier (RI) #44's call light was on. The Certified Nursing Assistant (CNA) assigned to care for RI #44, CNA #23, was on her lunch break at that time and the CNA assigned to care for RI #20, CNA #12, was not permitted to enter RI #44's room. LPN #13 administered medications to another resident and then responded to the call light. [...]
Inspectors wroteBased on interviews, resident record reviews, review of a facility policy titled Abuse, Neglect and Exploitation, review of Facility Reported Incidents (FRIs) received by the State Agency, and review of the facility's investigative files, the facility failed to ensure an allegation of sexual abuse was reported to the State Agency within two hours. Specifically, on 01/13/2025 around 2:00 AM, Licensed Practical Nurse (LPN) #13 called the Administrator/Abuse Coordinator (ADM) and reported RI #20 had been witnessed nude from the waist down in RI #44's room, sitting on Resident Identifier (RI) #44's bed next to RI #44 caressing RI #44's hip and thigh. The ADM failed report the allegation of sexual abuse to the State Agency until three days later on 01/16/2025. [...]
Inspectors wroteBased on interviews, record review, and review of a facility policy titled Abuse Neglect and Exploitation the facility failed to conduct a thorough investigation to ensure appropriate corrective actions were taken to prevent recurrence following an allegation of sexual abuse that occurred on 01/13/2025, involving Resident Identifier (RI) #20 and RI #44. On 01/13/2025 at approximately 2:00 AM, Licensed Practical Nurse (LPN) #13 responded to a call light from RI #44's room and found RI #20 naked from the waist down, seated on RI #44's bed caressing RI #44's hip and thigh. The facility failed to ensure the investigation included and focused on whether abuse had occurred, the extent, and cause. [...]
Inspectors wroteBased on interviews, resident record review, and review of a facility policy titled Behavioral Health Care Services, the facility failed to ensure residents with behaviors were managed and addressed to prevent and protect other residents from being abused, and to ensure other residents' safety and privacy was protected from residents with combative, aggressive, wandering, and sexual behaviors. 1.) Specifically, on 01/13/2025 during the night, at approximately 2:00 AM, Licensed Practical Nurse (LPN) #13 found Resident Identifier (RI) #20 in another resident's room, sitting on RI #44's bed, without clothing from the waist down, and caressing RI #44's hip and thigh. Facility staff had knowledge of resident masturbating, family members witnessed RI #20 masturbating, and a Behavioral Health (BH) note dated 01/14/2025 documented family had reported resident would masturbate in front of others. [...]
Inspectors wroteBased on observations, interviews and review of facility policies titled,OnTray Dietary Policies and Procedures, Use-By Guideline Handout, Ice Machine: Bin Type and Scoop, Hood, Vents & Filter the facility failed to ensure: 1) food items in the freezer were labeled; 2) the ice machine was cleaned and; 3) the stove hood bulbs and stove hood was free of a a grease like substance. This had the potential to affect 63 of 63 residents who received meals from the kitchen. Findings including: A review of a facility's policy titled, Use-By Guidelines Handout with no date revealed: The following guide can be used to determine a use-by date when labeling opened or unopened food that must be used within a certain time frame. Foods with a manufacturer's use-by date should still require an opened-on date once the item is opened. [...]
Inspectors wroteBased on observation, interviews and review of a facility policy titled OnTray Dietary Policies and Procedure, the facility failed to ensure the dumpster doors were closed on dumpsters one and two. This had the potential to affect 65 of 65 residents who reside at the facility.
Inspectors wroteBased on record review, interview and Payroll Based Journal (PBJ) Report, the facility failed to report accurate staff data from Fiscal Year (FY) Quarter 1 (October 1 to December 31) to the Center of Medicare and Medicaid Services (CMS). This affected one quarter of data reviewed during the survey and had the potential to affect all 65 residents in the facility. Findings Include: The PBJ report generated for the quarter October 1-December 21, 2023, documented: . This Staffing Data Report identifies areas of concern that will be triggered . Excessively Low Weekend Staffing . Triggered . Submitted Weekend Staffing data is excessively low . On 04/08/2025 at 4:14 PM a telephone interview was conducted with the Director of Informatic (DI). The DI stated she was responsible for submitting the PBJ to CMS. [...]
Inspectors wroteBased on interviews, record review, the facility's investigative file, a review of information from the Alabama Department of Public Health's (ADPH) Online Reporting System, the facility policies titled ABUSE POLICY/REPORTING ABUSE, and Medication Administration the facility failed to ensure Resident Identifier (RI) #324 and RI #329 were free from misappropriation of property when the resident's controlled substances were unable to be accounted for after Licensed Practical Nurse (LPN) #31's shift from 6:00 PM on 07/14/2024 to 6:00 AM on 07/15/2024. Specifically, LPN #31 signed RI #324's Controlled Drug Record for Lorazepam indicating that she removed a tablet. RI #324's Medication Administration Record (MAR or EMAR) revealed that the medication was not administered. [...]
Inspectors wroteBased on record review, interviews, the Alabama Department of Public Health Online Incident Reporting System, review of a facility investigative file, and review of a facility policies titled ERRORS IN CONTROLLED SUBSTANCE COUNTS / DISCREPANCIES and Medication Administration the facility failed to ensure Licensed Practical Nurse (LPN) #31 followed standard of practice when she failed to document the administration of controlled medications during the 6:00 PM (07/14/2024) to 6:00 AM (07/15/2024) shift per facility's policy and standards of practice. Specifically, LPN #31 failed to document the removal of controlled medications on the residents' Controlled Drug Records when she documented the medications as administered on the Electronic Medication Administration Record (EMAR or MAR). The deficient practice affected Resident Identifiers (RI) # 6, RI #20, RI #327, RI #328, RI #319. [...]
Inspectors wroteBased on interview, record review and review of the Center for Medicare and Medicaid (CMS Center) Long-Term Care Resident Instrument 3.0 Manual, the facility failed to ensure Resident Identifier (RI) #53's Minimum Data Set (MDS) assessment dated [DATE] was coded accurately to reflect RI #53 had a Preadmission screening and Resident Review (PASRR) Level II. This deficient practice affected one of 20 sampled residents whose MDS was reviewed.
Inspectors wroteBased on observations, interviews, record review and review of facility policies titled, DAILY CATHETER CARE MALE/FEMALE and FEEDING RESIDENTS, the facility failed to ensure: 1) Resident Identifier (RI) #4's Foley GU (Genitourinary) bag was in a dignity bag on 10/03/2023 when out of his/her room; and 2) staff did not stand while feeding RI #9 the lunch and dinner meals on 10/03/2023. These deficient practices affected RI #4, one of three residents, sampled with GU bags; and RI #9, one of two sampled residents requiring assistance with meals.
Inspectors wroteBased on interviews, record reviews, document review, and facility policy review, the facility failed to ensure residents who received mechanically altered diets were provided a meal consistent with their prescribed diet and of the appropriate texture and form to meet their individual needs. Further, the facility failed to ensure policies addressing the criteria for foods consistent with a mechanical soft diet were developed, implemented, and available to staff. Staff were not knowledgeable on what foods were acceptable for residents with orders for a mechanical soft diet. This failure affected 23 residents with orders for mechanical soft diets. Specifically, on 08/14/2023, the menu indicated the lunch meal for residents with mechanical soft diet orders would consist of ground pork, and the dinner meal would consist of a ground chicken salad plate. [...]
Inspectors wroteBased on observations, interviews and review of policies titled, FOOD STORAGE and Food Storage from Visitors or Family the facility failed to ensure: 1. opened, stored food items in the kitchen were labeled appropriately during the initial kitchen observation on 7/10/2022. This had the potential to affect all 68 residents that receive meals from the kitchen. 2. the unit refrigerators were not found with unlabeled food items on 7/12/2022. This had the potential to affect all 71 residents residing at the facility who could have had food items stored in the unit refrigerators.
Inspectors wroteBased on observations, interviews, record reviews and review of facility policies titled, Activities of Daily Living and Care Plan Initiation, the facility failed to ensure staff followed the plan of care regarding assistance with Activities of Daily Living (ADL) care for (Resident Identifier) RI #7 and RI #30. This had the potential to affect RI #7 and RI #30, two of eighteen residents whose care plans were reviewed.
Inspectors wroteBased on observations, interviews and review of facility policies titled, Activities of Daily Living, TO ASSURE QUALITY RESIDENT CARE AND CONTINUITY OF RESIDENT CARE and Grooming Facial Hair for Male and Female Residents, the facility failed to ensure Activities of Daily Living (ADL) assistance was provided to Resident Identifier (RI) #7 and RI #30, two of two residents sampled for the provision of ADL care.
Inspectors wroteBased on interview and review of Resident Identifier (RI) #9's medical record, the facility failed to ensure the resident, their representative and the Office of the State Long-Term Care (LTC) Ombudsman received written notification of RI #9's transfer/discharge to a local hospital. This deficient practice affected RI #9; one of two sampled residents reviewed for hospitalization.
Inspectors wroteBased on interview and review of Resident Identifier (RI) #9's medical record, the facility failed to issue a bed-hold notice to the resident and/or their representative when RI #9 was transferred to a local hospital. This deficient practice affected RI #9; one of two sampled residents reviewed for hospitalization.
Inspectors wroteBased on observations, interview and review of Resident Identifier (RI) #15's medical record, the facility failed to provide feeding assistance to RI #15, a resident assessed as being totally dependent on staff for eating. This deficient practice affected RI #15; one of four sampled residents reviewed for nutrition.
12 fire safety citations on file: 4 on August 17, 2023, 5 on July 13, 2022, 3 on June 9, 2021.
| Date | Penalty | Amount or length |
|---|---|---|
| April 15, 2025 | Payment Denial | 15 days from May 17, 2025 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
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) | 3.64 | 3.88 | 3.86 |
| Registered nurses | 0.68 | 0.65 | 0.69 |
| All nursing staff on weekends | 3.17 | 3.26 | 3.42 |
| Nurse aides | 1.98 | ||
| Licensed practical nurses | 0.98 | ||
| Nursing staff turnover (share who left in a year) | 72.1% | 46.9% | 45.8% |
| Registered nurse turnover | 86.7% | 39.5% | 42.9% |
| Administrators who left | 2 |
CMS expects 3.30 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 3.83 on weekdays and 3.17 on weekends, 17% 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 4.11 in April to June 2025 to 3.64 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 | 3.64 | 0.68 | 3.83 | 3.17 | 0.0% | 0 of 90 | 71 |
| Oct to Dec 2025 | 3.54 | 0.51 | 3.73 | 3.07 | 0.0% | 1 of 92 | 73 |
| Jul to Sep 2025 | 3.63 | 0.49 | 3.77 | 3.26 | 0.0% | 0 of 92 | 62 |
| Apr to Jun 2025 | 4.11 | 0.62 | 4.26 | 3.72 | 0.0% | 2 of 91 | 61 |
| 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.
| 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 | 2.8 | 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 | 3.2 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.7 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 4.6 | 12.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 4.0 | 5.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 28.9 | 21.2 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 32.7 | 24.8 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.7 | 11.3 | 12.0 |
For a stay to recover after a hospital visit, these are the results CMS publishes for Greenway Health and Rehabilitation Center, LLC's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 15 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 20 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 10 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 14 residents counted.
0.0% 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. 31 residents counted.
0.0% 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. 31 residents counted.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 9 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 GRAND BAY 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 Grand Bay Holdco LLC | 5% or greater direct ownership interest | Organization | 100% | 11/15/2024 |
| Bredlegs Holdings LLC | Indirect ownership interest | Organization | 11/15/2024 | |
| Deb El Investment Group LLC | Indirect ownership interest | Organization | 11/15/2024 | |
| Arabella Health & Wellness of Grand Bay Propco LLC | 5% or greater mortgage interest | Organization | 11/15/2024 | |
| Arabella Healthcare Management LLC | Operational/managerial control | Organization | 12/17/2024 | |
| Hertzel, Chaim | Operational/managerial control | Individual | 01/03/2025 | |
| Ray, Kristina | Operational/managerial control | Individual | 11/15/2024 | |
| Williams, Jeffrey | Operational/managerial control | Individual | 11/15/2024 | |
| Fein, Miriam | Trustee of the SNF | Individual | 11/15/2024 | |
| Zlotowitz, Eliyahu | Trustee of the SNF | Individual | 11/15/2024 | |
| Arabella Health & Wellness of Grand Bay Propco LLC | Adp of the SNF | Organization | 01/13/2025 | |
| Arabella Health & Wellness of Pensacola Propco Holdco LLC | Adp of the SNF | Organization | 11/15/2024 | |
| Arco Kano Irrv Tr | Adp of the SNF | Organization | 01/13/2025 | |
| Bredlegs Holdings LLC | Adp of the SNF | Organization | 01/13/2025 | |
| Camden Wv LLC | Adp of the SNF | Organization | 11/15/2024 | |
| Deb El Investment Group LLC | Adp of the SNF | Organization | 11/15/2024 | |
| Gnh Irrv Tr | Adp of the SNF | Organization | 01/13/2025 | |
| Healthcare Investment Holdings LLC | Adp of the SNF | Organization | 11/15/2024 | |
| Hwood Partners LLC | Adp of the SNF | Organization | 01/13/2025 | |
| Fein, Seth | Adp of the SNF | Individual | 11/15/2024 | |
| Ray, Kristina | Adp of the SNF | Individual | 11/15/2024 | |
| Williams, Jeffrey | Adp of the SNF | Individual | 11/15/2024 |
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.