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Rivertown Health and Rehabilitation Center

4490 Virginia Loop Road, Montgomery, AL 36116 · Montgomery County · (334) 281-6826

121 certified beds, about 112 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1980

Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 015228 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on July 24, 2025, inspectors cited 10 health deficiencies (the Alabama average is 4, the national average 9.2).

None of its 29 health citations since September 2021 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 3.43 hours per resident per day, against 3.88 across Alabama and 3.86 nationally. Registered nurses accounted for 0.87 of those hours.

55.9% 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.

Health inspections

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.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

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 29 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
17D
2E
8F
Potential for minimal harm
0A
0B
2C
July 24, 2025Standard inspection, Complaint inspection · 10 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observations, interviews and a review of facility policies titled Dry Food Storage and Cold Storage Areas, the facility failed to ensure: 1) food items were dated and labeled in dry storage and;2) the freezer floor was free of ice. This had the potential to affect all residents who received meals from the kitchen. Findings Include: 1) An undated facility policy titled Dry Food Storage documented: . Procedure . 9. Opened food items should be labeled with contents, date opened and expiration or use by date . On 07/21/2025 at 2:00 PM, the surveyor toured the dry storage area with the DM, (Dietary Manager). The surveyor observed one box of light brown sugar with no open or use by date and an ant crawling on the top of the sugar box. The surveyor observed one box of powdered sugar with no open or use by date on it. On 07/23/2025 at 2:17 PM an interview was conducted with the DM. [...]
  2. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observation, interview, and the 2017 U.S. (United States) Public Health Service Food Code the facility failed to ensure the dumpster ground was free of food debris on 07/21/2025. This had the potential to affect 98 residents who resided at the facility. Findings Include: A review of the the 2017 U.S. (United States) Public Health Service Food Code revealed: . 5-501.110 Storing Refuse, Recyclables, and Returnables. REFUSE, . shall be stored in receptacles or waste handling units so that they are inaccessible to insects and rodents . 5-501.115 Maintaining Refuse Areas and Enclosures. A storage area and enclosure for REFUSE, . shall be maintained free of unnecessary items . and clean . On 07/21/2025 at 2:33 PM, the surveyor and the Dietician Manager (DM) toured the dumpster area. [...]
  3. D
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on an observation, record review, interviews and review of a facility policy titled, Safeguarding of Resident Identifiable Information, the facility failed to ensure the electronic Medication Administration Record (eMAR) screen was closed, while Licensed Practical Nurse (LPN) #17 was away from the medication cart, and did not reveal medical information pertaining to Resident Identifier (RI) #112. This deficient practice affected RI #112, one of 22 sampled residents, and was observed on 07/23/2025 during the evening Medication Administration observation. This deficiency was cited as a result of the investigation of complaint/report number 2563418.
  4. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on interviews, record review, review of a Facility Reported Incident (FRI), review of the facility investigative file and a facility policy titled Abuse, Neglect and Exploitation the facility failed to protect Resident Identifier (RI) #8's right to be free from verbal abuse perpetrated by a facility employee, Certified Nursing Assistant (CNA) #21 on 07/10/2025 when Licensed Practical Nurse (LPN) #16 and the Registered Nurse (RN)/Unit Manager #15 witnessed CNA #21 verbally abuse RI #8, a cognitively impaired resident who was already upset, when CNA #21 called RI #8 an ugly [NAME] and said she would say more to RI #8 if she was not on the clock. The Administrator said, for someone to be called an ugly [NAME] would be offensive. This affected one of three residents sampled for abuse. Findings Include: Cross-reference F740. [...]
  5. D
    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
    F609 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on interviews, record review, review of Facility Reported Incident (FRI) and the investigative file, the facility failed to ensure an allegation of physical abuse was reported to the Abuse Coordinator on 06/13/2025 when Certified Nursing Assistant (CNA) #12 witnessed Resident Identifier (RI) #94 push RI #110 on the shoulder. The facility failed to report to the State Agency until 06/16/2025. This deficient practice affected RI #110 and RI #94 two of three residents sampled for abuse.
  6. D
    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
    F657 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on interviews and record review, the facility failed to ensure Resident Identifier (RI) #21 was invited to and allowed to participate in his/her care plan meeting on 05/16/2025. This affected RI #21, one of two residents reviewed for care plan concerns.
  7. D
    Provide activities to meet all resident's needs.
    F679 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on interviews, observations, and record review and a facility policy titled, Activities, the facility failed to offer Resident Identifier (RI) #59 activities based on his/her comprehensive assessment. This deficient practice affected RI #59 one of one resident sampled for activity concerns. Findings Include:Review of an undated facility policy titled Activities, revealed the following: . Policy: It is the policy of this facility to provide an ongoing program to support residents in their choice of activities based on their comprehensive assessment, care plan, and preferences. Facility-sponsored group, individual, and independent activities will be designed to meet the interests of each resident, as well as support their physical, mental, and psychosocial well-being. 4. Activities may be conducted in different ways: a. One-to-One Programs. b. [...]
  8. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observation, record review, interviews and review of a facility policy titled Care and Treatment of Feeding Tubes, the facility failed to ensure feeding tubes were managed in a manner to ensure standard of practice and prevent complications. 1) the facility failed to start Resident Identifier (RI) #109's tube feeding as ordered by the physician at the time RI #109 was admitted to the facility on the morning of 06/26/2024; and 2) the facility failed to position RI #9's head of bed (HOB) elevated at 45 degrees as care planned while RI #9's tube feeding was infusing on 07/23/2025. These deficient practices affected RI #9 and RI #109, two of three residents sampled for tube feeding. This deficiency was cited as a result of the investigation of complaint/report number AL00048535/460742. Findings Include: [...]
  9. D
    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
    F740 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on interviews, resident record review, and review of a facility policy titled Behavioral Health Services, the facility failed to ensure Certified Nursing Assistant (CNA) #21 responded to resident behaviors in a manner to prevent behavior escalation and in an environment that was conducive to mental and psychosocial well-being, instead of verbally abusing Resident Identifier (RI) #8, a cognitively impaired resident. The facility further failed to ensure CNA #21 implemented interventions that were in place to address RI #8's Behavioral Symptoms to include avoiding power struggles and maintaining a calm environment and approach to the resident. This deficient practice affected RI #8 one of two residents sampled for behaviors.
  10. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) September 5, 2025
    Inspectors wroteBased on observation, interview, and review of a facility policy titled, Nurse Staffing Posting Information, the facility failed to ensure the required data was on the staff posting form, to include census, current date and the number of staff working and actual hours worked for all nursing staff. This deficient practice was observed on three of four days of the survey and had the potential to affect all 98 residents residing in the facility.
January 11, 2023Standard inspection · 12 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observation, interview, and the 2017 Food Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA); the facility failed to prevent the potential for cross-contamination by: 1.) storing a 50-pound bag of sugar directly on the floor, 2.) running ceiling fans with heavy dust build-up on the blades in the dishwashing area, and 3.) allowing the drain from the dishmachine to extend down into the floor drain. This had the potential to affect 95 of 95 residents receiving meals from the kitchen. Findings Include: 1.) The 2017 Food Code of the U.S. Public Health Service and the FDA included the following: . 3-305.11 Food Storage. (A) . FOOD shall be protected from contamination by storing the FOOD: (1) In a clean, dry location; (2) Where it is not exposed to splash, dust, or other contamination; [...]
  2. F
    Dispose of garbage and refuse properly.
    F814 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observation, interview, and the 2017 Food Code of the United States (U.S.) Public Health Service and U.S. Food and Drug Administration (FDA); the facility failed to ensure the dumpsters were kept closed and there was not discarded equipment and food-related litter around the dumpsters to attract vermin on 01/08/2023 and 01/09/2023. This had the potential to affect 98 of 98 residents residing in the facility. Findings Include: A review of the 2017 Food Code of the U.S. Public Health Service and the FDA revealed the following: . 5-501.15 Outside Receptacles. (A) Receptacles and waste handling units for REFUSE . used with materials containing FOOD residue and used outside the FOOD ESTABLISHMENT shall be designed and constructed to have tight-fitting lids, doors, or covers. (B) Receptacles and waste handling units for REFUSE . [...]
  3. F
    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
    F868 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on interview, record review, and review of facility Quality Assurance and Performance Improvement Process (QAPI) meeting attendance records, the facility failed to ensure the QAPI committee was composed of the required committee members. Specifically, the facility failed to provide evidence that the Infection Preventionist (IP) participated as a required QAPI committee member. This deficient practice had the potential to affect all 98 residents residing in the facility. Findings Include: Review of the facility's QAPI Meeting sign-in sheets dated 05/2022, 6/2022, 7/2022, 8/2022, 9/2022, 11/2022, and 12/2022 revealed an IP had not signed as present during the meetings. In an interview on 01/11/2023 at 4:17 PM, Employee Identifier (EI #1), Administrator, stated the facility's Infection Preventionist left in April 2022. [...]
  4. E
    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
    F584 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observations, interviews, review of the Maintenance Supervisor's Job Description and review of a facility document titled, Quality of Life - Homelike Environment, the facility failed to ensure Room Locators (RL) #1-9, were not found in need of repair. This affected nine RLs out of 78 RLs observed. Findings Include: An undated and unsigned facility Job Description for the Maintenance Supervisor documented: . SUMMARY Responsible and accountable for maintaining physical plant and essential mechanical, electrical, and resident care equipment in safe operating condition. ESSENTIAL DUTIES AND RESPONSIBILITIES . Maintenance and beautification of facility and grounds. Review of a facility policy with a revised date of May 2017, titled Quality of Life - Homelike Environment revealed: Policy Statement Residents are provided with a safe, clean, comfortable and homelike environment . [...]
  5. D
    Ensure each resident receives an accurate assessment.
    F641 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observation, interviews, record review, and review of Centers for Medicare & Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, the facility failed to ensure Resident Identifier (RI) #88's Minimum Data Set (MDS) assessments dated 12/21/2021, 05/31/2022, and 06/25/2022 were accurately coded to reflect RI #88 as a current tobacco user. This deficient practice had the potential to affect RI #88, one of 24 sampled residents for whom MDS assessments were reviewed. Findings Include: Review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual, dated October 2019, revealed: . SECTION J: HEALTH CONDITIONS . J1300: Current Tobacco Use . RI #88 was admitted to the facility on [DATE] and readmitted on [DATE]. [...]
  6. D
    PASARR screening for Mental disorders or Intellectual Disabilities
    F645 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on interviews, review of Resident Identifier (RI) #24's and #14's medical record including the PASRR (Pre-admission Screening and Resident Review) Screening & Results, and the facility policy titled, admission Criteria (used as their guidance for the pre-admission screening process), the facility failed to ensure a valid Level 1 PASRR was completed for RI #24 and RI #14. This had the potential to affect RI #24 and #14, two of ten residents whose Pre-admission Screening and Resident Reviews (PASRR) were reviewed for completion. Findings Include: The facility policy titled, admission Criteria with a revision date of December 2016, revealed, Policy Statement Our facility will admit only those residents whose medical and nursing care needs can be met. 1. The objectives of our admission criteria policy are to: a. provide uniform criteria for admitting residents to the facility; b. [...]
  7. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wrote2.) RI #7 was admitted to the facility on [DATE] and readmitted [DATE] and had diagnoses that included Vascular Dementia and Dysphagia. Review of RI #7's physician orders revealed an order dated 10/24/2022 for a regular diet, puree texture, thin consistency, one time per day at lunch. RI #7 also had an order dated 01/08/2023 for enteral feeding every shift for nutrition with Isosource 1.5 at 50 cc/hr (cubic centimeters/hour) via Kangaroo Pump. Review of RI #7's care plan revealed a care plan with an initiation date of 10/24/2022 for being fed by tube, but there was not a plan of care for RI #7 receiving a regular diet, puree texture, thin consistency, one time per day at lunch. On 01/10/2023 at 12:39 PM, RI #7 was observed being assisted with a pureed texture lunch tray. [...]
  8. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observations, interviews, and review of a facility policy titled, Enteral Feedings - Safety Precautions, the facility failed to ensure the Enteral Nutrition provided to Resident Identifier (RI) #3 and RI #71 were labeled appropriately on 01/08/2023. This had the potential to affect RI #3 and RI #71, two of six residents who received Enteral Nutrition. Findings Include: A facility policy titled, Enteral Feedings - Safety Precautions with a revision date of November 2018, documented, . Purpose To ensure the safe administration of enteral nutrition. Preparation 1. All personnel responsible for preparing, storing and administering enteral nutrition formulas will be trained, qualified and competent in his or her responsibilities. 2. The facility will remain current in and follow accepted best practices in enteral nutrition. General Guidelines . Preventing errors in administration 1. [...]
  9. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observations, resident record reviews, interviews, and review of a facility policy titled Administering Medications, the facility failed to ensure Resident Identifier (RI) #54 and RI #48 received 9:00 AM scheduled medication within the time frame of one hour before or one hour after the scheduled time on 01/08/2023. This had the potential to affect two of the six residents observed for medication pass. Findings Include: A review of a facility policy titled, Administering Medications with a revised date of December 2013 revealed, Policy Statement Medications shall be administered in a safe and timely manner, and as prescribed. Policy Interpretation and Implementation . 3. Medications must be administered in accordance with the orders, including any required time frame. 4. Medications must be administered within (1) one hour of their prescribed time, . [...]
  10. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observation, interviews and review of a facility policy Perineal Care, the facility failed to ensure a Certified Nursing Assistant (CNA) changed her gloves and performed hand hygiene before applying a clean brief during incontinent care for Resident Identifier (RI) #17. This was observed on 01/10/2023 and had the potential to affect RI #17, one of two residents observed for incontinent care. Findings Include: A review of a facility policy titled Perineal Care with a revised date of February 2018 revealed, Purpose The purposes of this procedure are to provide cleanliness and comfort to the resident, to prevent infections and skin irritation, and to observe the resident's skin condition. Steps in the Procedure . 7. Put on gloves . b. Wash perineal area . (5) discard soiled gloves, wash hands and re-glove. e. wash the rectal area . g. Discard soiled gloves, wash hands and re-glove. [...]
  11. D
    Provide bedrooms that don't allow residents to see each other when privacy is needed.
    F914 · Environmental · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observations and interviews, the facility failed to ensure that each bed having ceiling suspended curtains, extended around the bed to provide total visual privacy, in combination with adjacent walls and curtains, in Room Locators (RL) #1, #3, and #7. This affected three of 39 semi-private rooms at the facility. Findings Include: On 01/11/2023 beginning at 10:48 AM, the following observations were made with Employee Identifier (EI) #4, Maintenance Director from a sister facility: - RL #1's privacy curtain was observed by the surveyor and appeared too short for the track for Bed A. EI #4 was asked to check the privacy curtain. EI #4 pulled the privacy curtain and said the privacy curtain was about two and a half feet too short. - RL #3's privacy curtain was observed by the surveyor and appeared too short for the track for Bed A. [...]
  12. C
    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
    F577 · Resident Rights · No actual harm, potential for minimal harm, widespread · Corrected (the home has a date of correction) February 14, 2023
    Inspectors wroteBased on observations and interview, the facility failed to ensure the survey results for the last three years were available for residents or visitors to review. This deficient practice had the potential to affect all 98 residents who resided in the facility. Findings Include: On 01/11/2023 at 10:25 AM the surveyor observed a sign in the front lobby indicating the facility's survey reports were available for review in the binder located below the sign. Upon review of the contents of the binder, it was noted multiple survey reports were missing. Employee Identifier (EI) #1, the Administrator, stated she and Social Services maintained the binder containing the prior survey reports. During an interview on 01/11/2023 at 12:30 PM, with EI #1, the facility's survey history over the previous three years was reviewed to include the following surveys: [...]
September 23, 2021Standard inspection · 7 citations
  1. F
    Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
    F636 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 15, 2021
    Inspectors wroteBased on record review, interviews, review of a facility policy titled Comprehensive Assessments and the Care Delivery Process, and review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.17.1, the facility failed to ensure Comprehensive Minimal Data Sets (MDS) assessments for Resident Identifiers (RI) #9, 14, 15, 49, 109, 112, and 257 were completed timely. This affected seven of seven Comprehensive MDS assessments reviewed for completion. Findings Included: A review of a facility policy titled Comprehensive Assessments and the Care Delivery Process, with a revised date of December 2016 revealed: . Assessment and information . (2) Complete the Minimum Data Set within 14 days after admission, . and annually. [...]
  2. F
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 15, 2021
    Inspectors wroteBased on interviews, record review, review of a facility policy titled MDS (Minimum Data Set) Completion and Submission Timeframes, and review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.17.1, the facility failed to ensure Resident Identifier (RI) # 1, 3, 5, 6, 7, 8, 16,17, 18, 20, 21, 24, 25, 26, 40, 45, 46, and 47's Quarterly MDS assessments were completed. This affected 18 of 18 residents who were reviewed for timely completion of Quarterly MDS assessments. Findings Include: A review of facility policy titled MDS Completion and Submission Timeframes with a revised date of July 2017 revealed: Policy Statement Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes. 2. [...]
  3. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) October 15, 2021
    Inspectors wroteBased on observations, interviews, and review of a facility policy titled POT AND PAN WASHING, the facility failed to ensure cookwares were not sanitized improperly when a dietary aid submerged cookware in the sanitizing solution for less than one minute and then placed the cookware on a rack to air dry. This had the potential to affect 61 of 61 resident who received meals from the kitchen on 9/23/21. Findings Include: A review of an undated facility policy titled POT AND PAN WASHING revealed: . POLICY: Proper pot and pan washing procedure reduce the possibility of food contamination. The following procedures will be used: PROCEDURE: . 4. Pots and pans are sanitized in the third sink using warm water and bleach or sanitizer to provide no less than 50 PPM (parts per million) chlorine in solution for one minute. A review of the product label for the Oasis 146 Multi-Quat Sanitizer revealed: [...]
  4. E
    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
    F640 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) October 15, 2021
    Inspectors wroteBased on record review, interviews, a review of a facility policy titled MDS (Minimum Data Set) Completion and Submission Timeframes, and review of the Centers for Medicare & Medicaid Services Long-Term Care Facility Resident Assessment Instrument 3.0 User's Manual Version 1.17.1, the facility failed to ensure timely submissions of MDS assessments for Resident Identifiers (RI) #1, 6, 7, 8, 16, and 45. This affected six of nine residents who's completed MDS assessments were reviewed for timely submission. Findings Included: A review of a facility policy titled MDS Completion and Submission Timeframes with a revised date of July 2017 revealed: Policy Statement Our facility will conduct and submit resident assessments in accordance with current federal and state submission timeframes. 2. [...]
  5. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2021
    Inspectors wroteBased on interviews, record review, review of facility policies titled Comprehensive Assessments and the Care Delivery Process and Care Plans, Comprehensive Person-Centered, the facility failed to ensure Resident Identifier (RI) #257 had Comprehensive care plans developed and implemented within 21 days of admission. This affected one of one resident who was reviewed for timely development and implementation of comprehensive care plans. Finding Include: A review of a facility policy titled Care Plans, Comprehensive Person-Centered with a revised date of December 2016 revealed: Policy Statement A comprehensive, person-centered care plan that includes measurable objectives and timetables to meet the resident's physical, psychosocial and functional needs is developed and implemented for each resident. Policy Interpretation and Implementation . 12. [...]
  6. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2021
    Inspectors wroteBased on interviews, record review and review of a facility policy titled Wound Care, the facility failed to provide evidence wound care was provided to Resident Identifier (RI) #109's right buttocks daily as ordered by the physician. This deficient practice affected RI #109; one of three residents sampled for Pressure Ulcers. Findings Include: Review of a facility policy titled Wound Care, with a revised date of 10/2010, revealed the following: Purpose The purpose of this procedure is to provide guidelines for the care of wounds to promote healing. Preparation 1. Verify that there is a physician's order for this procedure. Documentation The following information should be recorded in the resident's medical record: . 4. The name and title of the individual performing the wound care. [...]
  7. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) October 15, 2021
    Inspectors wroteBased on observations, interviews, record review, and review of a document received from the facility titled Food Preferences, the facility failed to ensure Resident Identifier (RI) #257's dietary preferences were honored when he/she received a ham sandwich in his/her Dialysis sack lunch on 9/22/21 after the resident had pork listed as a dislike on his/her dietary preferences. This affect one of one resident whose dietary preferences were reviewed. Findings Include: An undated document received from the facility from Health Technologies, Inc. Guideline & Procedure Manual, 2016 Edition titled Food Preferences revealed: Guideline: Dining Services Department will gather information upon admission to the facility regarding resident food preferences. Procedure: 1. Following admission to the facility, and periodically as necessary, the Dining Services Manager . [...]

Fire safety inspections

24 fire safety citations on file: 3 on July 24, 2025, 5 on January 11, 2023, 16 on September 23, 2021.

Every fire safety citation24 citations
  1. E
    Install an approved automatic sprinkler system.
    K 351 · July 24, 2025 · Corrected (the home has a date of correction)
  2. D
    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
    K 321 · July 24, 2025 · Corrected (the home has a date of correction)
  3. D
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · July 24, 2025 · Corrected (the home has a date of correction)
  4. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 11, 2023 · Corrected (the home has a date of correction)
  5. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 11, 2023 · Corrected (the home has a date of correction)
  6. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 11, 2023 · Corrected (the home has a date of correction)
  7. D
    Provide properly protected cooking facilities.
    K 324 · January 11, 2023 · Corrected (the home has a date of correction)
  8. D
    Have properly installed electrical wiring and gas equipment.
    K 511 · January 11, 2023 · Corrected (the home has a date of correction)
  9. F
    Develop and maintain an Emergency Preparedness Program (EP).
    E 4 · September 23, 2021 · Corrected (the home has a date of correction)
  10. F
    Conduct risk assessment and an All-Hazards approach.
    E 6 · September 23, 2021 · Corrected (the home has a date of correction)
  11. F
    Develop Emergency Preparedness policies and procedures.
    E 13 · September 23, 2021 · Corrected (the home has a date of correction)
  12. F
    Address subsistence needs for staff and patients.
    E 15 · September 23, 2021 · Corrected (the home has a date of correction)
  13. F
    Establish procedures for tracking staff and patients during an emergency.
    E 18 · September 23, 2021 · Corrected (the home has a date of correction)
  14. F
    Establish policies and procedures including evacuation.
    E 20 · September 23, 2021 · Corrected (the home has a date of correction)
  15. F
    Establish policies and procedures for volunteers.
    E 24 · September 23, 2021 · Corrected (the home has a date of correction)
  16. F
    Create arrangements with other facilities to receive patients.
    E 25 · September 23, 2021 · Corrected (the home has a date of correction)
  17. F
    Develop a communication plan.
    E 29 · September 23, 2021 · Corrected (the home has a date of correction)
  18. F
    List the names and contact information of those in the facility.
    E 30 · September 23, 2021 · Corrected (the home has a date of correction)
  19. F
    Provide primary/alternate means for communication.
    E 32 · September 23, 2021 · Corrected (the home has a date of correction)
  20. F
    Establish methods for sharing information.
    E 33 · September 23, 2021 · Corrected (the home has a date of correction)
  21. F
    Provide a means of sharing information on occupancy/needs.
    E 34 · September 23, 2021 · Corrected (the home has a date of correction)
  22. F
    Provide family notifications of emergency plan.
    E 35 · September 23, 2021 · Corrected (the home has a date of correction)
  23. F
    Establish emergency prep training and testing.
    E 36 · September 23, 2021 · Corrected (the home has a date of correction)
  24. D
    Ensure proper usage of power strips and extension cords.
    K 920 · September 23, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeAlabamaUnited States
All nursing staff (RN, LPN and aides)3.433.883.86
Registered nurses0.870.650.69
All nursing staff on weekends2.873.263.42
Nurse aides1.95
Licensed practical nurses0.61
Nursing staff turnover (share who left in a year)55.9%46.9%45.8%
Registered nurse turnover44.4%39.5%42.9%
Administrators who left3

CMS expects 3.31 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

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 3.65 on weekdays and 2.87 on weekends, 21% 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 3.36 in April to June 2025 to 3.43 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.430.873.652.87 0.0%0 of 90112
Oct to Dec 20253.470.883.672.96 0.0%0 of 92107
Jul to Sep 20253.310.733.542.73 0.0%0 of 92104
Apr to Jun 20253.360.663.562.83 0.0%0 of 91105
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Alabama, Jan to Mar 20263.880.634.133.270.9%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

Staff pay at this home

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.

Official wage estimates for Alabama

JobMedianMiddle halfEmployed
Alabama, all employers
CNAs (nursing assistants)$16.41$14.45 to $17.4925,250
LPNs and LVNs$27.42$23.15 to $29.7111,580
Registered nurses$37.06$30.53 to $40.0954,340
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

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.

Work here? Share your pay anonymously

For Rivertown Health and Rehabilitation Center. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeAlabamaUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
1.712.013.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.90.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.02.41.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
1.13.33.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.82.01.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
1.912.114.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.85.44.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.821.215.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.924.823.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
12.211.312.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.22.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.21.71.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for Rivertown Health and Rehabilitation Center's Medicare short-stay residents. How to read these, and what Medicare pays for.

Went home or back to the community

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. 21 eligible stays.

Potentially preventable readmissions

11.0% 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. 36 eligible stays.

Infections that led to a hospital stay

8.3% 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. 35 eligible stays.

Self-care and mobility at discharge

67.6% 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. 37 residents counted.

Falls with major injury

2.0% 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. 49 residents counted.

New or worsened pressure ulcers

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. 49 residents counted.

Medication list given at discharge

87.1% 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. 31 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.

Owners and operators

Legal business name: ARABELLA HEALTH & WELLNESS OF MONTGOMERY OPCO LLC. CMS links this home to Arabella Healthcare Management, a group of 12 nursing homes averaging 2.3 stars overall.

NameRoleTypeShareSince
Arabella Health & Wellness of Montgomery Propco LLC5% or greater mortgage interestOrganization08/25/2023
Hertzel, ChaimCorporate officerIndividual08/25/2023
Arabella Healthcare Management LLCOperational/managerial controlOrganization08/25/2023
Azzam, MohannadOperational/managerial controlIndividual04/24/2023
Haxton, MeghanOperational/managerial controlIndividual01/01/2025
Hertzel, ChaimOperational/managerial controlIndividual08/25/2023
Fein, MiriamIndividual is an owner, partner or trustee of any ADP of the SNFIndividual03/17/2025
Zlotowitz, EliyahuIndividual is an owner, partner or trustee of any ADP of the SNFIndividual04/02/2025
Arabella Health & Wellness of Montgomery Propco LLCAdp of the SNFOrganization08/25/2023
Arabella Healthcare Management LLCAdp of the SNFOrganization03/17/2025
Arco Kano Irrv TrAdp of the SNFOrganization03/04/2024
Gnh Irrv TrAdp of the SNFOrganization03/04/2024
Hwood Partners LLCAdp of the SNFOrganization03/04/2024
Azzam, MohannadAdp of the SNFIndividual04/24/2023
Haxton, MeghanAdp of the SNFIndividual01/01/2025
Hertzel, ChaimAdp of the SNFIndividual08/25/2023

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.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. When is the care plan meeting, and can family attend it?Inspectors cited 8 problems in this area, most recently on July 24, 2025: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 6 problems in this area, most recently on July 24, 2025: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 5 problems in this area, most recently on July 24, 2025: "Provide activities to meet all resident's needs."
  4. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on July 24, 2025: "Keep residents' personal and medical records private and confidential."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.87 hours per resident per day, below the Alabama average of 3.26.
  6. How long has the current administrator been here?CMS counts 3 administrators who left in the period it measured.

Other nursing homes nearby

Alabama contacts for a concern about a nursing home

These are the official offices in Alabama. NursingHomeClear cannot take or act on complaints.

Common questions

What is Rivertown Health and Rehabilitation Center's Medicare star rating?
CMS rates Rivertown Health and Rehabilitation Center 1 out of 5 stars overall, with 1 for health inspections, 3 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did Rivertown Health and Rehabilitation Center get at its last inspection?
10 health deficiencies at the standard inspection on July 24, 2025. The Alabama average is 4.
Has Rivertown Health and Rehabilitation Center been fined?
CMS lists no fines in the last three years.
Does Rivertown Health and Rehabilitation Center accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns Rivertown Health and Rehabilitation Center?
CMS lists 16 owners and managers, and links the home to Arabella Healthcare Management. Legal business name: ARABELLA HEALTH & WELLNESS OF MONTGOMERY OPCO LLC.

Sources

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