Altera Health and Rehabilitation Center
22670 Main Street, Fairhope, AL 36532 · Baldwin County · 83 certified beds · avg 59 residents/day · certified since Jun 14, 2002
Part of chain: ARABELLA HEALTHCARE MANAGEMENT (12 facilities, chain avg rating 2.6★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5
⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
All citations in the current public record (7)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Mar 10, 2023 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Mar 10, 2023 | D · Potential for harm, one-off | The facility's bedrooms did not give residents visual privacy — such as curtains or dividers — when privacy is needed. |
| Mar 10, 2023 | C · Minimal risk, facility-wide | The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day. |
| Sep 16, 2021 | D · Potential for harm, one-off | The facility did not keep residents' personal and medical information private and confidential. |
| Sep 16, 2021 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. |
| Apr 18, 2019 | F · Potential for harm, facility-wide | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Apr 18, 2019 | C · Minimal risk, facility-wide | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2019 | 2 | 0 | F |
| 2021 | 2 | 0 | D |
| 2023 | 3 | 0 | F |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Alabama avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.93 | 4.43 | 3.95 | bottom 20% in Alabama; top 42% in the U.S. |
| Registered Nurse hours | 1.36 | 0.74 | 0.69 | top 2% in Alabama; top 6% in the U.S. |
| Weekend total nurse staffing | 3.50 | 3.73 | 3.50 | bottom 34% in Alabama; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.78 | 0.36 | 0.48 | top 4% in Alabama; top 12% in the U.S. |
| Total nursing staff turnover (%) | 74.3 | 46.9 | 45.8 | bottom 2% in Alabama; bottom 4% in the U.S. |
| RN turnover (%) | 77.8 | 39.5 | 42.9 | bottom 4% in Alabama; bottom 7% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.34, RN 1.15, weekend 2.98. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Limited Liability company
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arabella Health & Wellness of Fairhope Propco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 08/25/2023 |
| Arabella Health & Wellness of Fairhope Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/25/2023 |
| Arabella Healthcare Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/25/2023 |
| Arabella Healthcare Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/14/2025 |
| Arco Kano Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2024 |
| Fein, Miriam | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 04/29/2025 |
| GNH Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2024 |
| Hertzel, Chaim | Individual | Corporate Officer | NOT APPLICABLE | 08/25/2023 |
| Hertzel, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/25/2023 |
| Hertzel, Chaim | Individual | ADP of the SNF | NOT APPLICABLE | 08/25/2023 |
| Hwood Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/04/2024 |
| Ray, Kristina | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/25/2023 |
| Ray, Kristina | Individual | ADP of the SNF | NOT APPLICABLE | 08/25/2023 |
| Thomas, Jessica | Individual | Operational/Managerial Control | NOT APPLICABLE | 06/16/2024 |
| Thomas, Jessica | Individual | ADP of the SNF | NOT APPLICABLE | 06/16/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How do you ensure privacy for residents in shared rooms during dressing and personal care?"
- "Where do you post your daily staffing numbers, and can I see today's?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you inspect and maintain essential equipment, and how quickly are repairs made?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Fairhope Health & Rehab | 2.3 mi | Fairhope, AL | ★★☆☆☆ | 2/5 | |
| Eastern Shore Rehabilitation and Health Center | 4.0 mi | Daphne, AL | ★★★★☆ | 3/5 | |
| Willowbrooke Ct Skilled Care Ctr Westminster VLG | 7.8 mi | Spanish Fort, AL | ★★★★☆ | 3/5 | |
| Allen Health and Rehabilitation | 12.1 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Kensington Health and Rehabilitation | 13.2 mi | Mobile, AL | ★★★★★ | 5/5 | |
| Crowne Health Care of Mobile | 13.7 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Little Sisters of the Poor Sacred Heart Residence | 13.9 mi | Mobile, AL | ★★★★★ | 5/5 | |
| Camellia Health and Rehabilitation Center | 14.4 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Ashland Place Health and Rehabilitation, LLC | 14.6 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Lynwood Rehabilitation and Healthcare Center | 14.9 mi | Mobile, AL | ★★☆☆☆ | 2/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015447.