Greenway Health and Rehabilitation Center, LLC
13750 Highway 90 West, Grand Bay, AL 36541 · Mobile County · 92 certified beds · avg 71 residents/day · certified since Jun 29, 1993
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: ★☆☆☆☆1/5 · CMS overall rating: 1/5
⚠ 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, facility-wide · Apr 15, 2025 · F-0835 · triggered by a complaint
The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents.
Why it matters: Poor administration often shows up as understaffing, supply shortages, and care problems across the whole facility.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: May 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, facility-wide · Apr 15, 2025 · F-0867 · triggered by a complaint
The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them.
Why it matters: Without a working quality program, the same care problems tend to repeat instead of getting fixed.
Severity (L): A life-threatening or extremely dangerous situation existed throughout the facility. The single most serious citation CMS can issue.
Corrected: May 12, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 15, 2025 · F-0600 · triggered by a complaint
The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors.
Why it matters: Abuse and neglect cause direct physical and emotional harm and are among the most serious failures a nursing home can have.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 15, 2025 · F-0609 · triggered by a complaint
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.
Why it matters: When incidents aren't reported promptly, abusers may continue harming residents and outside authorities can't step in.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 16, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 15, 2025 · F-0610 · triggered by a complaint
The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do.
Why it matters: When allegations aren't investigated, harm to residents can continue unchecked.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 12, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, one-off · Apr 15, 2025 · F-0740 · triggered by a complaint
The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety.
Why it matters: A resident's untreated mental health needs can worsen and take a toll on their physical health too.
Severity (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: May 12, 2025 (Deficient, Provider has date of correction)
▲ Immediate jeopardy, repeated · Aug 17, 2023 · F-0805
The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems.
Why it matters: Food served in the wrong texture can cause choking or lead residents to stop eating and lose weight.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Sep 7, 2023 (Deficient, Provider has date of correction)
All citations in the current public record (21)
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 |
|---|---|---|
| Jun 13, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 15, 2025 | ▲ L · Immediate jeopardy, facility-wide | The facility was not managed in a way that uses its money, staff, and resources effectively and efficiently to care for residents. · from a complaint |
| Apr 15, 2025 | ▲ L · Immediate jeopardy, facility-wide | The facility did not run an ongoing quality assurance committee that reviews care problems and creates plans to fix them. · from a complaint |
| Apr 15, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Apr 15, 2025 | ▲ J · Immediate jeopardy, 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. · from a complaint |
| Apr 15, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Apr 15, 2025 | ▲ J · Immediate jeopardy, one-off | The facility did not provide necessary behavioral health care and services — support for residents' mental and emotional wellbeing, including conditions like depression and anxiety. · from a complaint |
| Apr 15, 2025 | 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. · from a complaint |
| Apr 15, 2025 | F · Potential for harm, facility-wide | The facility did not dispose of garbage and refuse properly. · from a complaint |
| Apr 15, 2025 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. · from a complaint |
| Apr 15, 2025 | E · Potential for harm, repeated | The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint |
| Apr 15, 2025 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Apr 15, 2025 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. · from a complaint |
| Oct 6, 2023 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| Aug 17, 2023 | ▲ K · Immediate jeopardy, repeated | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Jul 13, 2022 | 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. |
| Jul 13, 2022 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Jul 13, 2022 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jun 9, 2021 | D · Potential for harm, one-off | The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal. |
| Jun 9, 2021 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jun 9, 2021 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 1).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 3 | 0 | D |
| 2022 | 3 | 0 | F |
| 2023 | 2 | 1 | K ▲ |
| 2025 | 13 | 6 | L ▲ |
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)
4 fines totaling $18,348, plus 1 Medicare payment denial period.
| Date | Type | Amount / length |
|---|---|---|
| Apr 15, 2025 | Payment Denial | 15 days from May 17, 2025 |
| Sep 11, 2023 | Fine | $4,587 |
| Sep 5, 2023 | Fine | $4,587 |
| Aug 28, 2023 | Fine | $4,587 |
| Aug 21, 2023 | Fine | $4,587 |
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) | 4.23 | 4.43 | 3.95 | bottom 37% in Alabama; top 31% in the U.S. |
| Registered Nurse hours | 0.79 | 0.74 | 0.69 | top 35% in Alabama; top 28% in the U.S. |
| Weekend total nurse staffing | 3.69 | 3.73 | 3.50 | bottom 48% in Alabama; top 34% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.28 | 0.36 | 0.48 | bottom 34% in Alabama; bottom 27% in the U.S. |
| Total nursing staff turnover (%) | 72.1 | 46.9 | 45.8 | bottom 3% in Alabama; bottom 5% in the U.S. |
| RN turnover (%) | 86.7 | 39.5 | 42.9 | bottom 3% in Alabama; bottom 3% 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 3.64, RN 0.68, weekend 3.17. 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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Arabella Health & Wellness of Grand Bay Holdco LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 11/15/2024 |
| Bredlegs Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/15/2024 |
| Deb el Investment Group LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 11/15/2024 |
| Arabella Health & Wellness of Grand Bay Propco LLC | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 11/15/2024 |
| Arabella Health & Wellness of Grand Bay Propco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Arabella Health & Wellness of Pensacola Propco Holdco LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/15/2024 |
| Arabella Healthcare Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/17/2024 |
| Arco Kano Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Bredlegs Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Camden WV LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/15/2024 |
| Deb el Investment Group LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/15/2024 |
| Fein, Miriam | Individual | Trustee of the SNF | NOT APPLICABLE | 11/15/2024 |
| Fein, Seth | Individual | ADP of the SNF | NOT APPLICABLE | 11/15/2024 |
| GNH Irrv Tr | Organization | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Healthcare Investment Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 11/15/2024 |
| Hertzel, Chaim | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/03/2025 |
| Hwood Partners LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/13/2025 |
| Ray, Kristina | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/15/2024 |
| Ray, Kristina | Individual | ADP of the SNF | NOT APPLICABLE | 11/15/2024 |
| Williams, Jeffrey | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/15/2024 |
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 were the findings behind this administration citation, and what has leadership changed since?"
- "How does your quality committee work, and can you give an example of a problem it recently identified and fixed?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
- "What mental health services do you provide on-site, and who delivers them?"
- "How do you handle residents who need modified food textures, and how do you make those meals appetizing?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "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 |
|---|---|---|---|---|---|
| Mobile Nursing and Rehabilitation Center | 12.2 mi | Mobile, AL | ★★☆☆☆ | 2/5 | |
| Knollwood Healthcare | 13.2 mi | Mobile, AL | —/5 | SFF | |
| Gulf Coast Health and Rehabilitation, LLC | 13.7 mi | Mobile, AL | ★★☆☆☆ | 2/5 | |
| Diversicare of Moss Point | 14.0 mi | Moss Point, MS | ★★☆☆☆ | 2/5 | |
| Singing River Skilled Nursing Facility | 14.4 mi | Pascagoula, MS | ★★★★☆ | 4/5 | |
| Plaza Community Living Center | 14.6 mi | Pascagoula, MS | ★★☆☆☆ | 3/5 | |
| Lynwood Rehabilitation and Healthcare Center | 14.9 mi | Mobile, AL | ★★☆☆☆ | 2/5 | |
| Crowne Health Care of Mobile | 17.7 mi | Mobile, AL | ★★★☆☆ | 3/5 | |
| Springhill Senior Residence | 17.8 mi | Mobile, AL | ★★★★☆ | 4/5 | |
| Crowne Health Care of Springhill | 17.9 mi | Mobile, AL | ★★★★★ | 4/5 | |
| Palm Gardens Health and Rehabilitation, LLC | 19.8 mi | Mobile, AL | ★★★★★ | 5/5 | |
| River Chase Village | 19.9 mi | Gautier, MS | ★★★★☆ | 5/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 015406.