Rivertown Health and Rehabilitation Center

Name: Rivertown Health and Rehabilitation Center
Address: 4490 VIRGINIA LOOP ROAD, Montgomery, AL, 36116, US
Telephone: 3342816826

4490 Virginia Loop Road, Montgomery, AL 36116 · Montgomery County · 121 certified beds · avg 112 residents/day · certified since Sep 30, 1980

Part of chain: ARABELLA HEALTHCARE MANAGEMENT (12 facilities, chain avg rating 2.6★)

1/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

3.97

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5

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 (34)

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
Jul 24, 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.
Jul 24, 2025	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Jul 24, 2025	D · Potential for harm, one-off	The facility did not keep residents' personal and medical information private and confidential. · from a complaint
Jul 24, 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
Jul 24, 2025	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. · from a complaint
Jul 24, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required.
Jul 24, 2025	D · Potential for harm, one-off	The facility did not provide activities that meet residents' needs and interests. Nursing homes must offer meaningful activity programs, not just leave residents idle.
Jul 24, 2025	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes. · from a complaint
Jul 24, 2025	D · Potential for harm, 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
Jul 24, 2025	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.
Aug 30, 2023	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
Aug 30, 2023	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. · from a complaint
Aug 30, 2023	D · Potential for harm, 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
Aug 30, 2023	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. · from a complaint
Aug 30, 2023	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Jan 11, 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.
Jan 11, 2023	F · Potential for harm, facility-wide	The facility did not dispose of garbage and refuse properly.
Jan 11, 2023	F · Potential for harm, facility-wide	The facility's quality committee — the internal group responsible for finding and fixing care problems — did not have the required members or did not meet at least every three months.
Jan 11, 2023	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs.
Jan 11, 2023	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.
Jan 11, 2023	D · Potential for harm, one-off	The facility did not properly complete the required screening (called PASARR) that identifies whether a person entering a nursing home has a mental illness or intellectual disability and needs specialized services.
Jan 11, 2023	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.
Jan 11, 2023	D · Potential for harm, one-off	The facility used feeding tubes without a valid medical reason or the resident's agreement, or did not provide proper care to residents who have feeding tubes.
Jan 11, 2023	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
Jan 11, 2023	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Jan 11, 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.
Jan 11, 2023	C · Minimal risk, facility-wide	The facility did not make its inspection results easy for residents to see, or made it hard for residents to contact advocacy agencies like the ombudsman.
Sep 23, 2021	F · Potential for harm, facility-wide	The facility did not fully assess residents on time — a complete assessment of health, abilities, and needs is required when a resident is first admitted and at least once every 12 months after that.
Sep 23, 2021	F · Potential for harm, facility-wide	The facility did not update each resident's care assessment at least once every 3 months. These regular check-ins keep the resident's care plan matched to their current condition.
Sep 23, 2021	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.
Sep 23, 2021	E · Potential for harm, repeated	The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require.
Sep 23, 2021	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.
Sep 23, 2021	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Sep 23, 2021	D · Potential for harm, one-off	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (12 → 10).

Year	Citations	Worst severity that year
2021	7	F
2023	17	F
2025	10	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)	3.97	4.43	3.95	bottom 22% in Alabama; top 41% in the U.S.
Registered Nurse hours	1.00	0.74	0.69	top 15% in Alabama; top 16% in the U.S.
Weekend total nurse staffing	3.32	3.73	3.50	bottom 22% in Alabama; bottom 49% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.56	0.36	0.48	top 15% in Alabama; top 26% in the U.S.
Total nursing staff turnover (%)	55.9	46.9	45.8	bottom 23% in Alabama; bottom 23% in the U.S.
RN turnover (%)	44.4	39.5	42.9	bottom 42% in Alabama; bottom 45% 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 3.43, RN 0.87, weekend 2.87. 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: 4/5 · short-stay residents: 3/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Arabella Health & Wellness of Montgomery Propco LLC	Organization	5% or Greater Mortgage Interest	NOT APPLICABLE	08/25/2023
Arabella Health & Wellness of Montgomery 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	03/17/2025
Arco Kano Irrv Tr	Organization	ADP of the SNF	NOT APPLICABLE	03/04/2024
Azzam, Mohannad	Individual	Operational/Managerial Control	NOT APPLICABLE	04/24/2023
Azzam, Mohannad	Individual	ADP of the SNF	NOT APPLICABLE	04/24/2023
Fein, Miriam	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	03/17/2025
GNH Irrv Tr	Organization	ADP of the SNF	NOT APPLICABLE	03/04/2024
Haxton, Meghan	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2025
Haxton, Meghan	Individual	ADP of the SNF	NOT APPLICABLE	01/01/2025
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
Zlotowitz, Eliyahu	Individual	Individual Is an Owner, Partner or Trustee of Any ADP of the SNF	NOT APPLICABLE	04/02/2025

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?"
"Can I see where garbage is stored and how often it's removed?"
"How do you protect residents' privacy, both in their medical records and in day-to-day care?"
"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?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
"How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
"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
John Knox Manor INC I I	2.5 mi	Montgomery, AL	★★☆☆☆	3/5
Diversicare of Montgomery	3.7 mi	Montgomery, AL	★★☆☆☆	2/5
Hillview Terrace	4.3 mi	Montgomery, AL	★★☆☆☆	2/5
Capitol Hill Healthcare Center	5.3 mi	Montgomery, AL	★★★★☆	4/5
Crowne Health Care of Montgomery	5.3 mi	Montgomery, AL	★★★★☆	4/5
Father Purcell Memorial Exceptional Children's Ctr	5.6 mi	Montgomery, AL	★☆☆☆☆	1/5
Montgomery Children's Specialty Center	7.8 mi	Montgomery, AL	★★★☆☆	2/5
Prattville Health and Rehabilitation, LLC	15.7 mi	Prattville, AL	★☆☆☆☆	1/5
Charlton Place Rehab and Healthcare Center	16.5 mi	Deatsville, AL	★★★★★	5/5
Wetumpka Health and Rehabilitation, LLC	16.6 mi	Wetumpka, AL	★☆☆☆☆	1/5
Merry Wood Lodge	17.3 mi	Elmore, AL	★☆☆☆☆	1/5	abuseSFF

Compare this facility with the 3 closest →

All facilities in Montgomery →

Facility data as of CMS processing date 2026-08-01. CCN 015228.

The Care File

Visit checklist — Rivertown Health and Rehabilitation Center

4490 Virginia Loop Road, Montgomery, AL 36116 · 3342816826

Health inspection rating 1/5 · CMS overall 1/5· Fines (3y): $0

Questions for the administrator:

☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "Can I see where garbage is stored and how often it's removed?"
☐ "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
☐ "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?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can I see this month's activities calendar, and what do you offer residents who can't leave their rooms?"
☐ "How do you decide when a feeding tube is truly needed, and how do staff care for residents who have one?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 015228 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)