Altera Health and Rehabilitation Center — nursing home in Fairhope, AL

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 83 CMS-certified beds (not state-licensed beds)
Licensed beds: State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead.
Average residents per day: 65.2 CMS, MDS-derived
CMS Certification Number: 015447
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jun 14, 2002
Ownership type: For profit - Limited Liability company
Operator (legal business name): Arabella Health & Wellness of Fairhope Opco LLC
CMS chain: Arabella Healthcare Management 12 facilities
Phone: (251) 928-2177
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

6

latest Mar 10, 2023

Citations

14

7 health · 7 fire

Harm or worse

0

no immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E1	F2
Minimal	A·	B·	C2

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

0

$0

Payment denials

0

Latest

—

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 015447
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 83
First approved: Jun 14, 2002
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

State licensure is issued by the state survey agency. State license records are not yet ingested for this facility; the federal CMS certification is shown instead. State coverage for Alabama.

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 10, 2023	Fire safety	Fire Safety Standard	2	Potential harm	—	Open →
Mar 10, 2023	Health	Health Standard	3	Potential harm	—	Open →
Sep 16, 2021	Fire safety	Fire Safety Standard	4	Potential harm	—	Open →
Sep 16, 2021	Health	Health Standard	2	Potential harm	—	Open →
Apr 18, 2019	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Apr 18, 2019	Health	Health Standard	2	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

No fines or payment denials in the CMS Penalties file for this CCN.

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J·	K·	L·
Actual harm	G·	H·	I·
Potential harm	D9	E1	F2
Minimal	A·	B·	C2

By concept

Date	Tag	Deficiency	Scope / severity	Correction
Mar 10, 2023	K-0324	Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 19, 2023
Mar 10, 2023	K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	E · Potential harm Pattern	Corrected Apr 19, 2023
Mar 10, 2023	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected Apr 14, 2023
Mar 10, 2023	F-0914	Provide bedrooms that don't allow residents to see each other when privacy is needed. Environmental Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 14, 2023
Mar 10, 2023	F-0732	Post nurse staffing information every day. Nursing and Physician Services Deficiencies · Staffing & supervision	C · Minimal Widespread	Corrected Apr 14, 2023
Sep 16, 2021	K-0222	Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 27, 2021
Sep 16, 2021	K-0232	Have corridors or aisles that are unobstructed and are at least 8 feet in width. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 27, 2021
Sep 16, 2021	K-0351	Install an approved automatic sprinkler system. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 27, 2021
Sep 16, 2021	K-0355	Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Oct 27, 2021
Sep 16, 2021	F-0583	Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 21, 2021
Sep 16, 2021	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Oct 21, 2021
Apr 18, 2019	K-0918	Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected May 29, 2019
Apr 18, 2019	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	F · Potential harm Widespread	Corrected May 23, 2019
Apr 18, 2019	F-0908	Keep all essential equipment working safely. Environmental Deficiencies · Environment & life safety	C · Minimal Widespread	Corrected May 23, 2019

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.8

Staffingstate 3.7

Quality measuresstate 3.3

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.05

State avg 3.90US avg 3.90

Registered nurse (RN)0.94

State avg 0.66US avg 0.69

Licensed practical nurse0.37

State avg 0.78US avg 0.86

Nurse aide1.74

State avg 2.46US avg 2.35

Weekend total nurse2.57

State avg 3.27US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.49 (case-mix index 1.22).

Staff turnover

Total nursing staff turnover76.9%

State avg 46.8%US avg 45.3%

Registered nurse turnover83.3%

State avg 40.0%US avg 42.5%

Administrators who left2

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 10, 2023
Cycle 1 health score: 20
Total weighted score: 17

Operating entity

Arabella Health & Wellness of Fairhope Opco LLC

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

Arabella Healthcare Management

12 facilities in 2 states. CMS chain ID 633.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 2.5

Ownership disclosures

Disclosures

15

Organizations

5

Individuals

8

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
Miriam Fein	Individual	Partner	INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF	not provided	Apr 29, 2025
Arabella Healthcare Management LLC	Organization	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 25, 2023
Chaim Hertzel	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 25, 2023
Kristina Ray	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Aug 25, 2023
Jessica Thomas	Individual	Operational / managerial control	OPERATIONAL/MANAGERIAL CONTROL	not provided	Jun 16, 2024
Chaim Hertzel	Individual	Corporate officer / director	CORPORATE OFFICER	not provided	Aug 25, 2023
Arabella Health & Wellness of Fairhope Propco LLC	Organization	Mortgage / security interest	5% OR GREATER MORTGAGE INTEREST	not provided	Aug 25, 2023
Arabella Health & Wellness of Fairhope Propco LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Aug 25, 2023
Arabella Healthcare Management LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 14, 2025
Arco Kano Irrv Tr	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 4, 2024
Gnh Irrv Tr	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 4, 2024
Hwood Partners LLC	Organization	Additional disclosable party	ADP OF THE SNF	not provided	Mar 4, 2024
Chaim Hertzel	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 25, 2023
Kristina Ray	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Aug 25, 2023
Jessica Thomas	Individual	Additional disclosable party	ADP OF THE SNF	not provided	Jun 16, 2024

Same chain in Alabama

All 11 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Stonehaven Health and Rehabilitation Center 325 Selma Road, Bessemer, AL 35020 CCN 015050	79	Feb 12, 2023	312 IJ	—
Northgate Health and Rehabilitation Center 4201 Bessemer Super Highway, Bessemer, AL 35020 CCN 015060	69	May 9, 2025	303 IJ	$17k
Everstead Health and Rehabilitation Center 705 Gandy Street NE, Russellville, AL 35653 CCN 015071	50	Sep 21, 2022	8	—
Bellway Health and Rehabilitation Center 11 Bell Road, Selma, AL 36701 CCN 015119Abuse icon	172	Jul 15, 2024	161 IJ	$203k
Camellia Health and Rehabilitation Center 1758 Springhill Ave, Mobile, AL 36607 CCN 015151	170	Jan 7, 2022	25	—
Timberland Health and Wellness Center 1406 East Pushmataha Street, Butler, AL 36904 CCN 015164	120	Mar 25, 2021	10	—
Rivertown Health and Rehabilitation Center 4490 Virginia Loop Road, Montgomery, AL 36116 CCN 015228	121	Jul 24, 2025	53	—
Redmont Health and Rehabilitation Center 1028 Bessemer Rd, Birmingham, AL 35228 CCN 015303	163	Oct 27, 2022	26	—

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 22670 Main Street, Fairhope, AL 36532
ZIP: 36532
County: Baldwin County FIPS 01003
State: Alabama
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	Last inspection	Citations (window)	Fines
Fairhope Health & Rehab 108 South Church Street, Fairhope, AL 36532 CCN 015222	3.7 km	131	Feb 25, 2022	23	—
Eastern Shore Rehabilitation and Health Center 101 Villa Drive, Daphne, AL 36526 CCN 015049	6.5 km	117	Mar 26, 2021	13	—
Willowbrooke Ct Skilled Care Ctr Westminster Vlg 500 Spanish Fort Blvd, Spanish Fort, AL 36527 CCN 015381	12.6 km	60	Apr 8, 2021	18	—
Allen Health and Rehabilitation 735 South Washington Avenue, Mobile, AL 36603 CCN 015098	19.6 km	119	Feb 21, 2020	21	—
Kensington Health and Rehabilitation 550 Congress Street, Mobile, AL 36603 CCN 015429	21.2 km	120	Jul 21, 2023	32	$4,558
Little Sisters of the Poor Sacred Heart Residence 1655 Mcgill Avenue, Mobile, AL 36604 CCN 015168	22.3 km	75	Jul 9, 2026	71 open	—

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	015447	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	015447	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026

Record-level source links for CCN 015447

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction