Federal inspection record · CMS data as of October 1, 2026
Altera Health And Rehabilitation Center
22670 Main Street, Fairhope, AL · (251) 928-2177
- Certified beds
- 83
- Residents per day
- 65
- Ownership
- For-Profit
- Chain
- Arabella Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- June 14, 2002
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Altera Health And Rehabilitation Center carries 17 inspection points. That is fewer than 56% of Alabama's 223 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Alabama: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–3 pts
- 4★ 3–12 pts
- 3★ 12–23 pts
- 2★ 23–46 pts
- 1★ over 46 pts
Bars show every rated home in Alabama by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
7 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental2D
- D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
- C
Keep all essential equipment working safely.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Resident Rights1D
- D
Keep residents' personal and medical records private and confidential.
Freedom from Abuse, Neglect, and Exploitation1D
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspection history
2023-03-10
3 health deficiencies · 2 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
2021-09-16
2 health deficiencies · 4 fire-safety deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
2019-04-18
2 health deficiencies · 1 fire-safety deficiencies
Top issue: Environmental (1 deficiency)
4
Nursing time per resident, per day
Each resident here gets about 3 h 3 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
3 h 3 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 77% of nursing staff and 83% of registered nurses left in the past year, along with 2 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days1.9 pts better | 0 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.5 pts better | 0.2 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine7.2 pts better | 100.0% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.4 pts better | 97.8% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.6 pts better | 0.6% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms0.9 pts better | 0.6% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight1.6 pts worse | 7.0% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.9 pts better | 22.4% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication13.1 pts better | 8.2% | 21.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.5 pts better | 0.0% | 0.5% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsenedAbout the same | 11.0% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.5 pts better | 5.0% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better | 0.0% | 0.9% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection2.2 pts better | 0.0% | 2.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence3.4 pts better | 8.8% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.1 pts better | 2.1% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts better | 99.4% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit1.9 pts better | 9.8% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 2.8% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine1.9 pts worse | 80.3% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission0.1 pts better | 24.3% | 24.4% | 23.4% |
·
Who owns and runs it
15 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Arabella Health & Wellness Of Fairhope Propco LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Arabella Health & Wellness Of Fairhope Propco LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Arabella Healthcare Management LLC | Operational/Managerial Control · Organization | 0% | 12 facilities |
| Arabella Healthcare Management LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Arco Kano Irrv Tr | Adp Of The SNF · Organization | 0% | 12 facilities |
| Fein, Miriam | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 12 facilities |
| Gnh Irrv Tr | Adp Of The SNF · Organization | 0% | 12 facilities |
| Hertzel, Chaim | Corporate Officer · Individual | 0% | 12 facilities |
| Hertzel, Chaim | Operational/Managerial Control · Individual | 0% | 12 facilities |
| Hertzel, Chaim | Adp Of The SNF · Individual | 0% | 12 facilities |
| Hwood Partners LLC | Adp Of The SNF · Organization | 0% | 12 facilities |
| Ray, Kristina | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Ray, Kristina | Adp Of The SNF · Individual | 0% | 2 facilities |
| Thomas, Jessica | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Thomas, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke3D
- D
Provide properly protected cooking facilities.
- D
Install an approved automatic sprinkler system.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems2E
- E
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- D
Have generator or other power source capable of supplying service within 10 seconds.
Egress2D
- D
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.
- D
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
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Other homes nearby
-
Fairhope Health & Rehab
Fairhope, AL · Noland Health
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 3 h 49 min
- Fines
- $0
-
Eastern Shore Rehabilitation And Health Center
Daphne, AL · Noland Health
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 4 min
- Fines
- $0
-
Willowbrooke Ct Skilled Care Ctr Westminster Vlg
Spanish Fort, AL · Acts Retirement-Life Communities
★★★★★- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 5 h 11 min
- Fines
- $0