Cycle 1
Health 2023-03-10 · Fire 2023-03-10
3 health deficiencies
Top issue: Environmental (1 deficiency)
2 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fairhope, AL
Arabella Health And Wellness Of Fairhope
3-star overall rating with 3-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
22670 Main Street, Fairhope, AL
(251) 928-2177
Overall
3 / 5
CMS overall stars
Health inspections
3 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
83
Certified beds
Average residents
61
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Arabella Healthcare Management
Operator or chain grouping
Approved since
2002-06-14
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Chain footprint
12 facilities
Chain averages 3 overall / 3 health / 3 staffing / 4 quality stars
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.68
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.68
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.91
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
3.27
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.36
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.91
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.37
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.01
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.81
CMS adjusted RN staffing hours
Adjusted total hours
3.87
CMS adjusted total nurse staffing hours
Case-mix index
1.15
Higher values indicate more complex resident acuity
RN turnover
67%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
64%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,458
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
4.97
Composite VBP score used to determine payment impact.
Payment multiplier
0.9805
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
0
Baseline 20.46% · Performance 24.19% · Measure score 0 · Achievement 0 · Improvement 0
Healthcare-associated infections
0
Baseline 10.09% · Performance 10.00% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 66.27% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
1.99
Baseline 3.28 hours · Performance 3.64 hours · Measure score 1.99 · Achievement 1.99 · Improvement 0.94
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 14.08% |
10.72%
3.4 pts worse
|
No Different than the National Rate · Eligible stays 123 · Observed rate 19.51% · Lower 95% interval 10.32% |
| Discharge to community | 43.23% |
50.57%
7.3 pts worse
|
No Different than the National Rate · Eligible stays 124 · Observed rate 37.1% · Lower 95% interval 35.64% |
| Medicare spending per beneficiary | 0.87 |
1.02
0.2 pts better
|
|
| Drug regimen review with follow-up | 98.33% |
95.27%
3.1 pts better
|
Numerator 118 · Denominator 120 |
| Falls with major injury | 0.83% |
0.77%
0.1 pts worse
|
Numerator 1 · Denominator 120 |
| Discharge self-care score | 56.34% |
53.69%
2.7 pts better
|
Numerator 40 · Denominator 71 |
| Discharge mobility score | 54.93% |
50.94%
4 pts better
|
Numerator 39 · Denominator 71 |
| Pressure ulcers or injuries, new or worsened | 1.67% |
2.29%
0.6 pts better
|
Numerator 2 · Denominator 120 · Adjusted rate 1.66% |
| Healthcare-associated infections requiring hospitalization | 10% |
7.12%
2.9 pts worse
|
No Different than the National Rate · Eligible stays 101 · Observed rate 13.86% · Lower 95% interval 6.69% |
| Staff COVID-19 vaccination coverage | 9.82% |
8.2%
1.6 pts better
|
Numerator 11 · Denominator 112 |
| Staff flu vaccination coverage | 25.97% |
42%
16 pts worse
|
Numerator 20 · Denominator 77 |
| Discharge function score | 66.2% |
56.45%
9.8 pts better
|
Numerator 47 · Denominator 71 |
| Transfer of health information to provider | 98.48% |
95.95%
2.5 pts better
|
Numerator 65 · Denominator 66 |
| Transfer of health information to patient | 94.44% |
96.28%
1.8 pts worse
|
Numerator 34 · Denominator 36 |
| Resident COVID-19 vaccinations up to date | 17.14% |
25.2%
8.1 pts worse
|
Numerator 12 · Denominator 70 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 1.5 |
2.0
0.5 pts better
|
1.9
0.4 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 0.8 |
1.8
1 pts better
|
1.8
1 pts better
|
Long Stay · 20240701-20250630 · Adjusted 0.8 · Observed 0.7 · Expected 1.6 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100.0% |
91.3%
8.7 pts better
|
93.4%
6.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100.0% |
94.8%
5.2 pts better
|
95.5%
4.5 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 100.0% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.1% |
3.4%
0.7 pts worse
|
3.3%
0.8 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 4.0% · Q3 6.2% · Q4 2.2% · 4Q avg 4.1% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 2.7% |
1.3%
1.4 pts worse
|
11.4%
8.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.1% · Q2 6.4% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7% |
| Percentage of long-stay residents who lose too much weight | 7.9% |
5.3%
2.6 pts worse
|
5.4%
2.5 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 2.8% · Q3 8.3% · Q4 10.5% · 4Q avg 7.9% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 20.9% |
24.9%
4 pts better
|
19.6%
1.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 18.6% · Q2 23.1% · Q3 15.8% · Q4 26.3% · 4Q avg 20.9% |
| Percentage of long-stay residents who received an antipsychotic medication | 12.7% |
22.8%
10.1 pts better
|
16.7%
4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 17.1% · Q2 9.4% · Q3 10.3% · Q4 13.3% · 4Q avg 12.7% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.6%
0.6 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 12.4% |
14.8%
2.4 pts better
|
16.3%
3.9 pts better
|
Long Stay · 2024Q4-2025Q3 · 4Q avg 12.4% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.3% |
13.4%
10.1 pts better
|
14.9%
11.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.7% · Q3 8.3% · Q4 2.7% · 4Q avg 3.3% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.5% |
1.3%
0.8 pts better
|
1.0%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 2.1% · Q3 0.0% · Q4 0.0% · 4Q avg 0.5% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 0.0% |
2.6%
2.6 pts better
|
1.7%
1.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.3% |
13.5%
5.8 pts worse
|
19.8%
0.5 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 32.8% · Q2 18.4% · Q3 20.3% · Q4 4.1% · 4Q avg 19.3% |
| Percentage of long-stay residents with pressure ulcers | 2.4% |
5.7%
3.3 pts better
|
5.1%
2.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 1.9% · Q4 6.2% · 4Q avg 2.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 98.7% |
84.3%
14.4 pts better
|
81.7%
17 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 99.4% · Q2 98.2% · Q3 97.5% · Q4 100.0% · 4Q avg 98.7% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 8.0% |
11.5%
3.5 pts better
|
12.0%
4 pts better
|
Short Stay · 20240701-20250630 · Adjusted 8.0% · Observed 7.9% · Expected 11.1% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 3.1% |
2.1%
1 pts worse
|
1.6%
1.5 pts worse
|
Short Stay · 2024Q4-2025Q3 · Q1 4.4% · Q2 4.0% · Q3 2.1% · Q4 1.4% · 4Q avg 3.1% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.4% |
80.3%
3.1 pts better
|
79.7%
3.7 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.4% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 25.8% |
24.5%
1.3 pts worse
|
23.9%
1.9 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 24.6% · Expected 22.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2021-09-16 · Fire 2021-09-16
2 health deficiencies
Top issue: Freedom from Abuse and Neglect and Exploitation (1 deficiency)
4 fire-safety deficiencies
Top issue: Egress (2 deficiencies)
Cycle 3
Health 2019-04-18 · Fire 2019-04-18
3 health deficiencies
Top issue: Environmental (1 deficiency)
1 fire-safety deficiencies
Top issue: Gas and Vacuum and Electrical Systems (1 deficiency)
Fire safety
Fire-safety citations
E · Potential for more than minimal harm
2023-03-10
K914 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
Corrected 2023-04-19
D · Potential for more than minimal harm
2023-03-10
K324 · Smoke Deficiencies
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-04-19
D · Potential for more than minimal harm
2021-09-16
K222 · Egress Deficiencies
Fire Safety
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.
Corrected 2021-10-27
D · Potential for more than minimal harm
2021-09-16
K232 · Egress Deficiencies
Fire Safety
Have corridors or aisles that are unobstructed and are at least 8 feet in width.
Corrected 2021-10-27
D · Potential for more than minimal harm
2021-09-16
K351 · Smoke Deficiencies
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2021-10-27
D · Potential for more than minimal harm
2021-09-16
K355 · Smoke Deficiencies
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2021-10-27
D · Potential for more than minimal harm
2019-04-18
K918 · Gas, Vacuum, and Electrical Systems Deficiencies
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2019-05-29
Inspection history
Recent health citations
D · Potential for more than minimal harm
2023-06-08
F550 · Resident Rights Deficiencies
Health
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected 2023-07-12
F · Potential for more than minimal harm
2023-03-10
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-04-14
D · Potential for more than minimal harm
2023-03-10
F914 · Environmental Deficiencies
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2023-04-14
C · Minimal harm
2023-03-10
F732 · Nursing and Physician Services Deficiencies
Health
Post nurse staffing information every day.
Corrected 2023-04-14
D · Potential for more than minimal harm
2021-09-16
F583 · Resident Rights Deficiencies
Health
Keep residents' personal and medical records private and confidential.
Corrected 2021-10-21
D · Potential for more than minimal harm
2021-09-16
F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2021-10-21
F · Potential for more than minimal harm
2019-04-18
F812 · Nutrition and Dietary Deficiencies
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2019-05-23
C · Minimal harm
2019-04-18
F908 · Environmental Deficiencies
Health
Keep all essential equipment working safely.
Corrected 2019-05-23
Penalties and ownership
What sits behind the stars
Ownership
Arabella Al 600 Opco LP
5% Or Greater Direct Ownership Interest · Organization
Arabella Health & Wellness Of Fairhope Propco LLC
5% Or Greater Mortgage Interest · Organization
Arabella Healthcare Management LLC
Operational/Managerial Control · Organization
Arco Kano Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Gnh Irrv Tr
5% Or Greater Indirect Ownership Interest · Organization
Hertzel, Chaim
Operational/Managerial Control · Individual
Hertzel, Chaim
Corporate Officer · Individual
Hwood Partners LLC
5% Or Greater Indirect Ownership Interest · Organization
Ray, Kristina
Operational/Managerial Control · Individual
Thomas, Jessica
Operational/Managerial Control · Individual
Nearby options
Other facilities in reach
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Fairhope Health & Rehab
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2-star overall rating with 2-star inspections with 6 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
#2
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3-star overall rating with 3-star inspections with 3 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#3
Willowbrooke Ct Skilled Care Ctr Westminster Vlg
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5-star overall rating with 3-star inspections with 1 recent health deficiencies
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