10 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Montgomery, AL
2-star overall rating with 1-star inspections with 10 recent health deficiencies with 3 fire-safety deficiencies in the latest cycle
4490 Virginia Loop Road, Montgomery, AL
(334) 281-6826
Overall
2 / 5
CMS overall stars
Health inspections
1 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
5 / 5
Resident outcomes and process measures
Quick facts
Beds
121
Certified beds
Average residents
104
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Arabella Healthcare Management
Operator or chain grouping
Approved since
1980-09-30
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
RN hours / resident day
0.73
Registered nurse staffing · state 0.64 · national 0.68
LPN hours / resident day
0.66
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
1.93
Nurse aide staffing · state 2.50 · national 2.35
Total nurse hours
3.31
All reported nurse hours · state 3.91 · national 3.89
Licensed hours
1.38
RN + LPN hours · state 1.42 · national 1.54
Weekend hours
2.73
Weekend nurse staffing · state 3.29 · national 3.43
Weekend RN hours
0.41
Weekend registered nurse coverage · state 0.36 · national 0.47
Physical therapist
0.04
Reported PT staffing · state 0.04 · national 0.07
Adjusted RN hours
0.82
CMS adjusted RN staffing hours
Adjusted total hours
3.72
CMS adjusted total nurse staffing hours
Case-mix index
1.22
Higher values indicate more complex resident acuity
RN turnover
55%
Annual RN turnover · state 42% · national 45%
Total nurse turnover
62%
Annual nurse turnover · state 49% · national 46%
SNF VBP
Program rank
12,970
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
9.34
Composite VBP score used to determine payment impact.
Payment multiplier
0.9808
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
Readmission
0.79
Performance 21.07% · Measure score 0.79 · Achievement 0.79 · This facility did not have sufficient data to calculate a baseline period measure result.
Healthcare-associated infections
0
Baseline 6.08% · Performance 8.26% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Baseline 63.83% · Performance 73.15% · Measure score 0 · Achievement 0 · Improvement 0
Adjusted total nurse staffing
2.95
Baseline 3.25 hours · Performance 3.92 hours · Measure score 2.95 · Achievement 2.95 · Improvement 2.12
SNF QRP
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 10.98% |
10.72%
0.3 pts worse
|
No Different than the National Rate · Eligible stays 36 · Observed rate 13.89% · Lower 95% interval 6.57% |
| Discharge to community | Not Available |
50.57%
|
Not Available · Eligible stays 21 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly. |
| Medicare spending per beneficiary | 1.05 |
1.02
About the same
|
|
| Drug regimen review with follow-up | 97.56% |
95.27%
2.3 pts better
|
Numerator 40 · Denominator 41 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 41 |
| Discharge self-care score | 69.7% |
53.69%
16 pts better
|
Numerator 23 · Denominator 33 |
| Discharge mobility score | 54.55% |
50.94%
3.6 pts better
|
Numerator 18 · Denominator 33 |
| Pressure ulcers or injuries, new or worsened | 0% |
2.29%
2.3 pts better
|
Numerator 0 · Denominator 41 · Adjusted rate 0% |
| Healthcare-associated infections requiring hospitalization | 8.26% |
7.12%
1.1 pts worse
|
No Different than the National Rate · Eligible stays 35 · Observed rate 14.29% · Lower 95% interval 3.86% |
| Staff COVID-19 vaccination coverage | 1.67% |
8.2%
6.5 pts worse
|
Numerator 3 · Denominator 180 |
| Staff flu vaccination coverage | 9.59% |
42%
32.4 pts worse
|
Numerator 14 · Denominator 146 |
| Discharge function score | 72.73% |
56.45%
16.3 pts better
|
Numerator 24 · Denominator 33 |
| Transfer of health information to provider | Not Available |
95.95%
|
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly. |
| Transfer of health information to patient | 95% |
96.28%
1.3 pts worse
|
Numerator 19 · Denominator 20 |
| Resident COVID-19 vaccinations up to date | Not Available |
25.2%
|
Numerator Not Available · Denominator 18 · Too few residents or stays to report publicly. |
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.6 |
2.0
0.6 pts worse
|
1.9
0.7 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.0 · Expected 1.5 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.5 |
1.8
0.3 pts better
|
1.8
0.3 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.5 · Observed 1.3 · Expected 1.5 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.8% |
91.3%
3.5 pts better
|
93.4%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 92.3% · Q2 92.3% · Q3 97.7% · Q4 96.5% · 4Q avg 94.8% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 95.2% |
94.8%
0.4 pts better
|
95.5%
0.3 pts worse
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 95.2% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 0.3% |
3.4%
3.1 pts better
|
3.3%
3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 1.2% · 4Q avg 0.3% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 0.0% |
1.3%
1.3 pts better
|
11.4%
11.4 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 who lose too much weight | 2.0% |
5.3%
3.3 pts better
|
5.4%
3.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 4.0% · Q2 1.4% · Q3 0.0% · Q4 2.5% · 4Q avg 2.0% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 11.0% |
24.9%
13.9 pts better
|
19.6%
8.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 9.2% · Q2 12.2% · Q3 13.9% · Q4 8.9% · 4Q avg 11.0% |
| Percentage of long-stay residents who received an antipsychotic medication | 17.4% |
22.8%
5.4 pts better
|
16.7%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 12.5% · Q2 20.5% · Q3 16.7% · Q4 20.0% · 4Q avg 17.4% · 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 | 2.7% |
14.8%
12.1 pts better
|
16.3%
13.6 pts better
|
Long Stay · 2024Q4-2025Q3 · Q2 10.7% · Q3 0.0% · Q4 0.0% · 4Q avg 2.7% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 1.8% |
13.4%
11.6 pts better
|
14.9%
13.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 1.5% · Q2 3.1% · Q3 2.7% · Q4 0.0% · 4Q avg 1.8% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
1.3%
0.1 pts better
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 0.9% · Q3 0.8% · Q4 1.5% · 4Q avg 1.2% · 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 | 7.0% |
13.5%
6.5 pts better
|
19.8%
12.8 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 13.5% · Q3 5.8% · Q4 2.3% · 4Q avg 7.0% |
| Percentage of long-stay residents with pressure ulcers | 8.7% |
5.7%
3 pts worse
|
5.1%
3.6 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 8.5% · Q3 6.1% · Q4 10.8% · 4Q avg 8.7% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 84.6% |
84.3%
0.3 pts better
|
81.7%
2.9 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 83.3% · Q2 87.2% · Q3 83.9% · Q4 83.8% · 4Q avg 84.6% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 12.7% |
11.5%
1.2 pts worse
|
12.0%
0.7 pts worse
|
Short Stay · 20240701-20250630 · Adjusted 12.7% · Observed 15.4% · Expected 13.5% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
2.1%
0.5 pts better
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 2.2% · Q4 3.9% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 83.7% |
80.3%
3.4 pts better
|
79.7%
4 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 83.7% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 16.9% |
24.5%
7.6 pts better
|
23.9%
7 pts better
|
Short Stay · 20240701-20250630 · Adjusted 16.9% · Observed 19.2% · Expected 27.0% · Used in QM five-star |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
3 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (3 deficiencies)
5 fire-safety deficiencies
Top issue: Smoke (2 deficiencies)
Top issue: Resident Assessment and Care Planning (6 deficiencies)
16 fire-safety deficiencies
Top issue: Emergency Preparedness (15 deficiencies)
Fire safety
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2025-09-03
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-03
Fire Safety
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Corrected 2025-09-03
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-02-23
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2023-02-23
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2023-02-23
Fire Safety
Provide properly protected cooking facilities.
Corrected 2023-02-23
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2023-02-23
Fire Safety
Develop Emergency Preparedness policies and procedures.
Corrected 2021-10-22
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2021-10-22
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2021-10-22
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2021-10-22
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2021-10-22
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2021-10-22
Fire Safety
Develop a communication plan.
Corrected 2021-10-22
Fire Safety
List the names and contact information of those in the facility.
Corrected 2021-10-22
Fire Safety
Provide primary/alternate means for communication.
Corrected 2021-10-22
Fire Safety
Establish methods for sharing information.
Corrected 2021-10-22
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2021-10-22
Fire Safety
Provide family notifications of emergency plan.
Corrected 2021-10-22
Fire Safety
Establish emergency prep training and testing.
Corrected 2021-10-22
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2021-10-22
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2021-10-22
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2021-10-22
Inspection history
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-05
Health
Dispose of garbage and refuse properly.
Corrected 2025-09-05
Health
Keep residents' personal and medical records private and confidential.
Corrected 2025-09-05
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-09-05
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2025-09-05
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2025-09-05
Health
Provide activities to meet all resident's needs.
Corrected 2025-09-05
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2025-09-05
Health
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected 2025-09-05
Health
Post nurse staffing information every day.
Corrected 2025-09-05
Health
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected 2023-10-04
Health
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected 2023-10-04
Health
Respond appropriately to all alleged violations.
Corrected 2023-10-04
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-10-04
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2023-10-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-02-14
Health
Dispose of garbage and refuse properly.
Corrected 2023-02-14
Health
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Corrected 2023-02-14
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2023-02-14
Health
Ensure each resident receives an accurate assessment.
Corrected 2023-02-14
Health
PASARR screening for Mental disorders or Intellectual Disabilities
Corrected 2023-02-14
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2023-02-14
Health
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
Corrected 2023-02-14
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2023-02-14
Health
Provide and implement an infection prevention and control program.
Corrected 2023-02-14
Health
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected 2023-02-14
Health
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2023-02-14
Health
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Corrected 2021-10-15
Health
Assure that each resident’s assessment is updated at least once every 3 months.
Corrected 2021-10-15
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2021-10-15
Health
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Corrected 2021-10-15
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2021-10-15
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2021-10-15
Health
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Corrected 2021-10-15
Penalties and ownership
5% Or Greater Direct Ownership Interest · Organization
5% Or Greater Mortgage Interest · Organization
Operational/Managerial Control · Organization
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
5% Or Greater Indirect Ownership Interest · Organization
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
Corporate Officer · Individual
5% Or Greater Indirect Ownership Interest · Organization
Nearby options
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2-star overall rating with 3-star inspections with 3 recent health deficiencies with 2 fire-safety deficiencies in the latest cycle
Montgomery, AL
2-star overall rating with 2-star inspections with 4 recent health deficiencies with 15 fire-safety deficiencies in the latest cycle
Montgomery, AL
2-star overall rating with 2-star inspections with 3 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle
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