Federal inspection record · CMS data as of October 1, 2026

Greenway Health and Rehabilitation Center, LLC

13750 Highway 90 West, Grand Bay, AL · (251) 865-6443

CMS overall rating

1 of 5

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Certified beds
92
Residents per day
79
Ownership
For-Profit
Chain
Arabella Healthcare Management
Medicare / Medicaid
Medicare + Medicaid
Certified since
June 29, 1993

1

How this home got 1 star

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.

  1. Health inspections

    starting point

    Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.

  2. 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.

  3. Quality measures

    no change

    Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.

  4. Overall

    1 of 5

    Matches the rating CMS publishes on Care Compare.

2

Where it sits among Alabama homes

Greenway Health and Rehabilitation Center, LLC carries 243.75 inspection points. That is fewer than 4% of Alabama's 223 rated homes.

5★4★3★2★1★+7 homes above 29905102550100200inspection points → fewer is better on the leftThis home · 243.75 pts · 1★

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

21 health citations on record since 2021. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 4 50 pts
K 1 100 pts
L 2 150 pts

Actual harmA resident was hurt

G 0 20 pts
H 0 35 pts
I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 8 4 pts
E 2 8 pts
F 4 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts
B 0 0 pts
C 0 0 pts

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.

Harm and immediate-jeopardy citations (7)

  1. L

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    April 15, 2025 · Complaint inspection · Administration · F835 · Corrected May 16, 2025

  2. L

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    April 15, 2025 · Complaint inspection · Administration · F867 · Corrected May 12, 2025

  3. J

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    April 15, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F600 · Corrected May 16, 2025

  4. J

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    April 15, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F609 · Corrected May 16, 2025

  5. J

    Respond appropriately to all alleged violations.

    April 15, 2025 · Complaint inspection · Freedom from Abuse, Neglect, and Exploitation · F610 · Corrected May 12, 2025

  6. J

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    April 15, 2025 · Complaint inspection · Quality of Life and Care · F740 · Corrected May 12, 2025

  7. K

    Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

    August 17, 2023 · Standard inspection · Nutrition and Dietary · F805 · Corrected September 7, 2023

Everything else, by area of care

Nutrition and Dietary3F
  1. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    April 15, 2025 · Complaint · F812 · Corrected May 12, 2025

  2. F

    Dispose of garbage and refuse properly.

    April 15, 2025 · Complaint · F814 · Corrected May 12, 2025

  3. F

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    July 13, 2022 · Standard · F812 · Corrected August 12, 2022

Resident Assessment and Care Planning3E
  1. E

    Ensure services provided by the nursing facility meet professional standards of quality.

    April 15, 2025 · Complaint · F658 · Corrected May 12, 2025

  2. D

    Ensure each resident receives an accurate assessment.

    April 15, 2025 · Complaint · F641 · Corrected May 12, 2025

  3. D

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    July 13, 2022 · Standard · F656 · Corrected August 12, 2022

Resident Rights3D
  1. D

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    October 6, 2023 · Complaint · F550 · Corrected October 27, 2023

  2. D

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    June 9, 2021 · Standard · F623 · Corrected July 14, 2021

  3. D

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    June 9, 2021 · Standard · F625 · Corrected July 14, 2021

Freedom from Abuse, Neglect, and Exploitation2E
  1. D

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    June 13, 2025 · Complaint · F600 · Corrected April 24, 2025

  2. E

    Protect each resident from the wrongful use of the resident's belongings or money.

    April 15, 2025 · Complaint · F602 · Corrected May 12, 2025

Quality of Life and Care2D
  1. D

    Provide care and assistance to perform activities of daily living for any resident who is unable.

    July 13, 2022 · Standard · F677 · Corrected August 12, 2022

  2. D

    Provide enough food/fluids to maintain a resident's health.

    June 9, 2021 · Standard · F692 · Corrected July 14, 2021

Administration1F
  1. F

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    April 15, 2025 · Complaint · F851 · Corrected May 12, 2025

Inspection history

  1. 2023-08-17

    1 health deficiencies · 4 fire-safety deficiencies

    Top issue: Nutrition and Dietary (1 deficiency)

  2. 2022-07-13

    16 health deficiencies · 5 fire-safety deficiencies

    Top issue: Freedom from Abuse and Neglect and Exploitation (5 deficiencies)

  3. 2021-06-09

    4 health deficiencies · 3 fire-safety deficiencies

    Top issue: Resident Rights (3 deficiencies)

4

Nursing time per resident, per day

Each resident here gets about 3 h 17 min of nursing staff time a day, 39 min of it from a registered nurse.

This home

3 h 17 min

Alabama average

3 h 54 min

U.S. average

3 h 54 min

  • Registered nurse
  • Licensed practical nurse
  • Nurse aide

Turnover: 66% of nursing staff and 65% of registered nurses left in the past year, along with 1 administrator.

Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.

5

Fines and payment denials

$0 in federal fines on record over the past three years.

DatePenaltyAmount
2025-04-15Payment Denial · 15 day denial$0

6

Resident outcomes

Quality measures compared with state and national averages. Most come from assessments the home itself reports.

MeasureThis homeStateU.S.
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.8 pts better99.6%92.8%93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine2.2 pts worse93.2%95.4%95.3%
Percentage of long-stay residents experiencing one or more falls with major injury0.8 pts worse4.0%3.2%3.2%
Percentage of long-stay residents who have depressive symptoms0.5 pts better1.0%1.5%13.5%
Percentage of long-stay residents who lose too much weight2.7 pts better2.7%5.4%5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication7.5 pts better16.8%24.3%19.5%
Percentage of long-stay residents who received an antipsychotic medication10.6 pts worse31.9%21.3%15.4%
Percentage of long-stay residents who were physically restrained0.5 pts better0.0%0.5%0.1%
Percentage of long-stay residents whose ability to walk independently worsened8.2 pts better2.8%11.0%12.7%
Percentage of long-stay residents whose need for help with daily activities has increased7.7 pts better3.8%11.5%13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.9 pts better0.0%0.9%0.7%
Percentage of long-stay residents with a urinary tract infection2.2 pts better0.0%2.2%1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence7.6 pts worse19.8%12.2%18.3%
Percentage of long-stay residents with pressure ulcers0.1 pts better5.1%5.2%4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.8 pts better99.4%85.6%82.3%
Percentage of short-stay residents who had an outpatient emergency department visit1.6 pts worse13.3%11.7%11.8%
Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts better0.7%1.9%1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine2.4 pts better84.6%82.2%80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission3 pts worse27.4%24.4%23.4%

·

Who owns and runs it

22 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.

Show ownership list
NameRoleShareHomes
Arabella Health & Wellness Of Grand Bay Holdco LLC5% Or Greater Direct Ownership Interest · Organization100%1 facilities
Arabella Health & Wellness Of Grand Bay Propco LLC5% Or Greater Mortgage Interest · Organization0%1 facilities
Arabella Health & Wellness Of Grand Bay Propco LLCAdp Of The SNF · Organization0%1 facilities
Arabella Health & Wellness Of Pensacola Propco Holdco LLCAdp Of The SNF · Organization0%1 facilities
Arabella Healthcare Management LLCOperational/Managerial Control · Organization0%12 facilities
Arco Kano Irrv TrAdp Of The SNF · Organization0%12 facilities
Bredlegs Holdings LLCIndirect Ownership Interest · Organization0%4 facilities
Bredlegs Holdings LLCAdp Of The SNF · Organization0%4 facilities
Camden Wv LLCAdp Of The SNF · Organization0%4 facilities
Deb El Investment Group LLCIndirect Ownership Interest · Organization0%1 facilities
Deb El Investment Group LLCAdp Of The SNF · Organization0%1 facilities
Fein, MiriamTrustee Of The SNF · Individual0%12 facilities
Fein, SethAdp Of The SNF · Individual0%2 facilities
Gnh Irrv TrAdp Of The SNF · Organization0%12 facilities
Healthcare Investment Holdings LLCAdp Of The SNF · Organization0%4 facilities
Hertzel, ChaimOperational/Managerial Control · Individual0%12 facilities
Hwood Partners LLCAdp Of The SNF · Organization0%12 facilities
Ray, KristinaOperational/Managerial Control · Individual0%2 facilities
Ray, KristinaAdp Of The SNF · Individual0%2 facilities
Williams, JeffreyOperational/Managerial Control · Individual0%2 facilities
Williams, JeffreyAdp Of The SNF · Individual0%2 facilities
Zlotowitz, EliyahuTrustee Of The SNF · Individual0%10 facilities

·

Fire safety

12 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.

Smoke5E
  1. D

    Install an approved automatic sprinkler system.

    August 17, 2023 · K351 · Corrected September 7, 2023

  2. D

    Install corridor and hallway doors that block smoke.

    August 17, 2023 · K363 · Corrected September 7, 2023

  3. D

    Provide properly protected cooking facilities.

    July 13, 2022 · K324 · Corrected August 12, 2022

  4. E

    Properly select, install, inspect, or maintain portable fire extinguishes.

    June 9, 2021 · K355 · Corrected July 21, 2021

  5. E

    Install corridor and hallway doors that block smoke.

    June 9, 2021 · K363 · Corrected July 21, 2021

Egress4E
  1. D

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    August 17, 2023 · K223 · Corrected September 7, 2023

  2. E

    Install proper backup exit lighting.

    July 13, 2022 · K281 · Corrected August 12, 2022

  3. D

    Have horizontal exits used in accordance with safety requirements.

    July 13, 2022 · K226 · Corrected August 12, 2022

  4. D

    Have properly located and lighted "Exit" signs.

    July 13, 2022 · K293 · Corrected August 12, 2022

Miscellaneous2E
  1. D

    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

    July 13, 2022 · K741 · Corrected August 12, 2022

  2. E

    Have simulated fire drills held at unexpected times.

    June 9, 2021 · K712 · Corrected July 21, 2021

Gas, Vacuum, and Electrical Systems1F
  1. F

    Have generator or other power source capable of supplying service within 10 seconds.

    August 17, 2023 · K918 · Corrected September 7, 2023

·

Other homes nearby

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    G
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  3. Gulf Coast Health And Rehabilitation, LLC

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