Federal inspection record · CMS data as of October 1, 2026
Rivertown Health and Rehabilitation Center
4490 Virginia Loop Road, Montgomery, AL · (334) 281-6826
- Certified beds
- 121
- Residents per day
- 109
- Ownership
- For-Profit
- Chain
- Arabella Healthcare Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- September 30, 1980
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.
-
Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Alabama.
-
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
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★1 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Alabama homes
Rivertown Health and Rehabilitation Center carries 66 inspection points. That is fewer than 13% 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
29 health citations on record since 2021. 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
Resident Assessment and Care Planning8F
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure each resident receives an accurate assessment.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
- F
Assure that each resident’s assessment is updated at least once every 3 months.
- E
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Nutrition and Dietary6F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Dispose of garbage and refuse properly.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
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.
Quality of Life and Care5D
- D
Provide activities to meet all resident's needs.
- D
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.
- D
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
- D
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.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Resident Rights3E
- D
Keep residents' personal and medical records private and confidential.
- E
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.
- C
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Nursing and Physician Services1C
- C
Post nurse staffing information every day.
Administration1F
- F
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Pharmacy Service1D
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Infection Control1D
- D
Provide and implement an infection prevention and control program.
Environmental1D
- D
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Inspection history
2025-07-24
10 health deficiencies · 3 fire-safety deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
2023-01-11
12 health deficiencies · 5 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2021-09-23
7 health deficiencies · 16 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 38 min of nursing staff time a day, 56 min of it from a registered nurse.
This home
3 h 38 min
Alabama average
3 h 54 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 50% of nursing staff and 30% 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
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 days0.3 pts worse | 2.2 | 1.9 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.1 pts better | 1.6 | 1.7 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.1 pts better | 98.9% | 92.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.6 pts better | 100.0% | 95.4% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.5 pts better | 1.7% | 3.2% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms1.5 pts better | 0.0% | 1.5% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.7 pts better | 2.7% | 5.4% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication15 pts better | 9.3% | 24.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication0.5 pts better | 20.8% | 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 worsened8.4 pts better | 2.6% | 11.0% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased10.2 pts better | 1.3% | 11.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts better | 0.8% | 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 incontinence6.3 pts better | 5.9% | 12.2% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.7 pts worse | 8.9% | 5.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.5 pts better | 94.1% | 85.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit0.6 pts better | 11.1% | 11.7% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.7 pts better | 1.2% | 1.9% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine12.2 pts better | 94.4% | 82.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts worse | 26.0% | 24.4% | 23.4% |
·
Who owns and runs it
16 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 Montgomery Propco LLC | 5% Or Greater Mortgage Interest · Organization | 0% | 1 facilities |
| Arabella Health & Wellness Of Montgomery 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 |
| Azzam, Mohannad | Operational/Managerial Control · Individual | 0% | 9 facilities |
| Azzam, Mohannad | Adp Of The SNF · Individual | 0% | 9 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 |
| Haxton, Meghan | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Haxton, Meghan | Adp Of The SNF · Individual | 0% | 1 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 |
| Zlotowitz, Eliyahu | Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual | 0% | 10 facilities |
·
Fire safety
24 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Emergency Preparedness15F
- F
Develop Emergency Preparedness policies and procedures.
- F
Address subsistence needs for staff and patients.
- F
Establish procedures for tracking staff and patients during an emergency.
- F
Establish policies and procedures including evacuation.
- F
Establish policies and procedures for volunteers.
- F
Create arrangements with other facilities to receive patients.
- F
Develop a communication plan.
- F
List the names and contact information of those in the facility.
- F
Provide primary/alternate means for communication.
- F
Establish methods for sharing information.
- F
Provide a means of sharing information on occupancy/needs.
- F
Provide family notifications of emergency plan.
- F
Establish emergency prep training and testing.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Conduct risk assessment and an All-Hazards approach.
Smoke4F
- E
Install an approved automatic sprinkler system.
- D
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
Miscellaneous2F
- D
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems2F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Services1D
- D
Have properly installed electrical wiring and gas equipment.
·
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