Nursing homeActive
Altera Health And Rehabilitation Center
22670 Main Street, Fairhope, AL 36532251928217783 certified beds · 59 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
3
since 2019
Deficiencies
7
● 2● 5● 0
Penalties · 3 yrs
—
none on file
Last survey
2023-03-10
Standard
CMS overall
4 / 5
stars as published by CMS
CMS overall 4/5
Health 3
Staffing 3
Quality 5
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · Alabama Department of Public Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2023-03-10 | Standard | 120 | CMS-2567 (Care Compare) | — |
| 2021-09-16 | Standard | 020 | CMS-2567 (Care Compare) | — |
| 2019-04-18 | Standard | 110 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · Alabama Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 015447-20230310-F812
F914Provide bedrooms that don't allow residents to see each other when privacy is needed.Scope/severity DStandard
Environment
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-04-14Record 015447-20230310-F914
F732Post nurse staffing information every day.Scope/severity CPaperwork
Staffing
Widespread; potential for minimal harm.Corrected 2023-04-14Record 015447-20230310-F732
F583Keep residents' personal and medical records private and confidential.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-21Record 015447-20210916-F583
F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2021-10-21Record 015447-20210916-F609
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2019-05-23Record 015447-20190418-F812
F908Keep all essential equipment working safely.Scope/severity CPaperwork
Environment
Widespread; potential for minimal harm.Corrected 2019-05-23Record 015447-20190418-F908
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.15
Facility
Alabama
National
Alabama 0.65 · National 0.69
Total nurse hours per resident day3.34
Facility
Alabama
National
Alabama 3.88 · National 3.86
Weekend total nurse hours2.98
Facility
Alabama
National
Alabama 3.26 · National 3.42
Total nursing staff turnover74%
Facility
Alabama
National
Alabama 47% · National 46%
Registered nurse turnover78%
Facility
Alabama
National
Alabama 40% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | Alabama | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 2.6% | 5.4% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.2% | 3.3% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 11.1% | 21.2% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 0.0% | 2.4% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.6% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 7.0% | 12.0% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 6.3% | 5.4% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 20.5% | 24.5% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Arabella Healthcare Management LLC Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Hertzel, Chaim Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Ray, Kristina Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Thomas, Jessica Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Arabella Health & Wellness Of Fairhope Propco LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Arabella Health & Wellness Of Fairhope Propco LLC Organization | 5% OR GREATER MORTGAGE INTEREST | NOT APPLICABLE | — | — |
| Arabella Healthcare Management LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Arco Kano Irrv Tr Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Fein, Miriam Individual | INDIVIDUAL IS AN OWNER, PARTNER OR TRUSTEE OF ANY ADP OF THE SNF | NOT APPLICABLE | — | — |
| Gnh Irrv Tr Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hertzel, Chaim Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Hertzel, Chaim Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Hwood Partners LLC Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Ray, Kristina Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Thomas, Jessica Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
Part of a chain
Arabella Healthcare Management — 12 facilities
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Alabama.
No county cost figures on file for Baldwin.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Fairhope Health & Rehab Fairhope | 2.3 mi | 2022-02-25 | 000 |
| Eastern Shore Rehabilitation And Health Center Daphne | 4.0 mi | 2021-03-26 | 000 |
| Willowbrooke Ct Skilled Care Ctr Westminster Vlg Spanish Fort | 7.8 mi | 2021-04-08 | 000 |
| Allen Health And Rehabilitation Mobile | 12.1 mi | 2020-02-21 | 000 |
| Kensington Health And Rehabilitation Mobile | 13.2 mi | 2023-07-21 | 000 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |