Last Updated: October 2026
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Composite Quality Score

Comprehensive rating based on CMS data, staffing, quality measures, and compliance

A-
Grade
64
Score
CMS Ratings
16.3/22
Staffing Quality
11.8/20
Quality Measures
0.0/22
Compliance
18.0/18
Safety
13.0/13
Availability
10.0/10

Current Availability Estimate

Occupancy Rate70.5%
83
Total Beds
59
Occupied
24
Available

Basic Information

Address:

22670 MAIN STREET

FAIRHOPE, AL 36532

Number of Beds:

83

Estimated Occupancy:

70% (~25 available)

Chain:

ARABELLA HEALTHCARE MANAGEMENT

Quality Ratings

Overall Rating:4/5 Stars
Health Inspection:3/5 Stars
Staffing Rating:3/5 Stars
Quality Measures:5/5 Stars

Safety Information

Abuse Issues:No Issues Reported
Special Focus:Not Under Special Focus

Additional Information

CMS Certification Number:

015447

Provider Type:

Medicare and Medicaid

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Staffing Metrics

Higher staffing hours generally indicate better care quality. Lower turnover indicates more experienced, stable staff.

Registered Nurse (RN) Hours

Per resident per day

Above Average

This Facility

1.15

hours

National Avg

0.64

hours

Total Nursing Staff Hours

RN + LPN + Nurse Aides per resident per day

Below Average

This Facility

3.34

hours

National Avg

3.89

hours

Breakdown:

RN: 1.15hLPN: 0.29hAide: 1.90h

Staff Turnover Rate

Annual nursing staff turnover

Above Average

This Facility

74.3%

National Avg

46.6%

RN Turnover: 77.8%

Understanding Staffing Metrics

Staffing hours: Higher hours generally mean more staff attention per resident. Federal minimum is 3.5 total hours per resident per day, but quality facilities often exceed 4+ hours.

Turnover: High turnover (>50%) can indicate staffing issues and affect care continuity. Lower turnover means more experienced staff familiar with residents' needs.

Detailed Quality Measures

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Health Inspections & Deficiencies

Total Deficiencies

16

Inspections

4

Jun 8, 2023 - Health Survey

2 deficiencies cited

Medium - PatternTag F0550

Resident Rights Deficiencies

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

Corrected: Jul 12, 2023From Complaint
Medium - PatternTag F0550

Resident Rights Deficiencies

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

Corrected: Jul 12, 2023From Complaint

Mar 10, 2023 - Health Survey

6 deficiencies cited

Medium - PatternTag F0914

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Corrected: Apr 14, 2023From Complaint
Low - IsolatedTag F0732

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Corrected: Apr 14, 2023From Complaint
Medium - PatternTag F0812

Nutrition and Dietary Deficiencies

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

Corrected: Apr 14, 2023From Complaint
Low - IsolatedTag F0732

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

Corrected: Apr 14, 2023From Complaint
Medium - PatternTag F0812

Nutrition and Dietary Deficiencies

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

Corrected: Apr 14, 2023From Complaint
Medium - PatternTag F0914

Environmental Deficiencies

Provide bedrooms that don't allow residents to see each other when privacy is needed.

Corrected: Apr 14, 2023From Complaint

Sep 16, 2021 - Health Survey

4 deficiencies cited

Medium - PatternTag F0583

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Corrected: Oct 21, 2021
Medium - PatternTag F0583

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Corrected: Oct 21, 2021
Medium - PatternTag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Corrected: Oct 21, 2021
Medium - PatternTag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

Corrected: Oct 21, 2021

Apr 18, 2019 - Health Survey

4 deficiencies cited

Medium - PatternTag F0812

Nutrition and Dietary Deficiencies

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

Corrected: May 23, 2019
Medium - PatternTag F0812

Nutrition and Dietary Deficiencies

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

Corrected: May 23, 2019
Low - IsolatedTag F0908

Environmental Deficiencies

Keep all essential equipment working safely.

Corrected: May 23, 2019
Low - IsolatedTag F0908

Environmental Deficiencies

Keep all essential equipment working safely.

Corrected: May 23, 2019

Understanding Deficiencies

Deficiencies are violations of federal health and safety standards identified during CMS inspections. They are categorized by scope (isolated, pattern, or widespread) and severity (potential for harm vs. actual harm).

Critical deficiencies involve actual harm to residents and should be carefully considered. Facilities typically have opportunities to correct deficiencies and implement preventive measures.

Understanding deficiencies: Not all deficiencies indicate poor care. Learn how to interpret health inspection results and identify serious warning signs. Read our guide on warning signs →

Penalties & Enforcement

No penalties or payment denials in the past 3 years

Key Highlights

High CMS Rating
4 out of 5 stars from Medicare
👨‍⚕
Above Average RN Staffing
1.15 RN hours per resident/day (national avg: 0.64)
🛏
Beds Available
Approximately 25 beds potentially available
🏆
Clean Safety Record
No recent penalties or high-severity deficiencies
🏢
Part of Healthcare Chain
ARABELLA HEALTHCARE MANAGEMENT

Frequently Asked Questions

What is the quality rating for ALTERA HEALTH AND REHABILITATION CENTER?

ALTERA HEALTH AND REHABILITATION CENTER has an overall CMS rating of 4 out of 5 stars. This rating is based on health inspections, staffing levels, and quality measures reported by Medicare.

How many beds does this facility have?

ALTERA HEALTH AND REHABILITATION CENTER has 83 certified beds. The facility averages 59 residents per day, with an occupancy rate of approximately 70%.

What type of ownership does this facility have?

This facility is for profit - limited liability company owned. It is part of the ARABELLA HEALTHCARE MANAGEMENT network.

How can I contact ALTERA HEALTH AND REHABILITATION CENTER?

You can call ALTERA HEALTH AND REHABILITATION CENTER at (251)928-2177. The facility is located at 22670 MAIN STREET, FAIRHOPE, AL 36532.

What should I look for when choosing a nursing home?

When selecting a nursing home, consider: CMS star ratings (overall, health inspection, staffing, and quality measures), nurse staffing levels, staff turnover rates, recent health inspection results, complaint history, proximity to family, and available services. We recommend visiting facilities in person, talking to current residents and staff, and checking multiple sources of information before making your decision. Use our comprehensive tour checklist when visiting facilities.

Important Considerations for This Facility

Based on this facility's data, we recommend reading these guides to understand what to look for:

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