SNF
ARABELLA HEALTH & WELLNESS OF GRAND BAY
CCN: 015406 · GRAND BAY, AL 36541 · Mobile County
SFF Candidate Abuse citation flag Inspection > 2 years ago
Overview
- Address
- 13750 HIGHWAY 90 WEST, GRAND BAY, AL 36541
- Phone
- 2518656443
- Certified beds
- 92
- Avg daily residents
- 62 (68% of beds filled)
- Ownership
- For-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1993-06-29
- Setting
- Urban
2 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 3.63 | 3.42 | 4.10 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.49 | 0.60 | 0.55 | ≥ 0.55 | Below floor |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 1.11 | 0.76 | 1.26 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 2.03 | 2.06 | 2.29 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.60 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.09 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
3.26
hrs / resident / day
RN (weekend)
0.23
hrs / resident / day
Total nurse (adjusted, weekend)
3.68
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
73.8%
annual
RN turnover
100.0%
annual
Administrators departed
2
last 12 months
Resident acuity
Nursing Case-Mix Index
1.21
higher acuity than avg
Case-Mix Index Ratio
0.88
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2023-08-17 | 14 | 1 | 13 | 747 | 1 | 747 |
| Cycle 2/3 (prior) | 2022-07-13 | 4 | 3 | 1 | 28 | 1 | 28 |
Total weighted health score
567.3
lower is better
Deficiencies (21)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
14 D/E/F Actual harm — potential for minor
7 J/K/L Immediate jeopardy
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | 2025-06-13 | 2025-04-24 |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | 2025-04-15 | 2025-05-16 |
| 0602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | 2025-04-15 | 2025-05-12 |
| 0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | J | 2025-04-15 | 2025-05-16 |
| 0610 | Respond appropriately to all alleged violations. | J | 2025-04-15 | 2025-05-12 |
| 0641 | Ensure each resident receives an accurate assessment. | D | 2025-04-15 | 2025-05-12 |
| 0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | 2025-04-15 | 2025-05-12 |
| 0740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | J | 2025-04-15 | 2025-05-12 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2025-04-15 | 2025-05-12 |
| 0814 | Dispose of garbage and refuse properly. | F | 2025-04-15 | 2025-05-12 |
| 0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | L | 2025-04-15 | 2025-05-16 |
| 0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | 2025-04-15 | 2025-05-12 |
| 0867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | L | 2025-04-15 | 2025-05-12 |
| 0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | 2023-10-06 | 2023-10-27 |
| 0805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | 2023-08-17 | 2023-09-07 |
| 0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | 2022-07-13 | 2022-08-12 |
| 0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | 2022-07-13 | 2022-08-12 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2022-07-13 | 2022-08-12 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2021-06-09 | 2021-07-14 |
| 0625 | 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. | D | 2021-06-09 | 2021-07-14 |
| 0692 | Provide enough food/fluids to maintain a resident's health. | D | 2021-06-09 | 2021-07-14 |
Penalties (10)
Fines issued
8
last 3 years
Total fines
$78,421
Payment denials
2
| Date | Type | Fine amount |
|---|---|---|
| 2023-08-07 | Fine | $3,846 |
| 2023-08-14 | Fine | $4,235 |
| 2023-09-05 | Fine | $4,587 |
| 2023-08-28 | Fine | $4,587 |
| 2023-09-11 | Fine | $4,587 |
| 2023-08-21 | Fine | $4,587 |
| 2023-07-17 | Fine | $9,440 |
| 2023-08-17 | Fine | $42,552 |
| 2025-04-15 | Payment Denial | — |
| 2023-08-17 | Payment Denial | — |
Source: CMS Nursing Home Penalties.
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 0.9% Medicaid 66.9% Other 32.2%
Operating performance
Operating Margin
-9.4%
Total Margin
-4.0%
Occupancy Rate
78.4%
Revenue & costs
Net Patient Revenue
$6.3M
Total Costs
$359K
Net Income
-$266K
Balance sheet
Total Assets
$2.6M
Total Liabilities
$1.7M
Fund Balance
$979K
Current Ratio
5.03
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Chain: ARABELLA HEALTHCARE MANAGEMENT
- Chain ID
633- Facilities in chain
- 12
- Legal business name
- ARABELLA HEALTH & WELLNESS OF GRAND BAY OPCO LLC
Chain-average star ratings (for peer context)
Overall
2.8
Health
2.5
Staffing
2.7
QM
3.7
Owner / manager organizations (6)
| Organization | Role | Association |
|---|---|---|
| ARABELLA HEALTH & WELLNESS OF GRAND BAY HOLDCO LLC | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 11/15/2024 |
| ARCO KANO IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/15/2024 |
| GNH IRRV TR | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/15/2024 |
| HWOOD PARTNERS LLC | 5% OR GREATER INDIRECT OWNERSHIP INTEREST | since 11/15/2024 |
| ARABELLA HEALTHCARE MANAGEMENT LLC | OPERATIONAL/MANAGERIAL CONTROL | since 12/17/2024 |
| ARABELLA HEALTH & WELLNESS OF GRAND BAY PROPCO LLC | 5% OR GREATER MORTGAGE INTEREST | since 11/15/2024 |
Owner / manager individuals (3)
| Name | Role | Association |
|---|---|---|
| HERTZEL, CHAIM | OPERATIONAL/MANAGERIAL CONTROL | since 01/03/2025 |
| RAY, KRISTINA | OPERATIONAL/MANAGERIAL CONTROL | since 11/15/2024 |
| WILLIAMS, JEFFREY | OPERATIONAL/MANAGERIAL CONTROL | since 11/15/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Resident
- Sprinkler systems
- Yes
- Special focus status
- SFF Candidate
- Abuse citation flag
- Yes — last 2 cycles
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Penalties (
nh-penalties), vintage 2026, downloaded 2026-04-14 , 16,915 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 112 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Current Ratio | 5.03 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 66.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 0.9% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-265,766 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $6,321,038 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 78.4% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -9.4% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $2,634,534 | metrics.total_assets |
| Cost Report | Total Costs ($) | $358,832 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $978,983 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $1,655,551 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -4.0% | metrics.total_margin |
| Provider Information | Abuse Icon | Y | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 1.25552 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 2.29271 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.55301 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 4.10124 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 3.68238 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 62.3 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.75789 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.05977 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.59738 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.41503 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.00999 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | 2.5 | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | 2.8 | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | 3.7 | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | 2.7 | Chain Average Staffing Rating |
| Provider Information | Chain ID | 633 | Chain ID |
| Provider Information | Chain Name | ARABELLA HEALTHCARE MANAGEMENT | Chain Name |
| Provider Information | City/Town | GRAND BAY | City/Town |
| Provider Information | CMS Certification Number (CCN) | 015406 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Mobile | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1993-06-29 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | 22 | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 1 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 30.4906 | Latitude |
| Provider Information | Legal Business Name | ARABELLA HEALTH & WELLNESS OF GRAND BAY OPCO LLC | Legal Business Name |
| Provider Information | Location | 13750 HIGHWAY 90 WEST,GRAND BAY,AL,36541 | Location |
| Provider Information | Long-Stay QM Rating | 5 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -88.331 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | Y | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 2 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 92 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | 12 | Number of Facilities in Chain |
| Provider Information | Number of Fines | 8 | Number of Fines |
| Provider Information | Number of Payment Denials | 2 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.20979 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.87816 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 2 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | For profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 13750 HIGHWAY 90 WEST | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | ARABELLA HEALTH & WELLNESS OF GRAND BAY | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 480 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 5 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 747 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 13 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 1 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2023-08-17 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 747 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 14 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 3 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2022-07-13 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 28 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 28 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 4 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.22802 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 100.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.59967 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 1.11052 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 2.02793 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08754 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.48914 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 3.62759 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | — | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | 2 | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | SFF Candidate | Special Focus Status |
| Provider Information | Staffing Rating | 2 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | AL | State |
| Provider Information | Telephone Number | 2518656443 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 78421.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 3.25711 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 10 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 73.8 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 567.250 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Resident | With a Resident and Family Council |
| Provider Information | ZIP Code | 36541 | ZIP Code |