Altera Health and Rehabilitation Center
22670 Main Street · Fairhope, AL · 36532 · 2519282177
83 certified beds For profit - Limited Liability company Chain: Arabella Healthcare Management
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
70% of nursing staff left within a year
High turnover disrupts continuity of care; the national median is 45%.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 4 of 5 Inspections: 3 of 5 Staffing: 3 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.48 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 1.01 | 0.55–0.75 |
| Weekend hours / resident-day | 3.08 | ≈ weekday level |
| Nursing turnover / year | 70% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (8 in the current record)
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Potential for harm · D June 8, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 12, 2023 · Resident Rights
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Potential for harm · F March 10, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 14, 2023 · Nutrition and Dietary
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Potential for harm · D March 10, 2023
Provide bedrooms that don't allow residents to see each other when privacy is needed.
Corrected April 14, 2023 · Environmental
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No harm found · C March 10, 2023
Post nurse staffing information every day.
Corrected April 14, 2023 · Nursing and Physician Services
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Potential for harm · D September 16, 2021
Keep residents' personal and medical records private and confidential.
Corrected October 21, 2021 · Resident Rights
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Potential for harm · D September 16, 2021
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected October 21, 2021 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F April 18, 2019
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 23, 2019 · Nutrition and Dietary
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No harm found · C April 18, 2019
Keep all essential equipment working safely.
Corrected May 23, 2019 · Environmental
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 015447 · certified since June 14, 2002. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.