Greenway Health and Rehabilitation Center, LLC
13750 Highway 90 West · Grand Bay, AL · 36541 · 2518656443
92 certified beds For profit - Corporation Chain: Arabella Healthcare Management
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
- Inspection record is far worse than the national median (deficiency count and severity).
- Inspection results have improved across recent cycles.
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
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
1 immediate-jeopardy citation in the most recent inspection cycle
Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.
3 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
75% 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.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 1 of 5 Staffing: 2 of 5 Quality measures: 5 of 5
| Total nurse hours / resident-day | 3.54 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 3.07 | ≈ weekday level |
| Nursing turnover / year | 75% | median 45% |
| Fines (3-yr window) | 8 · $78,421 |
Inspection citations (21 in the current record)
-
Potential for harm · D June 13, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 24, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J April 15, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J April 15, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 16, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J April 15, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected May 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Immediate jeopardy · J April 15, 2025 · found via complaint
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Corrected May 12, 2025 · Quality of Life and Care
-
Immediate jeopardy · L April 15, 2025 · found via complaint
Administer the facility in a manner that enables it to use its resources effectively and efficiently.
Corrected May 16, 2025 · Administration
-
Immediate jeopardy · L April 15, 2025 · found via complaint
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
Corrected May 12, 2025 · Administration
-
Potential for harm · E April 15, 2025 · found via complaint
Protect each resident from the wrongful use of the resident's belongings or money.
Corrected May 12, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 15, 2025 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected May 12, 2025 · Resident Assessment and Care Planning
-
Potential for harm · E April 15, 2025 · found via complaint
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 12, 2025 · Resident Assessment and Care Planning
-
Potential for harm · F April 15, 2025 · found via complaint
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected May 12, 2025 · Nutrition and Dietary
-
Potential for harm · F April 15, 2025 · found via complaint
Dispose of garbage and refuse properly.
Corrected May 12, 2025 · Nutrition and Dietary
-
Potential for harm · F April 15, 2025 · found via complaint
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected May 12, 2025 · Administration
-
Potential for harm · D October 6, 2023 · found via complaint
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected October 27, 2023 · Resident Rights
-
Immediate jeopardy · K August 17, 2023
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Corrected September 7, 2023 · Nutrition and Dietary
-
Potential for harm · D July 13, 2022
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected August 12, 2022 · Resident Assessment and Care Planning
-
Potential for harm · D July 13, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 12, 2022 · Quality of Life and Care
-
Potential for harm · F July 13, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected August 12, 2022 · Nutrition and Dietary
-
Potential for harm · D June 9, 2021
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected July 14, 2021 · Resident Rights
-
Potential for harm · D June 9, 2021
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.
Corrected July 14, 2021 · Resident Rights
-
Potential for harm · D June 9, 2021
Provide enough food/fluids to maintain a resident's health.
Corrected July 14, 2021 · Quality of Life and Care
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| April 15, 2025 | Payment Denial | 15 days |
| September 11, 2023 | Fine | $4,587 |
| September 5, 2023 | Fine | $4,587 |
| August 28, 2023 | Fine | $4,587 |
| August 21, 2023 | Fine | $4,587 |
| August 17, 2023 | Fine | $42,552 |
| August 17, 2023 | Payment Denial | 42 days |
| August 14, 2023 | Fine | $4,235 |
| August 7, 2023 | Fine | $3,846 |
| July 17, 2023 | Fine | $9,440 |
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
Sign in to share your family's experience — reviews are moderated and never affect the Safety Score.
Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 015406 · certified since June 29, 1993. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.