Greenway Health and Rehabilitation Center, LLC
A nursing home in Grand Bay, Alabama 36541
13750 Highway 90 West, Grand Bay, Alabama 36541. (251) 865-6443.
- Not fully inspected in over two years (CMS flag)
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The short answer
Record last released by CMS on Oct 28, 2026.
- 1of 5 CMS’s overall rating
- 1 health citation at the latest inspection cycle Alabama average: 4.0
- 3.28 nurse hours per resident per day Alabama average: 3.90
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean8
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Immediate jeopardy
- CMS’s most serious finding: the place’s failure to meet a rule caused, or was likely to cause, serious injury, harm, impairment or death to someone in its care. Source: CMS; 42 CFR 489.3.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
1 health citation at the latest inspection cycle
The Alabama average is 4.0.
Last standard inspection Aug 17, 2023.
Most serious in three years: immediate jeopardy to health or safety (J), at a complaint inspection on Apr 15, 2025
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
13 citations in 2 months of the last 36. Last cited Jun 2025. Most serious: immediate jeopardy to health or safety (J). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 13 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 13 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jun 13, 2025: complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Apr 15, 2025: complaint inspection12 citations
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
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Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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Respond appropriately to all alleged violations.
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Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
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Administer the facility in a manner that enables it to use its resources effectively and efficiently.
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Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
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Protect each resident from the wrongful use of the resident’s belongings or money.
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Ensure each resident receives an accurate assessment.
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Ensure services provided by the nursing facility meet professional standards of quality.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Dispose of garbage and refuse properly.
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Jun 29, 1993.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as for profit, corporation.
- 92 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- 1 Medicare payment denial in the last three years.
- 13 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
| Date | What | Detail |
|---|---|---|
| Apr 15, 2025 | Medicare payment denial |
Who does the caring?
3.28 nurse hours per resident per day
The Alabama average is 3.90.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | Alabama average |
|---|---|---|
| Nurse hours per resident per day | 3.28 | 3.90 |
| Of which registered nurses | 0.65 | 0.66 |
| At weekends | 2.87 | 3.27 |
| Nursing staff turnover | 65.9% | 46.8% |
| Registered nurse turnover | 64.7% | 40% |
| Administrators who left | 1 | Not given |
Who owns it?
- Arabella Health & Wellness of Grand Bay Holdco LLC owns 100% directly since Nov 15, 2024.
- Arabella Healthcare Management LLC runs it.
- 9 owners or officers are people: A person CMS lists without a name (owns a share through other companies, 4.5%); Chaim Hertzel (runs it (operational or managerial control)); Seth Fein (additional disclosable party (controls, leases property to, or provides services to the home)); Jeffrey Williams (runs it (operational or managerial control)); Jeffrey Williams (additional disclosable party (controls, leases property to, or provides services to the home)); Miriam Nechama Fein (trustee); Kristina E Ray (runs it (operational or managerial control)); Kristina E Ray (additional disclosable party (controls, leases property to, or provides services to the home)); Eliyahu Zlotowitz (trustee).
- Part of Arabella Healthcare Management (12 homes in CMS’s data).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Organisation | Role | Share | Since |
|---|---|---|---|
| Arabella Health & Wellness of Grand Bay Holdco LLC | Owns 5% or more directly | 100% | Nov 15, 2024 |
| Arabella Health & Wellness of Grand Bay Propco LLC | Holds 5% or more of the mortgage | 100% | Nov 15, 2024 |
| Hwood Partners LLC | Owns 5% or more through other companies | 95.5% | Nov 15, 2024 |
| Arco Kano Irrv Tr | Owns 5% or more through other companies | 47.75% | Nov 15, 2024 |
| Gnh Irrv Tr | Owns 5% or more through other companies | 47.75% | Nov 15, 2024 |
| Deb El Investment Group LLC | Owns a share through other companies | 10% | Nov 15, 2024 |
| Bredlegs Holdings LLC | Owns a share through other companies | 4.5% | Nov 15, 2024 |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 | |
| Arabella Health & Wellness of Grand Bay Propco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 | |
| Arabella Healthcare Management LLC | Runs it (operational or managerial control) | Dec 17, 2024 | |
| Deb El Investment Group LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2024 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 | |
| Hwood Partners LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 | |
| Bredlegs Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 | |
| Arco Kano Irrv Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 | |
| Arabella Health & Wellness of Pensacola Propco Holdco LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2024 | |
| Healthcare Investment Holdings LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2024 | |
| Camden WV LLC | Additional disclosable party (controls, leases property to, or provides services to the home) | Nov 15, 2024 | |
| Gnh Irrv Tr | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 | |
| An organisation CMS lists without a name | Additional disclosable party (controls, leases property to, or provides services to the home) | Jan 13, 2025 |
How do residents fare?
- CMS rates its quality measures 4 of 5 (Alabama average 3.3).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 1 of 5 |
| Health inspections | 1 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 4 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 19.8 miles, this one had the 8th most health citations at the latest inspection cycle (1; the middle value was 5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Greenway Health and Rehabilitation Center, LLC This nursing home | 1 | |
| Mobile Nursing and Rehabilitation Center | 12.2 | 10 |
| Knollwood Healthcare | 13.2 | 10 |
| Gulf Coast Health and Rehabilitation, LLC | 13.7 | 5 |
| Diversicare of Moss Point | 14.0 | 12 |
| Singing River Skilled Nursing Facility | 14.4 | 0 |
| Plaza Community Living Center | 14.6 | 8 |
| Lynwood Rehabilitation and Healthcare Center | 14.9 | 7 |
| Crowne Health Care of Mobile | 17.7 | 5 |
| Springhill Senior Residence | 17.8 | 0 |
| Crowne Health Care of Springhill | 17.9 | 0 |
| Palm Gardens Health and Rehabilitation, LLC | 19.8 | 0 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
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