Rivertown Health and Rehabilitation Center

4490 Virginia Loop Road · Montgomery, AL · 36116 · 3342816826

121 certified beds For profit - Limited Liability company Chain: Arabella Healthcare Management

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The composite number cleared 76 points, but Recommended is gated: inspection record below the Recommended bar; CMS rates its health inspections "much below average". That rule is part of the published method.

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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.

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Red flags

Cited under the freedom-from-abuse rule

Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.

61% of nursing staff left within a year

High turnover disrupts continuity of care; the national median is 45%.

Score breakdown

Inspection record 30% of score 49
Serious harm & abuse 20% 100
Staffing 20% 66
Federal penalties 15% 100
Trend 10% 76
Context 5% 100

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: 3 of 5 Quality measures: 5 of 5

Total nurse hours / resident-day3.473.48 min · 4.1 strong
RN hours / resident-day0.880.55–0.75
Weekend hours / resident-day2.96≈ weekday level
Nursing turnover / year61%median 45%
Fines (3-yr window)none

Inspection citations (34 in the current record)

  • Potential for harm · D July 24, 2025

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected September 5, 2025 · Resident Assessment and Care Planning

  • Potential for harm · D July 24, 2025

    Provide activities to meet all resident's needs.

    Corrected September 5, 2025 · Quality of Life and Care

  • Potential for harm · F July 24, 2025

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

    Corrected September 5, 2025 · Nutrition and Dietary

  • Potential for harm · F July 24, 2025

    Dispose of garbage and refuse properly.

    Corrected September 5, 2025 · Nutrition and Dietary

  • Potential for harm · D July 24, 2025 · found via complaint

    Keep residents' personal and medical records private and confidential.

    Corrected September 5, 2025 · Resident Rights

  • Potential for harm · D July 24, 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 September 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 24, 2025 · found via complaint

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

    Corrected September 5, 2025 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 24, 2025 · found via complaint

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected September 5, 2025 · Quality of Life and Care

  • Potential for harm · D July 24, 2025 · found via complaint

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Corrected September 5, 2025 · Quality of Life and Care

  • No harm found · C July 24, 2025

    Post nurse staffing information every day.

    Corrected September 5, 2025 · Nursing and Physician Services

  • Potential for harm · E August 30, 2023 · found via complaint

    Protect each resident from the wrongful use of the resident's belongings or money.

    Corrected October 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 30, 2023 · found via complaint

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

    Corrected October 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 30, 2023 · found via complaint

    Respond appropriately to all alleged violations.

    Corrected October 4, 2023 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D August 30, 2023 · found via complaint

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected October 4, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D August 30, 2023 · found via complaint

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

    Corrected October 4, 2023 · Resident Assessment and Care Planning

  • Potential for harm · E January 11, 2023

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Corrected February 14, 2023 · Resident Rights

  • Potential for harm · D January 11, 2023

    Ensure each resident receives an accurate assessment.

    Corrected February 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2023

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected February 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2023

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected February 14, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D January 11, 2023

    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

    Corrected February 14, 2023 · Quality of Life and Care

  • Potential for harm · D January 11, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected February 14, 2023 · Pharmacy Service

  • Potential for harm · F January 11, 2023

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

    Corrected February 14, 2023 · Nutrition and Dietary

  • Potential for harm · F January 11, 2023

    Dispose of garbage and refuse properly.

    Corrected February 14, 2023 · Nutrition and Dietary

  • Potential for harm · F January 11, 2023

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Corrected February 14, 2023 · Administration

  • Potential for harm · D January 11, 2023

    Provide and implement an infection prevention and control program.

    Corrected February 14, 2023 · Infection Control

Showing the 25 most recent. The Safety Report includes every citation with full findings.

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 015228 · certified since September 30, 1980. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.