2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
2/5
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Montgomery Health and Rehab operates as a 121-bed nursing home at 4490 Virginia Loop Rd in Montgomery, Montgomery County, Alabama. It is privately owned by Des Johnson and provides skilled nursing care, short-term rehabilitation, and long-term placement services. Short-term rehabilitation and respite care are available. Medicaid and Medicare are accepted.
State inspection records spanning five years reveal 71 total deficiencies, running 318% above Alabama’s nursing home average of 3.4 annually. A July 2025 complaint investigation substantiated verbal abuse of a cognitively impaired resident by staff and uncovered delayed reporting of physical abuse allegations. In August 2023, investigators documented medication diversion by a former Director of Nursing involving Schedule II controlled substances and 17 affected residents.
The CMS overall rating is 1 star; the Better Business Bureau rating is B-minus (not accredited). Facility-reported clinical quality outcome measures rank 35.6% above state average, creating a measurable gap between compliance and outcome data.
The facility reported an operating loss of $66.2K in 2023 with payroll costs at 123.8% of revenue, the worst ratio statewide.
The facility employs 22 registered nurses who average 44 minutes of care per resident per day, running 16% above state benchmarks. Nevertheless, combined nursing hours total 3 hours 48 minutes daily per resident, 14% below state average because licensed practical nurse and certified nursing assistant hours fall substantially short of benchmarks.
Current census reaches 98 residents at 81% occupancy.
The facility accommodates residents in Montgomery County facing limited placement alternatives, primarily through Medicaid long-stay admission and Medicare short-stay rehabilitation stays, despite its established compliance and operational challenges.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 111th out of 136 homes in Alabama for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 53m per day | ▲ 39% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 36m per day | ▼ 23% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 1h 59m per day | ▼ 20% State avg: 2h 30m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 58m per day | ▼ 10% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 3m per day | ▲ 27% State avg: 2m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 33m per day | ▲ 50% State avg: 22m per day · National avg: 29m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Key information about the people who lead and staff this community.
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
This scorecard compares key inspection, deficiency, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AL Average | vs. AL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 71 | 17 | This facility has 318% more total deficiencies than a typical Alabama nursing home (71 vs. AL avg 17).↑ 318% worse |
|
Deficiencies per year
Average deficiencies per year since 2021.
| 14.2 | 3.4 | This facility has 318% more deficiencies per year than a typical Alabama nursing home (14.2 vs. AL avg 3.4).↑ 318% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
Alabama average 2.9
Last Health inspection on Jul 2025
Alabama average 10.4
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
22 of 35 citations resulted from standard inspections; 6 of 35 resulted from complaint investigations; and 7 of 35 came from combined inspections (standard and complaint).
100% better than Alabama averageAlabama average: 0.7
100% better than Alabama averageAlabama average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
15% fewer staff per resident than Alabama average
10% better than Alabama average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 22 RN Staff are full-time employees. No contractors work on this role.
22
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursAssists with medical care and medications.
All 17 LPN Staff are full-time employees. No contractors work on this role.
17
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.3 hoursHelps with daily care and mobility.
All 60 CNA Staff are full-time employees. No contractors work on this role.
60
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 60 | 0 | 60 | 17,243 | 92 | 100% | 9.2 |
| Registered Nurse | 22 | 0 | 22 | 5,890 | 92 | 100% | 9.2 |
| Licensed Practical Nurse | 17 | 0 | 17 | 5,380 | 92 | 100% | 9.3 |
| Clinical Nurse Specialist | 5 | 0 | 5 | 2,253 | 66 | 72% | 8.1 |
| Medication Aide/Technician | 5 | 0 | 5 | 2,253 | 92 | 100% | 8.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 1,029 | 89 | 97% | 8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| RN Director of Nursing | 1 | 0 | 1 | 499 | 59 | 64% | 8.5 |
| Qualified Social Worker | 2 | 0 | 2 | 490 | 64 | 70% | 7.4 |
| Physical Therapy Assistant | 7 | 0 | 7 | 489 | 66 | 72% | 4.9 |
| Nurse Practitioner | 1 | 0 | 1 | 478 | 58 | 63% | 8.2 |
| Respiratory Therapy Technician | 3 | 0 | 3 | 415 | 69 | 75% | 5.6 |
| Dental Services Staff | 2 | 0 | 2 | 413 | 61 | 66% | 6.8 |
| Speech Language Pathologist | 2 | 0 | 2 | 369 | 62 | 67% | 5.8 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
92% lower than Alabama averageAlabama average: $65K
58% fewer fines than Alabama averageAlabama average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
1
194% more payment denials than Alabama averageAlabama average: 0.3
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
5.2
42% better than Alabama averageAlabama average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
8.3
43% better than Alabama averageAlabama average: 14.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
7.0%
50% better than Alabama averageAlabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
8.3%
49% better than Alabama averageAlabama average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
9.5%
30% better than Alabama averageAlabama average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% better than Alabama averageAlabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
7.7%
30% worse than Alabama averageAlabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Alabama averageAlabama average: 2.7%
Percent of long-stay residents who lose too much weight
3.0%
45% better than Alabama averageAlabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Alabama averageAlabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
13.1%
36% better than Alabama averageAlabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
95.0%
In line with Alabama averageAlabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.2%
In line with Alabama averageAlabama average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
2.55
28% worse than Alabama averageAlabama average: 2.00
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.47
18% better than Alabama averageAlabama average: 1.79
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
85.7%
In line with Alabama averageAlabama average: 83.7%
Percent of short-stay residents who newly received an antipsychotic medication
1.3%
38% better than Alabama averageAlabama average: 2.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
83.7%
In line with Alabama averageAlabama average: 80.3%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
16.9%
31% better than Alabama averageAlabama average: 24.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
12.7%
10% worse than Alabama averageAlabama average: 11.5%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Alabama averageAlabama average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
69.7%
30% better than Alabama averageAlabama average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
67% of new residents, usually for short-term rehab.
6% of new residents, often for short stays.
27% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
98Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Montgomery Health and Rehab from 2012–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #97 / 135Payroll — State benchmarkedThis home is ranked 97th out of 135 homes in Alabama. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #1 / 133Payroll % — State benchmarkedThis home is ranked 1st out of 133 homes in Alabama. Shows payroll as a percentage of revenue versus the Alabama average. Well-run Alabama facilities typically land around 54–69% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in Alabama that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (67% of admissions), and a typical Medicare stay runs around 20 days.
Coverage residents most often arrive under.
Coverage residents most often leave under.
5.8 miles from city center
Estimated distance in miles from Montgomery's city center to Montgomery Health and Rehab's address, calculated via Google Maps.
Add your location
The information below is reported by the Alabama Department of Public Health, Bureau of Health Provider Standards.
| Arabella Health & Wellness of Montgomery | NH SNF | Montgomery | 121
Facility
121
AL AVG
90
Rank
#62 / 245 |
50.7%
Facility
50.7%
AL AVG
80.8%
Rank
#126 / 138 | -37% | 4.72
Facility
4.72
AL AVG
4.37
Rank
#42 / 136 | +55% | +8% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 137 | 5
Facility
5
AL AVG
10.4
Rank
#22 / 136 | 5.0
Facility
5.0
AL AVG
3.5
Rank
#109 / 136 | - | 68 | - |
0
Facility
0
AL AVG
36
Rank
#395 / 418 | - | $2.2MFiscal year ending 12/2023
Facility
$2.2MFiscal year ending 12/2023
AL AVG
$11.1M
Rank
#134 / 135 | $1.3MFiscal year ending 12/2023
Facility
$1.3MFiscal year ending 12/2023
AL AVG
$4.7M
Rank
#130 / 135 | 59.1%Fiscal year ending 12/2023
Facility
59.1%Fiscal year ending 12/2023
AL AVG
45%
Rank
#2 / 133 | 15164 | ||||
| Capitol Hill Healthcare in Montgomery | NH MC SNF | Montgomery | 284
Facility
284
AL AVG
90
Rank
#1 / 245 |
68.0%
Facility
68.0%
AL AVG
80.8%
Rank
#104 / 138 | -16% | 4.60
Facility
4.60
AL AVG
4.37
Rank
#52 / 136 | -22% | +5% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 137 | 3
Facility
3
AL AVG
10.4
Rank
#5 / 136 | 1.0
Facility
1.0
AL AVG
3.5
Rank
#1 / 136 | - | 218 | - |
60
Facility
60
AL AVG
36
Rank
#63 / 418 | Turenne & Associates, LLC | $24.1MFiscal year ending 06/2024
Facility
$24.1MFiscal year ending 06/2024
AL AVG
$11.1M
Rank
#1 / 135 | $11.4MFiscal year ending 06/2024
Facility
$11.4MFiscal year ending 06/2024
AL AVG
$4.7M
Rank
#2 / 135 | 47.3%Fiscal year ending 06/2024
Facility
47.3%Fiscal year ending 06/2024
AL AVG
45%
Rank
#132 / 133 | 15390 | ||||
| Crowne Health Care of Montgomery | NH MC RC SNF | Montgomery (Hillcrest) | 185
Facility
185
AL AVG
90
Rank
#12 / 245 |
78.9%
Facility
78.9%
AL AVG
80.8%
Rank
#86 / 138 | -2% | 4.56
Facility
4.56
AL AVG
4.37
Rank
#52 / 136 | -22% | +4% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 137 | 5
Facility
5
AL AVG
10.4
Rank
#22 / 136 | 2.5
Facility
2.5
AL AVG
3.5
Rank
#33 / 136 | 1 | 156 | A+ |
40
Facility
40
AL AVG
36
Rank
#186 / 418 | Leslie Smith | $16.3MFiscal year ending 06/2024
Facility
$16.3MFiscal year ending 06/2024
AL AVG
$11.1M
Rank
#11 / 135 | $8.1MFiscal year ending 06/2024
Facility
$8.1MFiscal year ending 06/2024
AL AVG
$4.7M
Rank
#25 / 135 | 50%Fiscal year ending 06/2024
Facility
50%Fiscal year ending 06/2024
AL AVG
45%
Rank
#109 / 133 | 15393 | ||||
| Diversicare of Montgomery | NH AL HOS MC | Montgomery (Forest Park) | 138
Facility
138
AL AVG
90
Rank
#43 / 245 |
78.3%
Facility
78.3%
AL AVG
80.8%
Rank
#88 / 138 | -3% | 3.46
Facility
3.46
AL AVG
4.37
Rank
#123 / 136 | +22% | -21% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 137 | 14
Facility
14
AL AVG
10.4
Rank
#106 / 136 | 4.7
Facility
4.7
AL AVG
3.5
Rank
#105 / 136 | - | 108 | A+ |
52
Facility
52
AL AVG
36
Rank
#101 / 418 | Quintella Crawford | $12.4MFiscal year ending 06/2024
Facility
$12.4MFiscal year ending 06/2024
AL AVG
$11.1M
Rank
#46 / 135 | $4.3MFiscal year ending 06/2024
Facility
$4.3MFiscal year ending 06/2024
AL AVG
$4.7M
Rank
#91 / 135 | 34.9%Fiscal year ending 06/2024
Facility
34.9%Fiscal year ending 06/2024
AL AVG
45%
Rank
#131 / 133 | 15040 | ||||
| Montgomery Health and Rehab | NH | Montgomery (Monterey Park) | 121
Facility
121
AL AVG
90
Rank
#62 / 245 |
81.0%
Facility
81.0%
AL AVG
80.8%
Rank
#81 / 138 | 0% | 3.79
Facility
3.79
AL AVG
4.37
Rank
#111 / 136 | +65% | -13% | $0
Facility
$0
AL AVG
$59.8k
Rank
#1 / 137 | 35
Facility
35
AL AVG
10.4
Rank
#132 / 136 | 8.8
Facility
8.8
AL AVG
3.5
Rank
#135 / 136 | - | 107 | A+ |
24
Facility
24
AL AVG
36
Rank
#283 / 418 | Des Johnson | $3.1MFiscal year ending 12/2023
Facility
$3.1MFiscal year ending 12/2023
AL AVG
$11.1M
Rank
#132 / 135 | $2.0MFiscal year ending 12/2023
Facility
$2.0MFiscal year ending 12/2023
AL AVG
$4.7M
Rank
#97 / 135 | 62.6%Fiscal year ending 12/2023
Facility
62.6%Fiscal year ending 12/2023
AL AVG
45%
Rank
#1 / 133 | 15228 |
Montgomery Health and Rehab is located in Montgomery, Alabama.
Here are the financial assistance programs available to residents in Alabama.
Montgomery Health and Rehab is in the Monterey Park neighborhood of Montgomery.
Montgomery Health and Rehab has a walk score of 24. Car-dependent. Most errands require a car, with limited nearby walkable options.
Montgomery Health and Rehab's occupancy is 72.2%.
Montgomery Health and Rehab is registered as a for-profit in AL.
Yes — there is 1 photo of Montgomery Health and Rehab in the photo gallery on this page.
Montgomery Health and Rehab is located at 4490 Virginia Loop Rd, Montgomery, AL 36116.
(334) 281-6826 will put you in contact with the team at Montgomery Health and Rehab.
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