Montgomery · 36116
Rivertown Health and Rehabilitation Center
4490 Virginia Loop Road
Montgomery, AL 36116
John Knox Manor INC I I
⌖ Montgomery, AL · Montgomery County
No photos yet
Medicare overall rating 2 of 5 stars
Certified beds98
Medicare / MedicaidMedicare & Medicaid
OwnershipNon-profit (corporation)
About John Knox Manor INC I I
John Knox Manor INC I I is a 98-bed nonprofit nursing home in Montgomery, AL. Medicare rates it 2 out of 5 stars overall (below average); the average in Alabama is 3.0. At its last full inspection (Jan 2024), inspectors found 3 problems, fewer than the Alabama average of 4.0. None of the problems in its recent inspections were found to have harmed residents. Nurses and aides spend about 4 hr 56 min a day with each resident, more than the Alabama average of 3 hr 53 min. About 53% of its nursing staff left in the past year. It has had no federal fines in the last three years.
Written from Medicare’s published figures; nothing here is paid for or written by the home. Our methodology
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Key details
Facility nameJohn Knox Manor INC I I
LocationMontgomery County, Alabama
Phone(334) 281-6336
Address4401 Narrow Lane Road, Montgomery, AL 36116 · Montgomery County
CMS provider number15135
Ownership typeNon-profit (corporation)
Official inspection reportsRead them on Medicare.gov ↗
Medicare enrolled sinceMay 10, 1976 (50 years)
✓ Medicare✓ Medicaid
Certified for Medicaid; ask whether a Medicaid bed is available.
Quality & inspections
Explore this facility's official CMS inspection history, staffing levels and quality measures below — sourced directly from Medicare's public records.
Ratings and inspection data on this page come directly from CMS's public records and are never altered for any paid listing. Medicare data as of September 2026.
What Medicare found
5 strengths in Medicare's inspection, fine and staffing records for this home. 2 care-quality measures are worse than the state average in the rehab and long-term care section below.
Strengths
- Serious health citationsNone on recordNo citations for actual harm or immediate jeopardy since Jan 2024.Strength
- Fines and penaltiesNoneNo federal fines or payment denials in the last three years.Strength
- Health citations at last inspection3 (Jan 2024)Alabama average: 4.0. Most citations are minor and corrected within weeks.Strength
- Nurse staffing per resident4 hr 56 min a dayAlabama average: 3 hr 53 minStrength
- Registered nurse time per resident44 min a dayAlabama average: 39 minStrength
About average
- Nursing staff turnover53% a yearAlabama average: 47%About average
Source: Medicare (CMS) inspection, penalty and staffing records, compared with the Alabama average. Problems may have been corrected since; ask the home about anything listed here. How we choose these
Short-term rehab or long-term care?
Medicare rates these separately, and many homes are better at one than the other.
Long-term care
For residents who live at the home for months or years.
- Falls with a major injury4.5%State average: 3.3%Worse than average
- Pressure sores (bedsores)7.2%State average: 5.4%Worse than average
- Given antipsychotic drugs25.0%State average: 21.2%About average
- Hospital stays per 1,000 resident days2.0State average: 2.0About average
Source: Medicare (CMS) quality measures, compared with the Alabama average. Lower is better for every rate shown.
Who pays, and how full it is
Many residents here pay privately or through insurance. In Alabama, Medicaid pays for 68% of resident days at a typical home.
- 28% Medicaid
- 4% Medicare
- 68% Private pay, insurance and other
Beds in use, on average63%Alabama typical: 87%
Cost of care per resident day$306Alabama typical: $308
Shares of resident days, from the home’s Medicare cost report for the year ending March 2025. The cost per day is what care costs the home to provide, not the price you would pay; ask the home for its private-pay rate. A busy home may have fewer open beds, so ask about availability.
Ratings over time
Its overall Medicare rating is 2 stars now, down from 4 stars in January 2019. It has ranged from 1 to 5 stars and changed 7 times.
Overall rating2★
Health inspections3★
Staffing4★
Quality of care1★
Nurse hours per resident per day4.9
20192020202120222023202420252026
Show the values by year
| Month | Overall | Inspections | Staffing | Quality | Nurse hours |
|---|---|---|---|---|---|
| Jan 2019 | 4 | 4 | 1 | 5 | – |
| Jan 2020 | 5 | 5 | 4 | 5 | 4.7 |
| Jan 2021 | 5 | 5 | 4 | 4 | 4.6 |
| Jan 2022 | 5 | 5 | 4 | 4 | 5.1 |
| Jan 2023 | 5 | 5 | 4 | 2 | 4.9 |
| Jan 2024 | 5 | 5 | 4 | 3 | 4.9 |
| Feb 2025 | 4 | 4 | 3 | 3 | 4.4 |
| Feb 2026 | 2 | 3 | 3 | 1 | 4.7 |
| Sep 2026 | 2 | 3 | 4 | 1 | 4.9 |
Source: Medicare (CMS) monthly Care Compare releases since 2019. Medicare has changed how some ratings are calculated over the years and paused most inspections in 2020, so some jumps reflect rule changes rather than changes at the home. Our methodology
See the full inspection reportEvery citation, fine, staffing figure and quality measure Medicare publishes for this home
From Medicare’s September 2026 data. Each inspection is dated below; staffing comes from payroll records for a recent quarter, and resident outcomes cover the latest period Medicare reports.
Inspection summary
How this facility compares to state and national averages on CMS-reported problems.
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Three-survey history
Citation counts across this facility's three most recent inspection cycles, so you can see whether problems are trending up, down, or holding steady.
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