Alpine Rehabilitation and Nursing Center
755 E Monroe Street · Little Falls, NY · 13365 · 3158230973
80 certified beds For profit - Corporation Chain: Personal Healthcare Management
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
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
Weekends run noticeably short-staffed
Weekend staffing is 74% of the overall level. Visit on a Saturday or Sunday before deciding.
No standard inspection in over 2 years
The inspection record here is older than usual — conditions may have changed since.
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: 2 of 5 Staffing: 3 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.30 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.51 | 0.55–0.75 |
| Weekend hours / resident-day | 2.46 | ≈ weekday level |
| Nursing turnover / year | 54% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (22 in the current record)
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Potential for harm · D April 3, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 8, 2026 · Quality of Life and Care
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Potential for harm · D May 3, 2024
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected June 24, 2024 · Resident Rights
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Potential for harm · D May 3, 2024
Ensure that residents are free from significant medication errors.
Corrected June 24, 2024 · Pharmacy Service
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Potential for harm · E May 3, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected June 24, 2024 · Pharmacy Service
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Potential for harm · E May 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · D May 3, 2024
Provide and implement an infection prevention and control program.
Corrected June 24, 2024 · Infection Control
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Potential for harm · E May 3, 2024
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected June 24, 2024 · Environmental
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Potential for harm · E May 3, 2024 · found via complaint
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 June 24, 2024 · Resident Rights
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Potential for harm · D May 3, 2024 · found via complaint
Respond appropriately to all alleged violations.
Corrected June 24, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 3, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected June 24, 2024 · Quality of Life and Care
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Potential for harm · D May 3, 2024 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected June 24, 2024 · Nutrition and Dietary
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Potential for harm · D July 15, 2023 · found via complaint
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.
Corrected September 4, 2023 · Administration
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Potential for harm · D February 28, 2022
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected April 4, 2022 · Resident Rights
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Potential for harm · D February 28, 2022
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected April 4, 2022 · Resident Rights
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Potential for harm · D February 28, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Corrected April 4, 2022 · Quality of Life and Care
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Potential for harm · D February 28, 2022
Post nurse staffing information every day.
Corrected April 4, 2022 · Nursing and Physician Services
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Potential for harm · E February 28, 2022
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected April 4, 2022 · Pharmacy Service
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Potential for harm · D February 28, 2022
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected April 4, 2022 · Nutrition and Dietary
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Potential for harm · D February 28, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected April 4, 2022 · Nutrition and Dietary
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Potential for harm · D October 3, 2019
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected November 20, 2019 · Resident Rights
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Potential for harm · D October 3, 2019
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Corrected November 20, 2019 · Resident Rights
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Potential for harm · E October 3, 2019
Provide and implement an infection prevention and control program.
Corrected November 20, 2019 · Infection Control
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.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335586 · certified since March 1, 1977. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.