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Nursing HomeMedicaid Investigative

Alpine Rehabilitation and Nursing Center

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

755 E Monroe Street, Little Falls, NY 1336580 bedsLicensed & Active
2/5
Medicare
Inspection
Quality
Staffing
Google rating
4.5/5

based on 39 Google reviews

5
4
3
2
1
Alpine Rehabilitation and Nursing Center Nursing Home in Little Falls, NY — Street View
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4/ 10
moderate Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Low overall rating (2/5 stars)
  • Above-median deficiencies (10 vs median 6.0)
  • High staff turnover (51%)

Below average in NY · Below recommended RN staffing · Below chain average · No penalties on record

Source: Medicare data

What this means for your family

While many families report excellent, personalized care from specific staff members, there are recurring concerns regarding facility cleanliness and food quality. When touring, we recommend paying close attention to the hygiene of common areas and asking management how they address staffing shortages during off-hours.

Google Reviews

Google Reviews

39 reviews on Google
Alpine Rehabilitation and Nursing Center receives polarized feedback, with many reviewers praising specific staff members for their compassion and dedication. However, critical reviews highlight significant concerns regarding facility cleanliness, food quality, and staffing levels that impact the daily experience of residents.

Quality Themes

Tap a score for details
Food2.0Staff8.0Clean3.0ActivitiesN/AMedsN/AMemoryN/AComms7.0ValueN/A

Strengths

  • Compassionate and attentive nursing staff
  • Strong rehabilitation therapy department
  • Helpful administrative and social work support
  • Welcoming and family-oriented environment

Concerns

  • Poor facility cleanliness and hygiene (mentioned by 2 reviewers)
  • Low-quality or unnutritious food (mentioned by 3 reviewers)
  • Understaffing leading to neglect or slow response (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2345.0'17(1)5.01.0'19(1)4.01.0'22(3)4.85.0'25(9)5.0'26(8)

Distribution · 41 analyzed

5
34
4
1
3
0
2
1
1
5

How They Respond to Reviews

10%response rate

This facility rarely responds to reviews.

Questions for Your Tour

  • 1Given the recent focus on facility maintenance, what specific protocols are currently in place to ensure daily cleanliness and hygiene in resident rooms?
  • 2I noticed your rehabilitation department is highly regarded; how do you integrate those therapy goals into the daily routine for residents who are here for long-term care?
  • 3Could you walk me through the current menu planning process and how the kitchen team accommodates specific nutritional needs or preferences for residents?
  • 4With a capacity of 80 residents, how does your nursing team manage call-light response times to ensure that residents receive timely assistance throughout the day and night?
  • 5I see that you actively engage with feedback online; what is your process for addressing family concerns or suggestions once a resident has moved in?
  • 6What measures are in place to ensure that residents receive consistent, personalized attention during peak hours when staffing needs are at their highest?

Personalized based on this facility's data


Key Review Excerpts

My mother Has been a resident at Alpine for the past seven years. The care that she has received has been outstanding. All of the staff are committed to delivering quality patient care.

Long-term resident's family · 2024★★★★★

This place is dirty! Both in the literal and none literal ways... Most of the staff is amazing and they do seem to care for there parents ,but because there over worked and often have there hands tied .they do what they have to and nothing more.

Visitor · 2024★★☆☆☆

My sister died, after being a patient there. I could give many examples if neglect there please do not send a loved one there

Family member · 2019☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.51hrs
68%
Registered nurses for medical care
Total Nursing
3.30hrs
80%
All nurses + aides combined
Staff Turnover
54%
Lower is better (< 30% = good)
RN Turnover
14%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

10

measures

Worse Than Avg

7

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.4%
Better than Avg
Here
0.4%
US
12.1%
NY
18.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility9.7%
Better than Avg
Here
9.7%
US
19.5%
NY
13.3%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility98.1%
Better than Avg
Here
98.1%
US
93.4%
NY
91.3%
⚖️

Residents who lost too much weight

↓ Lower is better
This Facility10.7%
Worse than Avg
Here
10.7%
US
5.3%
NY
5.9%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility10.0%
Better than Avg
Here
10.0%
US
15.3%
NY
13.8%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility23.5%
Worse than Avg
Here
23.5%
US
19.4%
NY
20.2%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility63.6%
Worse than Avg
Here
63.6%
US
81.8%
NY
77.0%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility81.6%
Better than Avg
Here
81.6%
US
79.7%
NY
78.8%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
1.6%
NY
1.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

10deficiencies
Above state avg (7.6)
5 complaint-triggered

Families filed complaints leading to deficiencies in resident care, abuse response, and food quality, raising concerns about care standards. This facility shows recurring problems across medication management, fire safety systems, and food service spanning multiple years from 2019 to 2024. While all deficiencies report correction dates, the persistent pattern of issues in core care areas and complaint-triggered violations suggest ongoing operational challenges that warrant careful consideration during any visit.

May 3, 2024Routine
13
0291Potential for harm · PatternCorrected

Egress Deficiencies

Install emergency lighting that can last at least 1 1/2 hours.

0324Potential for harm · PatternCorrected

Smoke Deficiencies

Provide properly protected cooking facilities.

0345Potential for harm · PatternCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0761Potential for harm · PatternCorrected

Miscellaneous Deficiencies

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

0921Potential for harm · PatternCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0812Potential for harm · PatternCorrected

Nutrition and Dietary Deficiencies

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

0925Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0355Potential for harm · IsolatedCorrected

Smoke Deficiencies

Properly select, install, inspect, or maintain portable fire extinguishes.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0760Potential for harm · IsolatedCorrected

Pharmacy Service Deficiencies

Ensure that residents are free from significant medication errors.

0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

May 3, 2024Complaint
4
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0610Potential for harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Respond appropriately to all alleged violations.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0804Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Jul 15, 2023Complaint
1
0776Potential for harm · IsolatedCorrected

Administration Deficiencies

Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them.

Feb 28, 2022Routine
14
0761Potential for harm · PatternCorrected

Pharmacy Service Deficiencies

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.

0223Potential for harm · IsolatedCorrected

Egress Deficiencies

Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

0225Potential for harm · IsolatedCorrected

Egress Deficiencies

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0325Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have properly installed hallway dispensers for alcohol-based hand rub.

0345Potential for harm · IsolatedCorrected

Smoke Deficiencies

Have approved installation, maintenance and testing program for fire alarm systems.

0921Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure that testing and maintenance of electrical equipment is performed.

0923Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Have proper medical gas storage and administration areas.

0554Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Allow residents to self-administer drugs if determined clinically appropriate.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

0695Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

0732Potential for harm · IsolatedCorrected

Nursing and Physician Services Deficiencies

Post nurse staffing information every day.

0806Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

0812Potential for harm · IsolatedCorrected

Nutrition and Dietary Deficiencies

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

Oct 3, 2019Routine
6
0271Potential for harm · PatternCorrected

Egress Deficiencies

Have exits that are accessible at all times.

0341Potential for harm · PatternCorrected

Smoke Deficiencies

Install a fire alarm system that can be heard throughout the facility.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0351Potential for harm · IsolatedCorrected

Smoke Deficiencies

Install an approved automatic sprinkler system.

0550Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0582Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Ownership & Operations

Who Operates This Facility

Owner / Operator

Alpine Rehabilitation and Nursing Center

Organization Type

for profit

Chain Affiliation

Chain Name

Personal Healthcare Management

Chain Size

21 facilities nationwide

Chain avg rating: 3.0/5 · Rank 16 of 19

Ownership & Management

Owners

Barth, Alexander

Owner

15%

Zagelbaum, Ephraim

Owner

49%

Zagelbaum, Yechiel

Owner

21%

Key personnel

Zagelbaum, EphraimOfficer / DirectorBarth, AlexanderOfficer / DirectorAmidon, JeffreyManagerMacri, DeandraManagerAmidon, JeffreyAdp of the Snf
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 5 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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