Alpine Rehabilitation and Nursing Center

Name: Alpine Rehabilitation and Nursing Center
Address: 755 E MONROE STREET, Little Falls, NY, 13365, US
Telephone: 3158230973

755 E Monroe Street, Little Falls, NY 13365 · Herkimer County · 80 certified beds · avg 76 residents/day · certified since Mar 1, 1977

Part of chain: PERSONAL HEALTHCARE MANAGEMENT (21 facilities, chain avg rating 2.9★)

3/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.33

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

All citations in the current public record (21)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Apr 3, 2026	E · Potential for harm, repeated	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Apr 3, 2026	E · Potential for harm, repeated	The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician.
Apr 3, 2026	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
Apr 3, 2026	D · Potential for harm, one-off	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 3, 2024	E · Potential for harm, repeated	The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · from a complaint
May 3, 2024	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
May 3, 2024	E · Potential for harm, repeated	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
May 3, 2024	E · Potential for harm, repeated	The facility did not maintain an effective pest control program to prevent or deal with mice, insects, or other pests.
May 3, 2024	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
May 3, 2024	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
May 3, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint
May 3, 2024	D · Potential for harm, one-off	The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
May 3, 2024	D · Potential for harm, one-off	The facility did not serve food and drinks that were appetizing, attractive, and at a safe and pleasant temperature. · from a complaint
May 3, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Feb 28, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Feb 28, 2022	D · Potential for harm, one-off	The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate.
Feb 28, 2022	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
Feb 28, 2022	D · Potential for harm, one-off	The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it.
Feb 28, 2022	D · Potential for harm, one-off	The facility did not post its nurse staffing information every day. Nursing homes must publicly display how many nurses and aides are on duty each day.
Feb 28, 2022	D · Potential for harm, one-off	The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives.
Feb 28, 2022	D · Potential for harm, one-off	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (10 → 4).

Year	Citations	Worst severity that year
2022	7	E
2024	10	E
2026	4	E

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	New York avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.33	3.58	3.95	top 16% in New York; top 28% in the U.S.
Registered Nurse hours	0.61	0.68	0.69	top 44% in New York; top 47% in the U.S.
Weekend total nurse staffing	3.14	3.13	3.50	top 41% in New York; bottom 38% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.17	0.48	0.48	bottom 6% in New York; bottom 7% in the U.S.
Total nursing staff turnover (%)	52.4	40.3	45.8	bottom 21% in New York; bottom 31% in the U.S.
RN turnover (%)	33.3	39.8	42.9	top 38% in New York; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.45, RN 0.48, weekend 2.50. Staffing rating: 4/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5

Who owns this facility

For profit - Limited Liability company

Owner / manager	Type	Role	Stake	Since
Barth, Alexander	Individual	5% or Greater Direct Ownership Interest	15%	03/11/2008
Zagelbaum, Ephraim	Individual	5% or Greater Direct Ownership Interest	49%	03/11/2008
Zagelbaum, Yechiel	Individual	5% or Greater Direct Ownership Interest	21%	03/11/2008
Amidon, Jeffrey	Individual	Operational/Managerial Control	NOT APPLICABLE	01/01/2020
Amidon, Jeffrey	Individual	ADP of the SNF	NOT APPLICABLE	03/21/2025
Barth, Alexander	Individual	Corporate Officer	NOT APPLICABLE	03/11/2008
Barth, Alexander	Individual	ADP of the SNF	NOT APPLICABLE	03/11/2008
Macri, Deandra	Individual	Operational/Managerial Control	NOT APPLICABLE	06/17/2015
Macri, Deandra	Individual	ADP of the SNF	NOT APPLICABLE	06/17/2015
Ostrovitsky, Israel	Individual	ADP of the SNF	NOT APPLICABLE	03/11/2008
Zagelbaum, Ephraim	Individual	Corporate Director	NOT APPLICABLE	03/11/2008

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
"How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
"How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
"Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
"How is pest control handled here, and when was the last treatment or inspection?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection
Foltsbrook Center for Nursing and Rehabilitation	6.9 mi	Herkimer, NY	★☆☆☆☆	2/5
Valley Health Services INC	7.6 mi	Herkimer, NY	★★☆☆☆	2/5
St Johnsville Rehabilitation and Nursing Center	9.2 mi	Saint Johnsville, NY	★★☆☆☆	2/5
The Grand Rehabilitation and Nursing at Mohawk	10.1 mi	Ilion, NY	★☆☆☆☆	1/5
Masonic Care Community of New York	17.0 mi	Utica, NY	★☆☆☆☆	1/5
Palatine Nursing Home	17.0 mi	Palatine Bridge, NY	★☆☆☆☆	2/5
Charles T Sitrin Health Care Center INC	19.0 mi	New Hartford, NY	★★☆☆☆	1/5
Oneida Center for Rehabilitation and Nursing	19.9 mi	Utica, NY	★☆☆☆☆	3/5

Compare this facility with the 3 closest →

All facilities in Little Falls →

Facility data as of CMS processing date 2026-08-01. CCN 335586.

The Care File

Visit checklist — Alpine Rehabilitation and Nursing Center

755 E Monroe Street, Little Falls, NY 13365 · 3158230973

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $0

Questions for the administrator:

☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
☐ "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
☐ "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
☐ "Can we tour the resident rooms, bathrooms, and common areas today, including areas not on the usual tour route?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
☐ "How is pest control handled here, and when was the last treatment or inspection?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 335586 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)