Alpine Village Retirement Center
706 James Street, Verdigre, NE 68783 · Knox County · 45 certified beds · avg 29 residents/day · certified since Jul 1, 1996
Part of chain: RURAL HEALTH DEVELOPMENT (9 facilities, chain avg rating 3.8★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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 (5)
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 |
|---|---|---|
| May 15, 2025 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| May 15, 2025 | 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. |
| May 15, 2025 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| May 15, 2025 | 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. |
| Apr 9, 2024 | D · Potential for harm, one-off | The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (1 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 1 | 0 | D |
| 2025 | 4 | 0 | F |
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 | Nebraska avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.97 | 4.33 | 3.95 | top 21% in Nebraska; top 14% in the U.S. |
| Registered Nurse hours | 1.32 | 0.72 | 0.69 | top 5% in Nebraska; top 7% in the U.S. |
| Weekend total nurse staffing | 4.27 | 3.79 | 3.50 | top 24% in Nebraska; top 16% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.69 | 0.47 | 0.48 | top 14% in Nebraska; top 17% in the U.S. |
| Total nursing staff turnover (%) | 44.4 | 48.7 | 45.8 | top 45% in Nebraska; top 49% in the U.S. |
| RN turnover (%) | 30.0 | 44.1 | 42.9 | top 34% in Nebraska; top 29% 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 4.01, RN 1.07, weekend 3.45. Staffing rating: 5/5.
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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Government - City
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Alpine Village Retirement Center | Organization | Direct Ownership Interest | NOT APPLICABLE | 04/01/2010 |
| Rural Health Development INC. | Organization | 5% or Greater Indirect Ownership Interest | — | 03/01/2014 |
| Village of Verdige | Organization | 5% or Greater Direct Ownership Interest | 100% | 04/01/1972 |
| Alpine Village Retirement Center | Organization | Trustee of the SNF | NOT APPLICABLE | 04/01/1972 |
| Alpine Village Retirement Center | Organization | ADP of the SNF | NOT APPLICABLE | 04/01/1972 |
| Kaup, Lucas | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
| Kaup, Lucas | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2024 |
| Kucera, Charles | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Kucera, Charles | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Kucera, Charles | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Mastalir, Mitchell | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2010 |
| Mastalir, Mitchell | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Mastalir, Mitchell | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Paesl, Regina | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Paesl, Regina | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Paesl, Regina | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Pierce, Lori | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2024 |
| Pierce, Lori | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Pierce, Lori | Individual | Trustee of the SNF | NOT APPLICABLE | 01/01/2024 |
| Rural Health Development INC. | Organization | Operational/Managerial Control | NOT APPLICABLE | 03/01/2014 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Do you have a qualified dietician on staff, and how involved are they in each resident's nutrition plan?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "How do you monitor residents' weight and eating, and what happens when someone starts losing weight?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
- "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 | Flags |
|---|---|---|---|---|---|
| Avera Creighton Care Centre | 10.7 mi | Creighton, NE | ★★★☆☆ | 4/5 | |
| Good Samaritan Society - Bloomfield | 19.7 mi | Bloomfield, NE | ★★★☆☆ | 2/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 285190.