Alpine Healthcare Center

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

50.0% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 45 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 30.0% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 50 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 8% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 22% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 85 beds and averages 75.2 residents a day — about 88% occupied, or roughly 10 beds typically open. It runs fairly full. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.14 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.36 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.15 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.82 hrs/resident/day on weekends vs 3.27 on weekdays — 14% thinner on weekends. RN hours go from 0.37 to 0.33 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 48% is about the same as the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · E2026-01-20 · tag F0609 — failed to report abuse allegations — pattern
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure that alleged violations of abuse were reported immediately to the State Survey Agency (SSA) for 3 of 3 residents reviewed for abuse. (Resident identifiers are Resident #1, #2 and #3.)Findings include:Resident #1 Interview on 1/20/26 at approximately 11:15 a.m. with Staff D (Licensed Nursing Assistant) revealed that he/she witnessed Staff C (Licensed Nursing Assistant) with Resident #1's back against Staff C's chest and his/her arms around Resident #1. Staff D further revealed that Resident #1's feet were off the ground while Resident #1 was moved to another area. Staff D stated that the incident occurred on or around January 1, 2026 and that he/she reported the incident on 1/14/2026. Interview on 1/20/26 at approximately 10:45 a.m. with Staff A (Administrator) confirmed that he/she was aware of the incident as of 1/14/26 and the above allegation was not reported to SSA. Resident #3 Interview on 1/20/26 at approximately 10:00 a.m. with Staff I (Unit Manager) revealed that Staff I was on call on the night of 11/19/25…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-01-20 · tag F0610 — failed to investigate and act on abuse reports — pattern
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure that alleged violations of abuse were thoroughly investigated for 2 of 3 residents reviewed for an alleged violation of abuse. (Resident identifiers are Resident #1 and #2.)Findings include:Resident #1 Interview on 1/20/26 at approximately 11:15 a.m. with Staff D (Licensed Nursing Assistant) revealed that he/she witnessed Staff C (Licensed Nursing Assistant) with Resident #1's back against Staff C's chest and his/her arms around Resident #1. Staff D further revealed that Resident #1's feet were off the ground while Resident #1 was moved to another area. Staff D stated that the incident occurred on or around January 1, 2026 and that he/she reported the incident on 1/14/2026. Interview on 1/20/26 at approximately 10:45 a.m. with Staff A (Administrator) confirmed that he/she was aware of the above incident as of 1/14/26 and the above incident was not investigated. Resident #2 Review on 1/20/26 of email provided by Staff B (Director of Nursing), dated 1/4/26, From Staff G (Registered Nurse) to Staff B revealed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-20 · tag F0604 — failed to not use physical restraints improperly — isolated
  Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review it was determined that the facility failed to ensure the appropriate use of a restraint for 1 of 1 residents reviewed for restraints (Resident identifier is #1). Findings Include:Interview on 1/20/26 at approximately 11:15 a.m. with Staff D (Licensed Nursing Assistant) revealed that he/she witnessed Staff C (Licensed Nursing Assistant) with Resident #1's back against Staff C's chest and his/her arms around Resident #1. Staff D further revealed that Resident #1's feet were off the ground while Resident #1 was moved to another area. Staff D stated that the incident occurred on or around January 1, 2026 and that he/she reported the incident on 1/14/2026. Interview on 1/21/26 at approximately 12:00 p.m. with Staff C revealed that Resident #1 was combative and had struck Staff C in the nose and genitals. Staff C then approached the resident from behind and put their arms around Resident #1's shoulder's. Staff C moved Resident #1 four to five feet. Staff C indicated the he/she felt that Resident #1 was a danger to themselves and others at that time and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-01-20 · tag F0607 — failed to have anti-abuse policies — isolated
  Develop and implement policies and procedures to prevent abuse, neglect, and theft.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, record review, and policy review, the facility failed to implement the facility's abuse policy for reporting and investigating allegations of abuse, staff abuse training, and staff screening for 3 out of 3 allegations of abuse reviewed and 4 out of 5 staff reviewed for abuse (Resident Identifiers are #1, #2 and #3) (Staff identifiers are C, D, H and J). Findings include:Resident #1Interview on 1/20/26 at approximately 11:15 a.m. with Staff D (Licensed Nursing Assistant) revealed that he/she witnessed Staff C (Licensed Nursing Assistant) with Resident #1's back against Staff C's chest and his/her arms around Resident #1. Staff D further revealed that Resident #1's feet were off the ground while Resident #1 was moved to another area. Staff D stated that the incident occurred on or around January 1, 2026 and that he/she reported the incident on 1/14/2026. Interview on 1/20/26 at approximately 10:45 a.m. with Staff A (Administrator) confirmed that he/she was aware of the incident as of 1/14/26 and the above allegation was not investigated or reported to the State…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation and interview, it was determined that the facility failed to provide a safe, sanitary, and homelike environment for 1 of 3 units observed. Findings include: Observation on 6/11/25 at approximately 9:00 a.m. of the memory care unit revealed the following: room [ROOM NUMBER]: The doorway was chipped, scrapped and missing paint. room [ROOM NUMBER]: The doorway was scrapped, chipped and missing paint. The closet in the room was missing a laminate piece in the lower corner, approximately 2 inches by 3 inches in a triangular shape. On an estimated 2-3 foot section of the lower wall, the sheetrock was not covered by the baseboard, causing the sheetrock to crumble onto the floor. room [ROOM NUMBER]: The doorway was chipped, scrapped and missing paint. room [ROOM NUMBER]: The doorway was chipped, scrapped and missing paint. room [ROOM NUMBER]: The doorway was chipped, scrapped and missing paint. room [ROOM NUMBER]: The doorway was chipped, scrapped and missing paint. room [ROOM NUMBER]: The doorway…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined that the facility failed to follow physician's order for 1 of 1 resident reviewed for pressure ulcer in a final sample of 18 residents. (Resident identifiers is #22.) Findings include: Standard: [NAME], P.A, [NAME], A.G., Stockhart, P.A., & Hall, A. (2021). Fundamentals of Nursing. Elsevier. Page 1262. Changing Dressings A Health care provider's order for wound care indicates the dressing type, the frequency of changing, and any solutions or ointments to be applied to the wound. Resident #22 Interview on 6/12/25 at approximately 8:15 a.m. with Resident #22 revealed that he/she did not always receive his/her wound care daily. Resident #22 further revealed that his/her wound care was last completed on 6/10/25. Review on 6/12/25 of Resident #22's Treatment Administration Record (TAR) for May 2025 and June 2025, revealed the following wound care orders and missing documentation of wound care completion: May 2025 Left posterior knee wound: Cleanse left posterior…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0699 — isolated
  Provide care or services that was trauma informed and/or culturally competent.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, it was determined that the facility failed to ensure that trauma survivors have triggers identified that may cause re-traumatization in 1 of 5 residents reviewed for behavioral and emotional status in a final sample of 18 residents. (Resident identifier is #274). Findings include: Interview on 6/11/25 at approximately 11:00 a.m. with Resident #274 revealed that Resident #274 has a history of trauma and that he/she observed an altercation between other residents in May 2025 that had upset him/her due to hearing the words I will kill you. Review on 6/13/25 of Resident #274's Social History Initial Assessment, dated 6/12/24, revealed .5. History of Trauma 5a. Does the resident have a history of trauma/PTSD [Post-Traumatic Stress Disorder]? Yes .5c. Does the resident have trauma triggers? Yes 5d. Trauma triggers [no documented trauma triggers] 5e. Is resident exhibiting any signs/symptoms of trauma or trauma triggers? [box checked for a., b., c., and d.] a. Anxiety/Edginess b.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-13 · tag F0761 — failed to label and store drugs safely — isolated
  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.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, it was determined that the facility failed to ensure that expired medications were removed from use for 2 of 4 medication carts observed. (Resident identifiers are #3 and #35). Findings include: Resident #35 Observation on 6/11/25 at approximately 8:40 a.m. of the Unit 2 Long Hall medication cart with Staff L (Medication Nursing Assistant) revealed the following expired medications for Resident #35: Morphine Sulfate IR (Immediate Release) 15 mg (milligrams), 57 tablets, with a pharmacy labeled use by date of 5/9/25 (last documented use was in 2024); Lorazepam 0.5 mg, 30 tablets, with a pharmacy labeled use by date of 5/2/25. Interview on 6/11/25 at approximately 8:40 a.m. with Staff L confirmed the above findings. Review on 6/11/25 of Resident #35's physician's orders revealed the following orders: Morphine Sulfate IR 15 mg as needed order was discontinued on 6/4/24; Ativan (Lorazepam) 0.5 mg as needed order was initiated on 7/1/24 for 14 days then discontinued. Interview on 6/12/25 at approximately 11:00 a.m. with Staff H…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-06-13 · tag F0812 — failed to store, cook, and serve food safely — isolated
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, it was determined that the facility failed to ensure appropriate sanitization of dishware in 1 of 1 kitchen observed. Findings include: Observation on 6/11/25 at approximately 8:15 a.m. in the kitchen with Staff A (Cook) revealed that Staff A was testing the chemical sanitizer solution in the three-compartment sink with a pH (potential of Hydrogen) test strip which had a result of 150 ppm (parts per million). Review on 6/11/25 of Three-Compartment Sink Logs dated June 2025 revealed no documentation that the chemical sanitizer solution was tested prior to use in the morning of 6/11/25. Interview on 6/11/25 at approximately 8:15 a.m. with Staff A confirmed that he/she did not test the chemical sanitizer solution in the three-compartment sink prior to washing dishware that morning, the ppm result of 150 ppm did not meet the parameter for chemical sanitization (200-400 ppm), and the three-Compartment Sink log for June 2025. Review on 6/11/25 of facility Cleaning Procedure, Warewashing, Manual dated 12/1/15 revealed .5 .Dip…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-06-13 · tag F0849 — isolated
  Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and medical record review, it was determined that the facility failed to ensure that a resident's written plan of care includes both the most recent hospice plan of care and a description of the services furnished by the LTC facility for 1 of 1 resident reviewed for hospice services in the final sample of 18 residents. (Resident identifier is #30.) Findings include: Review on 6/12/25 of Resident #30's hospice binder, which contains hospice agency records of services, revealed no hospice certification, no hospice plan of care, and no schedules of services furnished by the hospice agency. Review on 6/12/25 for Resident #30's nursing home care plan for hospice, dated 3/28/25, revealed that Resident #30 started hospice services on 3/18/25. The care plan did not contain a schedule or description of services furnished by the hospice agency. Interview on 6/12/25 at 8:30 a.m. with Staff F (Registered Nurse) revealed that he/she thought that Resident #30 no longer was receiving hospice services. Staff F confirmed Resident #30's hospice care plan and that it did not specify…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Administration Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 33 rows in the source record cover these 25 parties — each is shown once here with every role it holds. Nothing is omitted.

17 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

About 74% of this home’s resident-days are paid by Medicaid, which reimburses well below the cost of care in most states. Heavily Medicaid-dependent homes run on thinner budgets — a context worth holding next to the staffing and inspection record, not a fault in itself. This home reported $1.5M paid to related parties — landlords or management companies under common ownership — equal to about 17% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in NH