Alternative Healthcare Solutions LLC

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.

Therapy staffing: this home’s payroll records show 0.41 therapist hours per resident per day in 2026Q1 — more than 71% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 15% 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 22 beds and averages 22.3 residents a day — about 101% occupied, or roughly -0 beds typically open. It runs essentially full — expect a waiting list. 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 4.54 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 3.95 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 0.00 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 3.41 hrs/resident/day on weekends vs 4.99 on weekdays — 32% thinner on weekends — a notable drop. RN hours go from 4.43 to 2.74 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 32% is below 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.

28 citations, most serious first. The 10 most serious are shown; the remaining 18 are one tap away and print in full.

• Potential for harm · F2026-05-21 · tag F0761 — failed to label and store drugs safely — widespread
  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 — the official record, unedited, may be distressing

  Based on observations and staff interviews, it was determined that the facility failed to ensure medications and supplements from unauthorized access.Findings include: 1.On 05/21/2026 at 8:40 AM, during medication administration observations, Registered Nurse (employee #5), were observed leaving the medication cart unlocked and unattended while administering medications to residents. Further observation revealed a four unsecured basket attached to the medication cart containing supplements, syringes, needles and saline flush syringes that were readily accessible to unauthorized individuals. During an interview with the Head Nurse (employee #4) on 05/21/2026 at 8:55 AM, she states that the drawers have locks, so they must remain closed.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-05-21 · tag F0804 — failed to serve food at safe, palatable temperature — widespread
  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observations made in the kitchen in the company of the kitchen coordinator (employee #6), it was determined that the nutritional value of the food was not being ensured due to improper storage in the refrigerator which can affect all admitted residents. Findings include:1. During the kitchen visit, the following food storage practices were observed in the refrigerator:a. On May 20, 2026, at 9:02 AM, food was observed stored in cardboard boxes and placed less than 18 inches from the ceiling, causing condensation and affecting food safety.b. The institution's policy, titled Safety in Receiving and Storing Food, refers to the correct distance from the ceiling and proper use and storage in the refrigerator, but it does not specify that food cannot be left stored in cardboard boxes.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-05-21 · tag F0812 — failed to store, cook, and serve food safely — widespread
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interviews, and food temperature measurements, it was determined that the facility failed to maintain proper food handling practices for disease prevention and food safety which can affect 13 out of 13 residents admitted . Findings include:Observations made on 05/21/2026 at 11:00 AM In the production process, the proximity of the [NAME] table when placing cold foods affects them and they presented a temperature of 46 degrees Fahrenheit. It affects food safety.In the dry storage area, the following were observed: Dust particles and poor organization are identified in the dry warehouse. In an interview conducted on May 20, 2026, at 2:28 PM with the clinical dietitian (employee #8), the possibility of relocating the production area was discussed. The plan was to place hot food on the right and cold food on the left. The dietitian consulted with the engineer, who confirmed the feasibility of the relocation, and a plan was submitted because a shorter refrigerator was required. The dietitian…

  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 · F2026-05-21 · tag F0867 — failed to act on quality-improvement findings — widespread
  Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of Quality Assessment Performance Improvement-QAPI and interview with facility QAPI officer (employee #2) on 05/21/26 at 11:55 am, it was determined that the facility failed to assure QAPI program feedback and data system monitoring performed by the Director of Nursing and Administrator are included in every committee meeting.Findings include:During review of trimestral QAPI committee meeting 2025 and 2026 on 05/21/26 at 11:55 am, the following was identified:1.QAPI committee meeting performed on 09/25/25 did not evidence the participation of the Director of Nursing. There is no evidence that feedback and data system monitoring performed by the Director of Nursing is included in this meeting.2.QAPI committee meeting of 06/27/25 attendance list did not demonstrate participation of the Administrator. There is no evidence that feedback and data system monitoring performed by the Administrator is included in this meeting.3. During interview on 05/21/26 at 11:55 am QAPI officer (employee #2) stated that if the Administrator or Director of Nursing did not participate in…

  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
• Potential for harm · F2026-05-21 · tag F0868 — widespread
  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on review of Quality Assessment Performance Improvement-QAPI and interview with facility QAPI officer (employee #2) on 05/21/26 at 11:55 am, it was determined that the facility failed to maintain a QAPI committee with participation of the required members established in 483.75 (g)(1):Findings include:Review of trimestral QAPI committee meeting 2025 and 2026 on 05/21/26 at 11:55 am, the following was identified: QAPI committee meeting performed on 09/25/25 did not evidence the participation of the Director of Nursing.QAPI committee meeting of 06/27/25 attendance list did not demonstrate participation of the Administrator.Review of QAPI rules and regulation last updated on January 2026 with QAPI officer (employee #2) on 05/21/26 at 11:50 am evidence that Administrator, Director of Nursing, Infection Control Officer and Medical Director must be part of the required QAPI committee members.During interview on 05/21/26 at 11:55 am QAPI officer (employee #2) stated that Administrator, Director of Nursing, Infection Control Officer and Medical Director must participate in each…

  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
• Potential for harm · Fcited before2026-05-21 · tag F0880 — failed to prevent and control infections — widespread
  Provide and implement an infection prevention and control program.
  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 staff interview, it was determined that the facility failed to implement and maintain an effective infection prevention and control program by failing to ensure proper hand hygiene practices during medication administration. These deficient practices had the potential to increase the risk of cross-contamination and transmission of infectious organisms among residents.Findings include:1.On 05/21/2026 from 8:52 AM, through 9:40 AM, during the observation of the medication administration, a Registered Nurse (employee #5) was observed to entering residents' room [ROOM NUMBER], #704, #706 and #708, the nurse touched the door handle to open the resident room door, curtains, table and subsequently donned gloves and administered medications to residents without performing hand hygiene after contact with the door handle, curtains and table.According to CDC guidelines of hand hygiene to accept infection prevention practices, hand hygiene should be performed after touching the patient's…

  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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-05-21 · tag F0908 — failed to keep essential equipment working — widespread
  Keep all essential equipment working safely.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, it was determined that the facility failed to maintain the kitchen freezer in proper condition.Findings include:During the observation on 05/20/2026 at 9:00 a.m., the freezer was observed to be condensing, at risk of affecting the integrity and safety of the food.

  Environmental Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2026-05-21 · tag F0583 — failed to protect personal privacy — pattern
  Keep residents' personal and medical records private and confidential.
  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 observations and staff interviews, the facility failed to maintain the confidentiality of residents' clinical information by leaving identifiable resident documents exposed and unattended on the top of cart for 5 of 5 residents observed during medication administration pass. (Resident #17, # 20, #25, #26 and new resident admitted on [DATE], late in the afternoon at 5:05 PM on room [ROOM NUMBER]B).Findings include:1. During the medication administration pass on 05/20/2026 from 8:05 AM until 8:45 AM Registered Nurse (employee #5), left medication cart and entered residents' rooms to administer medications. While away from cart, resident vital signs sheets and medication Kardex records containing residents' information remained on top of the medication cart and were visible in the hallway.During the interview with the nurse (employee #5), on 05/20/2023 at 9:00 AM, she stated that she used those documents while performing the medication pass to confirm the vital signs of the residents, and that she left…

  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 · D2026-05-21 · tag F0656 — failed to write and follow a full care plan — isolated
  Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
  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 review of documents during initial pool on 5/20/26 at 9:10 am and further investigation on 5/21/26 at 8:55 am, it was identified facility failed to document a smoking plan of care for a resident who was receiving services and smokes in 1 out of 1 resident. (RR#19)Findings include:1.Resident #19 is an [AGE] year-old male resident admitted on [DATE] with a diagnosis of ulcer on right foot. He said he was admitted to receiving local care and intravenous antibiotic therapy for an ulcer that he develops in right foot.Resident stated in an interview on 5/20/2026 at 9:10 am that he is a smoker and smokes cigar every day during afternoon. He stated that he notified that he is a smoker during admission to the facility.Nursing Supervisor (employee # 4) stated during interview on 5/20/26 at 10:30 am that she explains to him during admission that smoking is prohibited in the building. Nursing supervisor explained to him that if he wants to smoke, there are designated areas for these purposes, and they…

  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 · D2026-05-21 · 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 — the official record, unedited, may be distressing

  Based on records reviewed and observation, it was determined that the facility failed to meet professional quality standards to 1 out 1 resident. (RR#25) Findings include:1. RR#25 observation on May 21, 2026, at 9:55 AM: the resident had a wound on the left foot.2. RR#25 on May 21, 2026, at 10:52 AM: the doctor changed the prescription on May 17, 2026, from 1 tablet to 2 tablets of Ultracet, but did not provide justification for this change in the assessment.On the visitor's pass for May 17, 2026, the resident asked the doctor and the nursing supervisor if they could increase the medication. The doctor agreed and ordered the change but did not write a progress note for it.3. The institution's established protocol, titled Pain Management, specifies the importance of accurate documentation, including the justification for medical prescriptions.

  Resident Assessment and Care Planning 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

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in PR