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Nursing homes · New York · Little Falls
Nursing home

Alpine Rehabilitation and Nursing Center

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Little Falls, NY · Herkimer County

80 beds · For profit - Limited Liability company · Part of Personal Healthcare Management (21 homes)

3 / 5Medicare overall rating: 3 out of 5 starsAverage✓ Participates in Medicaid
What this rating means: Medicare combines health inspections, staffing, and quality measures into an overall rating of 1 to 5 stars.
Medicare overall rating reflects all 3 measures behind it.
Open tour sheetCall (315) 823-0973See full details & contact on Medicare.gov (opens in a new tab)
Questions to ask on a visit, with room to write down what you hear. Print it, or fill it in on your phone while you walk.

In short

Medicare rates it about the same as most New York homes, and it had no fines, harm citations or abuse flags in the last 3 years.

  • ✓In its favor: No fines, harm citations or abuse flags in the last 3 years
  • ⚠Worth asking about: Higher staff turnover than most New York homes52% vs. New York average 40%.

Medicare certification and Medicaid participation do not confirm coverage or payment for a long-term stay. Understand what may pay →

Still comparing options? Compare nursing homes in Little Falls, NY →

Safety record

Summary Last 3 years · Medicare

  • FinesNoneLast 3 years
  • Harm or serious riskNoneLast 3 inspection cycles
  • Abuse citationNot flagged by Medicare1 abuse-related citation · last 3 years
  • Complaint citations5Last 3 years · NY avg 5
Fines, last 3 years
None
Medicare payment denials
None
Citations where a resident was harmed (actual harm)
None
Immediate-jeopardy citations (serious risk of injury or death)
None
Abuse citation
Not flagged by Medicare · 1 abuse-related citation · last 3 years
Complaint citations (inspections triggered by a complaint)
5 · NY avg 5

Loading citation details from Medicare…

“Actual harm” and “immediate jeopardy” are Medicare’s most serious inspection findings. Fines and payment denials are penalties Medicare imposed. Ask the home what changed since. A home with nothing listed here can still have lower-level citations — see Inspections below.

Sources from Medicare’s agency (CMS): CMS Provider Information & Penalties, snapshot 2026-09-01, retrieved 2026-10-09; CMS Health Deficiencies summary, as of 2026-08-01, retrieved 2026-10-08.

Staffing stability

Health inspections
3 · Average
Staffing
4 · Above average
Quality measures
3 · Average

Total nurse time per resident per day: 3.45 hours (NY avg 3.63). Registered nurse time: 0.48 hours.

Staffing stability

Total nursing staff turnover52.4%High turnover can mean less continuity of care. Medicare counts staff who left over about a year.
Registered nurse (RN) turnover33.3%RNs handle assessments and complex care, so frequent changes can affect continuity.
Administrators who left the home0Counted over about a year. Frequent leadership changes can affect day-to-day management.
Weekend nurse staffing, total hours per resident per day2.50 hoursStaffing can be lower on weekends. Compare with the weekday figure above.
Weekend RN staffing, hours per resident per day0.17 hours
Case-mix-adjusted nurse staffing, hours per resident per day3.06 hoursAdjusted by Medicare for how much care residents are expected to need.
Case-mix-adjusted weekend nurse staffing, hours per resident per day2.71 hours
Source: CMS Nursing Home Care Compare — Provider Information, snapshot 2026-09-01, retrieved 2026-10-09. “Not reported” means CMS left the value blank. The CMS file has no state or national averages for these facts, so none are shown. These are facts to ask about on a visit, not a rating.

Inspections and citations

Inspections & safety

Most recent inspection2026-04-03
Previous inspection2024-05-03
Most recent inspection more than 2 years agoNoMedicare normally expects a full inspection about once a year.
Infection-control citationsNot reported
Automatic sprinklersIn all required areas
Resident and family councilResident councilA council is a group residents or families can use to raise concerns with management.
Source: CMS Nursing Home Care Compare — Provider Information, snapshot 2026-09-01, retrieved 2026-10-09. “Not reported” means CMS left the value blank. The CMS file has no state or national averages for these facts, so none are shown. These are facts to ask about on a visit, not a rating.

Loading the inspection list from Medicare…

Quality of care

3 out of 5

Medicare overall rating

Medicare's roll-up of health inspections, staffing, and quality measures on a 1-to-5 scale. It does not measure family experience, cost, or bed availability, and it does not by itself say whether this home is right for one specific resident.

CMS Nursing Home Care Compare — Provider Information & Penalties · 2026-09-01 · retrieved 2026-10-09
3 out of 5

Health inspections

How this home did on its most recent unannounced state health inspections, compared to other homes. It does not measure staffing levels or clinical quality on its own.

CMS Nursing Home Care Compare — Provider Information & Penalties · 2026-09-01 · retrieved 2026-10-09
4 out of 5

Staffing

Nurse staffing hours per resident per day, from payroll-based records Medicare verifies against payroll data. It does not measure the skill or attentiveness of the staff on duty, only the hours reported.

CMS Nursing Home Care Compare — Provider Information & Penalties · 2026-09-01 · retrieved 2026-10-09
3 out of 5

Quality measures

A Medicare composite of clinical outcomes reported by the facility, such as falls, pressure ulcers, and hospitalizations. It does not measure every aspect of clinical care, and it relies on the facility's own reporting.

CMS Nursing Home Care Compare — Provider Information & Penalties · 2026-09-01 · retrieved 2026-10-09
Quality measures: this home compared with the New York and national averages
MeasureThis homeNY averageNational average
Long-stay residents who need more help with daily activities than before13.1%14.1%13.9%
Long-stay residents who lose too much weight6.6%5.8%5.2%
Long-stay residents with a catheter left in the bladder0.8%0.5%0.8%
Long-stay residents with a urinary tract infection1.9%1.3%1.6%
Long-stay residents with depressive symptoms1.2%19.5%12.8%
Long-stay residents who were physically restrained0.0%0.2%0.1%
Long-stay residents who had a fall with major injury3.3%3.1%3.2%
Long-stay residents given the pneumococcal (pneumonia) vaccine97.4%91.5%93.5%
Long-stay residents whose ability to walk independently worsened7.5%12.5%14.1%
Long-stay residents who received an antianxiety or sleep medication9.5%13.2%19.5%
Long-stay residents given the seasonal flu vaccine98.6%95.3%95.5%
Long-stay residents with pressure ulcers6.9%6.5%4.6%
Long-stay residents with new or worsened bowel or bladder incontinence19.9%19.5%19.0%
Long-stay residents who received an antipsychotic medication10.8%13.7%15.4%
Hospitalizations per 1,000 long-stay resident days1.58 per 1,000 days1.70 per 1,000 days1.90 per 1,000 days
Outpatient emergency room visits per 1,000 long-stay resident days1.78 per 1,000 days1.36 per 1,000 days1.78 per 1,000 days
Short-stay residents given the pneumococcal (pneumonia) vaccine61.9%77.4%82.0%
Short-stay residents who newly received an antipsychotic medication0.0%1.2%1.6%
Short-stay residents given the seasonal flu vaccine81.6%78.8%79.8%
Short-stay residents who were rehospitalized after admission22.5%20.6%23.8%
Short-stay residents who had an outpatient emergency room visit8.0%9.6%12.0%

Lower is better for falls, pressure ulcers, medications and hospital visits; higher is better for vaccines. Compare with the state, not with zero.

Source: CMS resident assessments (MDS) and claims quality measures, 2024Q3-2025Q2 | 2025Q2-2026Q1, retrieved 2026-10-08.

Who owns it

Ownership

ChainPERSONAL HEALTHCARE MANAGEMENT (Medicare chain ID 677)
Facilities in chain21
Chain average overall rating2.9 of 5An average across this chain's homes, from Medicare. This home's own overall rating is 3 of 5.
Changed ownership in the last 12 monthsNoA recent change can mean new management, staff or policies. Ask what has changed.
Source: CMS Nursing Home Care Compare — Provider Information, snapshot 2026-09-01, retrieved 2026-10-09. “Not reported” means CMS left the value blank. The CMS file has no state or national averages for these facts, so none are shown. These are facts to ask about on a visit, not a rating.

Owners listed with Medicare

  • Zagelbaum, Ephraim (person) · 49% · Owns 5% or more directly; Corporate director
  • Zagelbaum, Yechiel (person) · 21% · Owns 5% or more directly
  • Barth, Alexander (person) · 15% · Owns 5% or more directly; Corporate officer; Additional disclosable party

Managers and operators

  • Amidon, Jeffrey · Has operational or managerial control; Additional disclosable party
  • Macri, Deandra · Has operational or managerial control; Additional disclosable party

Source: CMS Nursing Home Ownership, as of 2026-08-01, retrieved 2026-10-08.

Your next step

Ratings cannot answer the most urgent questions.

Walk the building, ask what a rating can’t tell you, and write down who showed you around and what they said.

Open tour sheet

Costs & what may pay

What families report paying (national survey)
Semi-private room: about $9,581/mo · U.S. national median · CareScout 2025 Cost of Care Survey
Private room: about $10,798/mo · U.S. national median · CareScout 2025 Cost of Care Survey
These survey medians are not this home’s price. Ask the facility for a written estimate. Medicaid may cover long-term care for those who qualify — participation is not a guarantee of coverage or an available bed.

What may pay for nursing-home care

  • Medicare. Covers only a short stay for skilled care after a qualifying hospital stay. That is up to 100 days, and you pay part of the cost after day 20. It does not cover ongoing custodial long-term care.
  • Medicaid. Medicaid pays for most long nursing home stays. You must qualify by income and savings. A home that takes Medicaid may not have a Medicaid bed open, so ask. In most states, a Medicaid health plan sets up this care. Your state Medicaid office can tell you which one.
  • Veterans (VA) benefits. May help eligible veterans and some spouses; rules and facilities vary.
  • Long-term care insurance. Pays per your policy's terms, elimination period, and daily limits.
  • Private pay. Out of pocket, often combined with the above. Ask each home for a written estimate.
Medicaid managed care in NY: In NY, Medicaid long-term care is delivered through a Medicaid health plan for long-term care — about 346,892 people were enrolled (2024). You'd enroll in a plan that coordinates nursing-home or at-home care. Check your state Medicaid office for the current programs.

Questions to ask on a tour

  • What is your nurse-to-resident ratio on evenings, nights, and weekends?
  • How do you handle a resident's specific medical needs and medication changes?
  • May I see your most recent inspection results and how you fixed any issues?
Printable — use your browser’s print.

Other nursing homes to compare nearby

Nearby means the same city first, then the same ZIP-code area and state. This is not a quality ranking.

  • Sunset Nursing and Rehabilitation Center, IncBoonville, NY 13309Review Medicare profile of Sunset Nursing and Rehabilitation Center, Inc →
  • Katherine Luther Residential Hlth Care & RehabClinton, NY 13323Review Medicare profile of Katherine Luther Residential Hlth Care & Rehab →
  • Cooperstown Center for Rehabilitation and NursingCooperstown, NY 13326Review Medicare profile of Cooperstown Center for Rehabilitation and Nursing →
  • Foltsbrook Center for Nursing and RehabilitationHerkimer, NY 13350Review Medicare profile of Foltsbrook Center for Nursing and Rehabilitation →

Community experiences

Firsthand experiences from patients, families, and people who toured or interviewed this provider. These are separate from Medicare ratings and inspection findings.

Email ownership is verified; receipt of care is not independently verified. Positive and critical reviews follow the same moderation policy.

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How reviews are moderated

We review all ratings under the same rules: firsthand experience, no spam, harassment, conflicts of interest, or someone else’s private information. A low rating alone is never a removal reason. Tours are labeled separately. Reviews do not establish clinical quality.

Use a nickname or first name and last initial. Do not include medical records, diagnoses, contact details, or patient or staff names. Sign in with the same email to edit or withdraw your review. Provider responses require email verification, content review, and a separate check of representative authority through an independently listed contact.

Reports go to our team; they do not automatically hide reviews. For urgent safety issues, contact the provider, your state regulator, or emergency services.

Share your experience

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Where this information comes from

Ratings, staffing, fines and safety flags: CMS Nursing Home Care Compare — Provider Information & Penalties, reporting snapshot 2026-09-01, retrieved 2026-10-09.
Harm or serious-risk, abuse and complaint citation counts: Medicare Health Deficiencies, as of 2026-08-01, retrieved 2026-10-08.
“Not reported” and “Not rated” mean Medicare left the value blank — never a zero. PlanScout is independent and not paid by any facility.
Data from Medicare Care Compare · Medicare.gov (opens in a new tab)

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