ALPINE REHABILITATION AND NURSING CENTER

Nursing Home Inspector

755 E MONROE STREET
LITTLE FALLS, NY 13365
Herkimer County
Phone: 315-823-0973
Provider Number: 335586
Last Inspection: 02/01/2017

About the Nursing Home

Number of Beds: 80
Number of Residents: 78
Beds Available: 2
Percent Occupancy: 98%
Insurance Accepted: Medicare & Medicaid
Types of Councils: Resident
Ownership: For profit - Limited Liability company
Within Hospital?: NO

About State Inspection Deficiencies

Nursing Homes that are Medicare and/or Medicaid certified are licensed by the state and are required to comply with rigid standards enforced by regular facility inspections and extensive evaluations.

The state inspection deficiencies provided here are accounts reported by state inspectors of every discrepancy found where the home failed to meet the minimum standards set forth by state and federal regulations. If a home does not show any deficiencies, it has met the minimum standards required.

Please note: Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home.


Deficiency Ratings

Our nursing home inspector tool compares the severity of deficiences rather than the number of deficiences. We calculate the severity of each deficiency using the formula:

Severity Rating = Scope + Level of Harm.

Deficiency Rating= Sum of ALL Severity Ratings

Severity Scope Level of Harm
2 1-Isolated 1-Potential for minimal harm
3 2-Pattern 1-Potential for minimal harm
3 1-Isolated 2-Minimal harm or potential for actual harm
4 3-Widespread 1-Potential for minimal harm
4 2-Pattern 2-Minimal harm or potential for actual harm
4 1-Isolated 3-Actual harm
5 3-Widespread 2-Minimal harm or potential for actual harm
5 2-Pattern 3-Actual harm
5 1-Isolated 4-Immediate jeopardy to resident health or safety
6 3-Widespread 3-Actual harm
6 2-Pattern 4-Immediate jeopardy to resident health or safety
7 3-Widespread 4-Immediate jeopardy to resident health or safety

Deficiency Ratings
By Region

Lower Numbers Are Better

 

17

Facility
21

County
14

NY
20

USA

Deficiency Ratings
By Year

Lower Numbers Are Better

 

17

2017
26

2015
19

2014

Medicare Ratings

Overall Rating: Overall Rating
Health Rating: Health Rating
Staff Rating: Staff Rating
Quality Rating: Quality Rating

 

Details by Inspection Date

2/1/2017 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. Isolated : Minimal 3 3/30/2017
 
Failed To: Give residents a notice of rights, rules, services and charges. Widespread : Potential 4 3/30/2017
 
Failed To: Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. Isolated : Minimal 3 3/30/2017
 
Failed To: Store, cook, and serve food in a safe and clean way. Pattern : Minimal 4 3/30/2017
 
Failed To: Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated : Minimal 3 3/30/2017
 

10/19/2015 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Isolated : Minimal 3 12/3/2015
 
Failed To: Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated : Minimal 3 12/18/2015
 
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 12/18/2015
 
Failed To: Ensure residents maintain acceptable nutritional status. Isolated : Minimal 3 12/18/2015
 
Failed To: Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated : Minimal 3 12/10/2015
 
Failed To: Make sure that special or therapeutic diets are ordered by the attending doctor. Pattern : Minimal 4 12/10/2015
 
Failed To: Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Pattern : Minimal 4 11/27/2015
 
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 12/18/2015
 

11/10/2014 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 1/9/2015
 
Failed To: Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated : Minimal 3 1/9/2015
 
Failed To: Ensure services provided by the nursing facility meet professional standards of quality. Isolated : Minimal 3 1/9/2015
 
Failed To: Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. Isolated : Minimal 3 1/9/2015
 
Failed To: Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated : Minimal 3 1/9/2015
 
Failed To: Have a program that investigates, controls and keeps infection from spreading. Pattern : Minimal 4 1/9/2015
 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

No Complaint Deficiencies Reported

About The Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg NY State Avg
Number of Residents 78 115.00 167.28
Registered Nurses 0.70 0.59 0.74
Licensed Practical / Vocational Nurses 1.18 1.22 0.84
Certified Nursing Assistants 2.27 2.41 2.30
Total Staff Hours 4.15 4.22 3.88

 


About the Residents

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% NY State Avg%
of high risk long-stay residents with pressure ulcers 9 7 6
of long-stay residents assessed and appropriately given the pneumococcal vaccine 100 91 95
of long-stay residents assessed and appropriately given the seasonal influenza vaccine 96 95 96
of long-stay residents experiencing one or more falls with major injury 6 3 2
of long-stay residents who have depressive symptoms 0 0 8
of long-stay residents who lose too much weight 8 6 6
of long-stay residents who received an antianxiety or hypnotic medication 22 23 15
of long-stay residents who received an antipsychotic medication 18 16 13
of long-stay residents who self-report moderate to severe pain 6 2 3
of long-stay residents who were physically restrained 0 0 0
of long-stay residents whose ability to move independently worsened 27 22 16
of long-stay residents whose need for help with daily activities has increased 21 18 13
of long-stay residents with a catheter inserted and left in their bladder 2 2 1
of long-stay residents with a urinary tract infection 1 3 3
of low risk long-stay residents who lose control of their bowels or bladder 36 43 50
of short-stay residents assessed and appropriately given the pneumococcal vaccine 96 80 81
of short-stay residents who had an outpatient emergency department visit 8 7 9
of short-stay residents who made improvements in function 45 69 68
of short-stay residents who newly received an antipsychotic medication 5 2 1
of short-stay residents who self-report moderate to severe pain 17 10 9
of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 94 82 82
of short-stay residents who were rehospitalized after a nursing home admission 17 17 21
of short-stay residents who were successfully discharged to the community 36 49 48
of short-stay residents with pressure ulcers that are new or worsened 0 1 0