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CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
Pmg Opco-Alpine LLC runs Alpine Skilled Nursing and Rehabilitation, a 144-bed facility right on North Service Road in Ruston, Louisiana. The home takes Medicare, Medicaid, and private pay to cover care costs. Because the location relies heavily on highway driving, family members and visitors will need a car to reach the building or run errands.
Stays here average about 139 days, showing a faster turnaround that favors short-term post-hospital therapy alongside traditional long-term care. To keep up with daily medical needs, the nursing team puts in an average of 3 hours and 15 minutes of total care per resident each day. This 24-hour setup handles specialized recovery tracks like cardiac rehabilitation, pulmonary care, post-op orthopedics, and negative pressure wound therapy, as well as outpatient therapy and temporary respite stays.
For daily routines, the kitchen serves fresh menus featuring familiar favorites like meatloaf, catfish, and pot roast. The layout includes private guest rooms, common lounges, and an on-site barber and beauty shop. The activities director organizes a weekly social calendar with parties, performances, holiday celebrations, and group outings, while the facility van handles transportation to medical appointments.
Older adults can access specialized physical therapy programs, multi-stage clinical recovery tracks, and temporary respite services. The internal schedule balances these medical offerings with three daily meals, scheduled recreational outings, holiday parties, and on-site grooming services. Living areas are equipped with complimentary Wi-Fi and private spaces for guests, backed by dedicated appointment transit and continuous personal care support managed entirely by the facility staff.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 159th out of 182 homes in Louisiana for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 15m per day | ▼ 19% State avg: 19m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 42m per day | ▼ 41% State avg: 1h 11m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 15m per day | ▼ 3% State avg: 2h 19m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 2h 37m per day | ▼ 20% State avg: 3h 16m per day · National avg: 3h 26m per day |
|
Physical Therapist
Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation.
| 6m per day | ▲ 102% State avg: 3m per day · National avg: 4m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 11m per day | ▼ 15% State avg: 13m per day · National avg: 28m per day |
Similar to the Louisiana average: 71.8%In Louisiana, the Department of Health, Health Standards Section performs unannounced onsite surveys to verify that healthcare providers meet both state licensing and federal safety rules.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Louisiana state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | LA Average | vs. LA Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 26 | 32 | This facility has 19% fewer total deficiencies than a typical Louisiana nursing home (26 vs. LA avg 32).↓ 19% better |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 6.5 | 8 | This facility has 19% fewer deficiencies per year than a typical Louisiana nursing home (6.5 vs. LA avg 8).↓ 19% better |
|
Deficiencies per inspection
Average deficiencies per inspection.
| 5.2 | 4 | This facility has 30% more deficiencies per inspection than a typical Louisiana nursing home (5.2 vs. LA avg 4).↑ 30% worse |
Inspections
| This Facility | LA Average | vs. LA Avg |
|---|---|---|---|
|
Total inspections
Combined count of all routine and focused inspections. Excludes complaint investigations.
| 5 | 8 | This facility has 38% fewer total inspections than a typical Louisiana nursing home (5 vs. LA avg 8).↓ 38% better |
Louisiana average 6.5
Last Health inspection on Dec 2024
Louisiana average 25.7
Louisiana average 3.95
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
16 of 20 citations resulted from standard inspections; 2 of 20 resulted from complaint investigations; and 2 of 20 came from combined inspections (standard and complaint).
100% better than Louisiana averageLouisiana average: 1.1
100% better than Louisiana averageLouisiana average: 0.5
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
22% fewer staff per resident than Louisiana average
0% compared with Louisiana average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 3 RN Staff are full-time employees. No contractors work on this role.
3
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursAssists with medical care and medications.
23 total: 12 full-time employees and 11 contractors.
23
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursHelps with daily care and mobility.
All 68 CNA Staff are full-time employees. No contractors work on this role.
68
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,783 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 68 | 0 | 68 | 23,401 | 92 | 100% | 7.6 |
| Licensed Practical Nurse | 12 | 11 | 23 | 6,191 | 92 | 100% | 9.8 |
| Physical Therapy Aide | 0 | 7 | 7 | 2,422 | 71 | 77% | 8 |
| Clinical Nurse Specialist | 8 | 0 | 8 | 2,035 | 91 | 99% | 7.8 |
| Speech Language Pathologist | 0 | 5 | 5 | 1,981 | 72 | 78% | 7.7 |
| RN Director of Nursing | 2 | 3 | 5 | 1,055 | 66 | 72% | 8.6 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 1,052 | 68 | 74% | 8 |
| Physical Therapy Assistant | 0 | 2 | 2 | 1,012 | 68 | 74% | 8 |
| Qualified Social Worker | 0 | 2 | 2 | 992 | 66 | 72% | 8.8 |
| Administrator | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Mental Health Service Worker | 1 | 0 | 1 | 512 | 64 | 70% | 8 |
| Registered Nurse | 3 | 0 | 3 | 134 | 17 | 18% | 7.5 |
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
14.9
27% worse than Louisiana averageLouisiana average: 11.7
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
27.3
34% worse than Louisiana averageLouisiana average: 20.4
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
31.6%
54% worse than Louisiana averageLouisiana average: 20.5%
Percent of long-stay residents whose ability to move independently worsened
28.5%
21% worse than Louisiana averageLouisiana average: 23.5%
Percent of low risk long-stay residents who lose control of their bowels or bladder
21.8%
28% worse than Louisiana averageLouisiana average: 17.1%
Percent of long-stay residents experiencing one or more falls with major injury
2.9%
15% better than Louisiana averageLouisiana average: 3.5%
Percent of long-stay high risk residents with pressure ulcers
11.2%
76% worse than Louisiana averageLouisiana average: 6.4%
Percent of long-stay residents with a urinary tract infection
0.0%
100% better than Louisiana averageLouisiana average: 2.7%
Percent of long-stay residents who lose too much weight
0.3%
94% better than Louisiana averageLouisiana average: 5.1%
Percent of long-stay residents who have depressive symptoms
17.1%
952% worse than Louisiana averageLouisiana average: 1.6%
Percent of long-stay residents who received an antipsychotic medication
14.9%
27% better than Louisiana averageLouisiana average: 20.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
9% better than Louisiana averageLouisiana average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Louisiana averageLouisiana average: 94.9%
Number of hospitalizations per 1,000 long-stay resident days.
2.05
21% better than Louisiana averageLouisiana average: 2.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.30
19% worse than Louisiana averageLouisiana average: 2.77
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
20% better than Louisiana averageLouisiana average: 82.5%
Percent of short-stay residents who newly received an antipsychotic medication
5.1%
63% worse than Louisiana averageLouisiana average: 3.1%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
98.8%
30% better than Louisiana averageLouisiana average: 76.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
21.5%
23% better than Louisiana averageLouisiana average: 27.8%
Percentage of short-stay residents who had an outpatient emergency department visit.
16.5%
12% worse than Louisiana averageLouisiana average: 14.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Louisiana averageLouisiana average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
54.0%
In line with Louisiana averageLouisiana average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
50.3%
In line with Louisiana averageLouisiana average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
55% of new residents, usually for short-term rehab.
41% of new residents, often for short stays.
4% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
110Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Alpine Skilled Nursing and Rehabilitation based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #120 / 186Payroll — State benchmarkedThis home is ranked 120th out of 186 homes in Louisiana for payroll. Shows total annual staff payroll benchmarked to the Louisiana average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents typically stay for a few weeks or months before returning home or moving on.
11.2 miles from city center
Estimated distance in miles from Ruston's city center to Alpine Skilled Nursing and Rehabilitation's address, calculated via Google Maps.
Add your location
Alpine Skilled Nursing and Rehabilitation is located in RUSTON, Louisiana.
Here are the financial assistance programs available to residents in Louisiana.
The information below is reported by the Louisiana Department of Health, Health Standards Section.
| The Gardens Assisted Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lake Charles | 60
Facility
60
LA AVG
113
Rank
#230 / 262 | - | - | 4.81 | -66% | +16% | $0 | 16 | 2.7 | 1 | 42 | A+ |
14
Facility
14
LA AVG
37
Rank
#302 / 368 | Justin Wilcoxon | $6.8M | $4.4M | 63.9% | 195636 | ||||
| Landmark South Nursing and Rehabilitation Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Baton Rouge (Saint George) | 144
Facility
144
LA AVG
113
Rank
#65 / 262 | - | - | 3.87 | -19% | -7% | $10.0k | 12 | 2.4 | 1 | 139 | A+ |
38
Facility
38
LA AVG
37
Rank
#178 / 368 | James Smith | $12.2M | $8.2M | 67.1% | 195480 | ||||
| Avalon Place of Monroe |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Monroe (Lamkin) | 113
Facility
113
LA AVG
113
Rank
#134 / 262 | - | - | 3.73 | -64% | -10% | $0 | 28 | 5.6 | - | 70 | A+ |
22
Facility
22
LA AVG
37
Rank
#264 / 368 | Dcz Healthcare Investments, LLC | $6.4M | $4.3M | 67.1% | 195492 | ||||
| Alpine Skilled Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Ruston (Lincoln Parish) | 144
Facility
144
LA AVG
113
Rank
#65 / 262 | 75.2% | +5% | 3.25 | -51% | -22% | $0 | 20 | 5.0 | - | 113 | A+ |
1
Facility
1
LA AVG
37
Rank
#345 / 368 | - | $14.1M | $4.2M | 29.9% | 195538 | ||||
| Pilgrim Manor Skilled Nursing and Rehabilitation |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Bossier City | 155
Facility
155
LA AVG
113
Rank
#39 / 262 | 74.7% | +4% | 2.44 | -34% | -41% | $186.3k | 21 | 2.6 | 6 | 123 | A+ |
67
Facility
67
LA AVG
37
Rank
#42 / 368 | James Almond | $13.6M | $4.4M | 32.2% | 195594 |
Alpine Skilled Nursing and Rehabilitation is in the Lincoln Parish neighborhood of RUSTON.
The legal owner and operator of Alpine Skilled Nursing and Rehabilitation is Pmg Opco-Alpine Llc.
Alpine Skilled Nursing and Rehabilitation has a walk score of 1. Car-dependent. Most errands require a car, with limited nearby walkable options.
Alpine Skilled Nursing and Rehabilitation's occupancy is 75%.
Alpine Skilled Nursing and Rehabilitation is registered as a for-profit in LA.
Alpine Skilled Nursing and Rehabilitation received a 2-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
Alpine Skilled Nursing and Rehabilitation has 144 beds.
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