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Alpine Rehabilitation and Nursing Center
Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Little Falls, NY
CMS overall rating Info 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.
Entrance of a nursing facility with landscaped gardens Entrance of the Alpine Rehabilitation and Nursing Center with flowers Exterior view of Alpine Rehabilitation & Nursing Center sign Aerial view of Alpine Rehabilitation and Nursing Center Reception area of a nursing home facility with a front desk Private resident room with a bed and seating area Sunny outdoor space with residents enjoying the garden

Alpine Rehabilitation and Nursing Center

Nursing Home, Hospice Care, Palliative Care & Skilled Nursing · Little Falls, NY
CMS overall rating Info 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.
755 East Monroe Street, Little Falls, NY 13365 View map Calculator: See prices in your area
Alpine Rehabilitation and Nursing Center accepts Medicare, Medicaid, and private pay.
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Alpine Rehabilitation and Nursing Center accepts Medicare, Medicaid, and private pay.

Overview of Alpine Rehabilitation and Nursing Center

Little Falls, New York isn’t a big town, and Alpine Rehabilitation and Nursing Center fits right into that scale: an 80-bed nursing home on East Monroe Street, walkable enough (Walk Score 77) that most errands don’t require a car. If you’re the kind of person who visits a parent and then wants to grab coffee or stretch your legs afterward, that matters more than people expect.

Right now the building is running at 93% occupancy, 74 of its 80 beds full. On-site rehabilitation services mean someone recovering from a fall, a surgery, or an illness doesn’t have to get shuttled somewhere else for therapy; it happens where they already live.

Residents get about 4 hours and 37 minutes of total nursing care per day, on average. Break that down and you’ve got 30 minutes from an RN, another 30 from an LPN, and 1 hour 44 minutes from nurse aides. Numbers like that tell you more about day-to-day life inside a building than almost anything else on a brochure.

Medicare, Medicaid, and private pay are all accepted, so families aren’t boxed into one payment path before they’ve even toured the place. As for how the state sees it: inspections here have tended to land on the usual suspects for nursing homes: infection control, fire safety, care documentation, food service, resident rights, and general upkeep.

What you’re looking at is a fully occupied, actively staffed nursing home built for residents who need both rehab support and consistent nursing care, sitting in a neighborhood that doesn’t make visiting a chore.

Facility Direct Line (315) 823-1001
Facility Direct Line (315) 823-1001 info@alpinerehab.net

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 2.4% Below NY avg. ▼ 2.4% Below NY avg.NY average: 3.1Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info 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.
▲ 6.0% Above NY avg. ▲ 6.0% Above NY avg.NY average: 2.8Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info 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.
▲ 47.2% Above NY avg. ▲ 47.2% Above NY avg.NY average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info 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.
▼ 21.4% Below NY avg. ▼ 21.4% Below NY avg.NY average: 3.8Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours Info 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.

Hours per resident per day vs New York averages

Rank #49 / 395Nurse hours — State benchmarkedThis home is ranked 49th out of 395 homes we track in New York for nurse hours. Shows adjusted nurse hours per resident per day benchmarked to the New York average, with a ranking across 395 New York facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

Total nursing care Info This home is ranked 49th out of 395 homes we track in New York 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.

4h 20m

21% above state avg
Staff type
Hours / day / resident
vs state avg
Registered Nurse (RN) Info 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.
36m
−13% State avg: 42m per day · National avg: 41m per day
LPN / LVN Info 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.
1h 21m
+75% State avg: 46m per day · National avg: 52m per day
Nurse Aide Info 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 23m
+9% State avg: 2h 11m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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.
3h 8m
Avg State avg: 3h 10m per day · National avg: 3h 26m per day
Physical Therapist Info 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.
4m
−38% State avg: 7m per day · National avg: 4m per day
Weekend RN Info 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.
10m
−65% State avg: 28m per day · National avg: 28m per day

3 of 6 metrics below state avg

Standout metric: LPN / LVN is +75% above New York average

Capacity and availability

Residents per day
74
Avg. Length of Stay Info Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
134 days
Bed community size
80-bed community Rank #573 / 736Bed count — State benchmarkedThis home is ranked 573rd out of 736 homes we track in New York for bed count. Shows this facility's certified or reported bed count compared to other New York facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A larger shared setting that may offer more common spaces and organized community services.
Walk Score
Walk Score: 77 / 100 Rank #500 / 1150Walk Score — State benchmarkedThis home is ranked 500th out of 1,150 homes we track in New York for walk score. Shows how walkable this facility's neighborhood is compared to the average walk score across New York facilities. Higher scores benefit residents, families, and staff.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

About this community

Occupancy

Occupancy rate
93%
Rank #249 / 392Occupancy rate — State benchmarkedThis home is ranked 249th out of 392 homes we track in New York for occupancy. Shows this facility's occupancy rate versus the New York average, with its Statewide rank out of 392. Higher occupancy signals strong local demand and financial stability.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Similar to the New York average: 88.3%
Occupied beds
74 / 80
Average occupied beds in New York homes 166 beds

License Details

Facility TypeNursing Home
StatusActive
CountyHerkimer
License Number2129303N

Ownership & Operating Entity

Alpine Rehabilitation and Nursing Center is legally operated by PALFFY Group LLC Nursing Home, Inc (For Profit).

Owner NamePalffy Group LLC Nursing Home, Inc (For Profit)

Therapy & Rehabilitation

1 service
Rehabilitation Services

Contact Alpine Rehabilitation and Nursing Center

Inspection History

In New York State, the Department of Health, Office of Aging and Long Term Care performs unannounced onsite inspections to monitor compliance with state and federal healthcare regulations.

Since 2019 · 7 years of data These figures come from state-published inspection data. 1 enforcement action 16 citations 90 complaints 3 inspections 9 complaint investigations
Inspection Score Info A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the New York State state average. The score below shows how many points this facility sits above or below the typical New York State nursing home score (the benchmark); higher is better.This is a proprietary Assisted Living Magazine score.

1 point below the New York State average for nursing homes (83/100)

Rank #371 / 616 in New York State Inspection Score — State benchmarked This home is ranked 371st out of 616 homes we track in New York State for inspection score. Shows this facility's inspection score compared to the New York State average among 616 comparable communities in the ranking pool. Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York State that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric. This is a proprietary Assisted Living Magazine score. Inspection score: 82 out of 100. Letter grade B-. 1 point below the New York State average for nursing homes (83/100)

Enforcement Actions Info Enforcement actions are formal penalties or interventions imposed by New York State regulators when a nursing home fails to meet state or federal care, safety, or regulatory standards. They may include directed plans of correction, civil monetary penalties, denial of payment, or appointment of temporary management.

Since 2019
1 enforcement action

This facility has 1 enforcement action. 33% of New York State nursing homes have zero, and the statewide average is 1.6.

  • May 29, 2020 Quality of Care #NH-22-034

Inspection Scorecard Info This scorecard compares key inspection, citation, and complaint metrics at this facility against the New York State state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.

Since 2019 vs. New York State state average
Overall vs. NY average 6 Worse Metrics worse than New York State average:
• Total citations (23% above)
• Citations per inspection (279% above)
• Inspection citation rate (127% above)
• Total complaints (14% above)
• Complaints per year (14% above)
• Complaints per bed (142% above) 1 At Avg Metrics at New York State average:
• Life safety citations (at NY avg) 2 Better Metrics better than New York State average:
• Health citations (40% below)
• Inspections with citations (25% below)

Citations Info Citations are formal regulatory issues recorded during state inspections.

This FacilityNY Averagevs. NY Avg
Total citations Info Formal regulatory issues recorded by inspectors across all inspection types. 1613 This facility has 23% more total citations than a typical New York State nursing home (16 vs. NY avg 13).↑ 23% worse
Health citations Info Citations related to resident care, clinical practices, and day-to-day operations. 1220 This facility has 40% fewer health citations than a typical New York State nursing home (12 vs. NY avg 20).↓ 40% better
Life safety citations Info Citations related to building safety — fire prevention, emergency egress, and similar. 44 This facility has life safety citations in line with the New York State average (4 vs. NY avg 4).— At avg
Citations per inspection Info Average citations per inspection. 5.31.4 This facility has 279% more citations per inspection than a typical New York State nursing home (5.3 vs. NY avg 1.4).↑ 279% worse

Inspections Info State inspections evaluate whether the facility meets health and safety standards.

This FacilityNY Averagevs. NY Avg
Total inspections Info Combined count of all inspections conducted at this facility. 39 This facility has had 67% fewer total inspections than the New York State average (3 vs. NY avg 9). More inspections can mean more regulatory scrutiny rather than worse care.↓ 67% fewer
Inspections with citations Info Inspections that resulted in at least one regulatory citation. 34 This facility has 25% fewer inspections with citations than a typical New York State nursing home (3 vs. NY avg 4).↓ 25% better
Inspection citation rate Info Percentage of inspections that resulted in at least one citation. 100%44% This facility has 56 percentage points higher inspection citation rate than a typical New York State nursing home (100% vs. NY avg 44%).↑ 56% worse

Complaints & Investigations Info Complaints are formal concerns filed by residents, families, or staff. Investigations are on-site follow-ups.

This FacilityNY Averagevs. NY Avg
Total complaints Info Formal expressions of concern made by residents, families, or staff. 9079 This facility has 14% more total complaints than a typical New York State nursing home (90 vs. NY avg 79).↑ 14% worse
Complaints per year Info Average complaints per year since 2019. 12.911.3 This facility has 14% more complaints per year than a typical New York State nursing home (12.9 vs. NY avg 11.3).↑ 14% worse
Complaints per bed Info Size-adjusted complaint rate based on occupied beds. 1.210.50 This facility has 142% more complaints per bed than a typical New York State nursing home (1.21 vs. NY avg 0.5).↑ 142% worse
Complaint investigations Info On-site investigations triggered by complaints filed with New York State regulators. 915 This facility has had 40% fewer complaint investigations than the New York State average (9 vs. NY avg 15). More inspections can mean more regulatory scrutiny rather than worse care.↓ 40% fewer
Show Inspection Reports

CMS Health Inspection History

Federal inspection data published by CMS, covering this home's Medicare and/or Medicaid-certified skilled-nursing/nursing beds only.

Inspections Since 2019 · 7 years of data
Total health inspections 4

New York State average 3.6

Last Health inspection on May 2024

Total health citations
21 Rank #264 / 397Health citations — State benchmarkedThis home is ranked 264th out of 397 homes we track in New York for health citations. Shows this facility's total health deficiency citations benchmarked to the New York State average, with a ranking across all 397 NY facilities. Lower citation counts earn a better rank.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York State average 18.5

Citations per inspection
5.25 Rank #241 / 397Citations per inspection — State benchmarkedThis home is ranked 241st out of 397 homes we track in New York for citations per inspection. Shows average deficiency citations per CMS inspection for this facility versus the New York mean across 397 facilities with citation data. Lower is better.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

New York State average 5.05

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

16 of 21 citations resulted from standard inspections; 1 of 21 resulted from complaint investigations; and 4 of 21 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 7 years)
Critical health citations
0
100% better than New York State average

New York State average: 0.2

Serious health citations
0
100% better than New York State average

New York State average: 0.2

0 critical citations New York State average: 0.2
0 serious citations New York State average: 0.2
21 moderate citations New York State average: 17.4
0 minor citations New York State average: 0.7
Citations history (last 7 years)
Abuse/Neglect moderate citation May 03, 2024
Corrected
Environmental moderate citation May 03, 2024
Corrected
Infection Control moderate citation May 03, 2024
Corrected
Nutrition moderate citation May 03, 2024
Corrected

Data sourced from CMS Health Deficiencies reports, which cover the Medicare and/or Medicaid-certified skilled-nursing and nursing beds and no other part of the community. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.

Infection Prevention & Vaccination

How this facility protects residents through staff vaccination policies and immunization practices.

Employee Flu Vaccination Rate: 97%

Percentage of facility employees vaccinated against influenza.

Lawsuit overview for Alpine Rehabilitation and Nursing Center

Summary of court-record activity tied to this facility, compiled from publicly available case dockets.

Source: State court e-filing records

Total Cases Info Every lawsuit on record involving this facility since the earliest filing. Long-term volume signals overall legal exposure. 2
Active Cases Info Lawsuits still moving through the courts. Active claims can affect day-to-day operations, settlement risk, and insurance posture. 1
Closed Info Cases that have been disposed of — dismissed, settled, or decided. Shows how the facility has historically resolved disputes. 1
Since Info Year of the earliest case on record. A long history with steady filings suggests persistent issues; a recent first filing means newer exposure. 2018
Most Recent Info Most recent filing on record. Recent activity means legal disputes are still being raised against this facility. 2026
View full lawsuit report

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 92
Employees 92
Contractors 0
Staff to resident ratio 1.23 : 1
600% more staff per resident than New York average
New York average ratio: 0.18 : 1 New York average ratio: 0.18 : 1See full New York ranking
Avg staff/day 39
Average shift 7.5 hours
0% compared with New York average
New York average: 7.7 hours New York average shift: 7.7 hoursSee full New York ranking
Total staff hours (quarter) 26,890

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info All 7 RN Staff are full-time employees. No contractors work on this role. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.7 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info All 20 LPN Staff are full-time employees. No contractors work on this role. 20
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info All 47 CNA Staff are full-time employees. No contractors work on this role. 47
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors 0% — all staff are direct employees this quarter

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant4704712,09992100%7.4
Licensed Practical Nurse200207,47292100%8
Registered Nurse7073,08492100%7.7
Other Dietary Services Staff5056687683%6.1
Speech Language Pathologist1015806470%9.1
Physical Therapy Assistant2025277278%7.2
Respiratory Therapy Technician3035256267%7.7
Nurse Practitioner1014645863%8
Mental Health Service Worker1014495661%8
Dietitian1014456166%7.3
Administrator1014445661%7.9
Occupational Therapy Aide101883336%2.7
Qualified Social Worker101281213%2.3
Physical Therapy Aide1011878%2.5
47 Certified Nursing Assistant
% of Days 100%
20 Licensed Practical Nurse
% of Days 100%
7 Registered Nurse
% of Days 100%
5 Other Dietary Services Staff
% of Days 83%
View All Staffing Data

Penalties and fines

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.

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 10.5
7% worse than New York State average

New York State average: 9.8

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 19.2
6% worse than New York State average

New York State average: 18.1

Long-stay resident measures
Above average Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 12.8%
22% better than New York State average

New York State average: 16.4%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 18.9%
14% worse than New York State average

New York State average: 16.6%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.0%
22% worse than New York State average

New York State average: 21.4%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 2.3%
22% better than New York State average

New York State average: 3.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 7.7%
7% worse than New York State average

New York State average: 7.2%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 1.2%
16% better than New York State average

New York State average: 1.4%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.0%
81% worse than New York State average

New York State average: 6.1%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than New York State average

New York State average: 18.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 8.6%
31% better than New York State average

New York State average: 12.6%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.8%
8% better than New York State average

New York State average: 91.4%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 98.7%
In line with New York State average

New York State average: 95.2%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.11
23% worse than New York State average

New York State average: 1.71

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 2.10
56% worse than New York State average

New York State average: 1.35

Short-stay resident measures
Below average Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 70.6%
8% worse than New York State average

New York State average: 76.6%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than New York State average

New York State average: 1.3%

Influenza Vaccine Info Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine 81.6%
In line with New York State average

New York State average: 78.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 17.0%
17% better than New York State average

New York State average: 20.6%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 8.3%
14% better than New York State average

New York State average: 9.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than New York State average

New York State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 40.9%
24% worse than New York State average

New York State average: 53.7%

Successful return to home or community Info Rate of successful return to home or community from a skilled nursing facility. 36.5%
28% worse than New York State average

New York State average: 50.6%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

Breakdown by payment type

Medicare

23% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

65% of new residents, often for short stays.

Typical stay 1 - 2 months

Medicaid

12% of new residents, often for long-term daily care.

Typical stay 2 years

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 75
Medicare
10
13.3% of residents
Medicaid
53
70.7% of residents
Private pay or other
12
16% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$167.4K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$7.7M Rank #366 / 383Net patient revenue — State benchmarkedThis home is ranked 366th out of 383 homes we track in New York. Shows this facility's net patient revenue compared to the New York average, among facilities reporting a recent fiscal year. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$167.4K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$85
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #359 / 383Payroll costs — State benchmarkedThis home is ranked 359th out of 383 homes we track in New York. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the New York average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
$4.6M 59.8% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #110 / 382Payroll % of net patient revenue — State benchmarkedThis home is ranked 110th out of 382 homes we track in New York. Shows payroll as a percentage of net patient revenue versus the New York average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Communities with the same value for a metric share the same rank. Rankings cover every community we track in New York that reports data for that category. Communities without available data are excluded, so the pool size varies from metric to metric.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$3.3M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$7.9M
How we calculate these figures

This home is owned by Palffy Group LLC Nursing Home, Inc (For Profit)

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 335586

Show certification details

Who this home usually serves

TYPE OF STAY

Primarily short stays

Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.

Most new residents arrive under private pay (65% of admissions), and a typical private pay stay runs around 1 - 2 months.

Admissions
218 total

Coverage residents most often arrive under.

Medicare 23%
Private pay 65%
Medicaid 12%
Discharges
208 total

Coverage residents most often leave under.

Medicare 14%
Private pay 51%
Medicaid 34%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Little Falls's city center to Alpine Rehabilitation and Nursing Center's address, calculated via Google Maps.

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Compare Nursing Homes around New York State

Info below is compiled from CMS reports & the NY State Dept. of Health (NYSDOH), senior community websites & trusted data sources such as Walk Score & BBB.

Communities are listed from highest to lowest based on our ranking methodology.

The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
Care Types in This Table AL (Assisted Living): Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing. NH (Nursing Home): 24/7 skilled nursing care for residents with complex, ongoing medical needs. SNF (Skilled Nursing Facility): Round-the-clock nursing care, often for recovery after surgery, injury, or illness. MC (Memory Care): Secured, specialized care for people living with Alzheimer's or dementia. RC (Respite Care): Short-term temporary care that gives family caregivers a break. IL (Independent Living): Community living with dining, activities, and transportation for active seniors who need little personal care. HOS (Hospice Care): Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment. PC (Palliative Care): Comfort-focused care for serious illness at any stage, including alongside curative treatment.
Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
A composite 0–100 score combining this facility's inspections, citations, complaints, and enforcement actions relative to the state average. See the benchmark below for the typical score in this state; higher is better. This is a proprietary Assisted Living Magazine score.
Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The New York average is: 55.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
CMS Certification Number: the unique federal identifier for this skilled nursing provider.
Ditmas Park Nursing & Rehab ★ ★ ★ ★ ★
NH
PC
SNF
Brooklyn (Flatbush)
240
Facility 240
NY AVG 160
Rank #108 / 736
95.0%
Facility 95.0%
NY AVG 90.6
Rank #179 / 392
+5%
3.45
Facility 3.45
NY AVG 3.58
Rank #164 / 395
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +50%-4%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
85
Facility 85
NY AVG 83
Rank #293 / 616
7
Facility 7
NY AVG 18.5
Rank #31 / 397
2.3
Facility 2.3
NY AVG 5.1
Rank #29 / 397
-228A-
93
Facility 93
NY AVG 64
Rank #191 / 1,150
Bmo Family Holdings LLC
$62.0MFiscal year ending 12/2023
Facility $62.0MFiscal year ending 12/2023
NY AVG $29.2M
Rank #28 / 383
$9.0MFiscal year ending 12/2023
Facility $9.0MFiscal year ending 12/2023
NY AVG $15.4M
Rank #255 / 383
14.4%Fiscal year ending 12/2023
Facility 14.4%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #382 / 382
335648
The Plaza Rehab and Nursing Center ★ ★ ★ ★ ★
NH
HOS
PC
RC
SNF
Bronx (Fordham Manor)
744
Facility 744
NY AVG 160
Rank #1 / 736
98.0%
Facility 98.0%
NY AVG 90.6
Rank #61 / 392
+8%
3.18
Facility 3.18
NY AVG 3.58
Rank #213 / 395
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +74%-11%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
81
Facility 81
NY AVG 83
Rank #390 / 616
14
Facility 14
NY AVG 18.5
Rank #146 / 397
4.7
Facility 4.7
NY AVG 5.1
Rank #189 / 397
-729A+
87
Facility 87
NY AVG 64
Rank #344 / 1,150
Tcprnc, LLC (For Profit)
$127.4MFiscal year ending 12/2023
Facility $127.4MFiscal year ending 12/2023
NY AVG $29.2M
Rank #1 / 383
$51.1MFiscal year ending 12/2023
Facility $51.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #14 / 383
40.1%Fiscal year ending 12/2023
Facility 40.1%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #316 / 382
335462
Amsterdam Nursing Home ★ ★ ★ ★ ★
NH
SNF
New York (Manhattan)
409
Facility 409
NY AVG 160
Rank #23 / 736
98.0%
Facility 98.0%
NY AVG 90.6
Rank #61 / 392
+8%
3.13
Facility 3.13
NY AVG 3.58
Rank #249 / 395
 ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ★ +5%-12%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
78
Facility 78
NY AVG 83
Rank #434 / 616
14
Facility 14
NY AVG 18.5
Rank #146 / 397
7.0
Facility 7.0
NY AVG 5.1
Rank #326 / 397
-401A+
93
Facility 93
NY AVG 64
Rank #191 / 1,150
Judith Fenster
$81.1MFiscal year ending 12/2023
Facility $81.1MFiscal year ending 12/2023
NY AVG $29.2M
Rank #10 / 383
$30.1MFiscal year ending 12/2023
Facility $30.1MFiscal year ending 12/2023
NY AVG $15.4M
Rank #35 / 383
37.1%Fiscal year ending 12/2023
Facility 37.1%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #336 / 382
335570
United Hebrew of New Rochelle ★ ★ ★ ★ ★
NH
AL
IL
MC
SNF
New Rochelle
294
Facility 294
NY AVG 160
Rank #71 / 736
57.1%
Facility 57.1%
NY AVG 90.6
Rank #377 / 392
-37%
3.30
Facility 3.30
NY AVG 3.58
Rank #189 / 395
 ★ ★ ★ ★ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ★ ★ +31%-8%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
96
Facility 96
NY AVG 83
Rank #73 / 616
7
Facility 7
NY AVG 18.5
Rank #31 / 397
2.3
Facility 2.3
NY AVG 5.1
Rank #29 / 397
-168-
80
Facility 80
NY AVG 64
Rank #454 / 1,150
Rita Mabli
$31.9MFiscal year ending 12/2023
Facility $31.9MFiscal year ending 12/2023
NY AVG $29.2M
Rank #139 / 383
$27.5MFiscal year ending 12/2023
Facility $27.5MFiscal year ending 12/2023
NY AVG $15.4M
Rank #41 / 383
86%Fiscal year ending 12/2023
Facility 86%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #15 / 382
335621
Alpine Rehabilitation and Nursing Center ★ ★ ★ ☆ ☆
NH
HOS
PC
SNF
Little Falls
80
Facility 80
NY AVG 160
Rank #573 / 736
92.5%
Facility 92.5%
NY AVG 90.6
Rank #249 / 392
+2%
4.33
Facility 4.33
NY AVG 3.58
Rank #49 / 395
 ★ ★ ★ ☆ ☆ ★ ★ ★ ★ ☆ ★ ★ ★ ☆ ☆ -40%+21%
$0
Facility $0
NY AVG $67.6k
Rank #1 / 398
82
Facility 82
NY AVG 83
Rank #371 / 616
21
Facility 21
NY AVG 18.5
Rank #264 / 397
5.3
Facility 5.3
NY AVG 5.1
Rank #241 / 397
-74-
77
Facility 77
NY AVG 64
Rank #500 / 1,150
Palffy Group LLC Nursing Home, Inc (For Profit)
$7.7MFiscal year ending 12/2023
Facility $7.7MFiscal year ending 12/2023
NY AVG $29.2M
Rank #366 / 383
$4.6MFiscal year ending 12/2023
Facility $4.6MFiscal year ending 12/2023
NY AVG $15.4M
Rank #359 / 383
59.8%Fiscal year ending 12/2023
Facility 59.8%Fiscal year ending 12/2023
NY AVG 55.8%
Rank #110 / 382
335586
Nursing Home Explorer

Financial Assistance for
Nursing Home in New York

Alpine Rehabilitation and Nursing Center is located in Little Falls, New York State.
Here are the financial assistance programs available to residents in New York State.

Get Financial aid guidance

Community First Choice Option

NY Medicaid CFCO

Age 65+ or disabled
General New York resident, Medicaid- eligible, care need (not necessarily nursing home level).
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $30,182 individual, higher due to NY Medicaid expansion
NY

Higher asset limit; urban density increases demand.

Benefits
Personal care (5-7 hours/day) Respite care (240 hours/year) Home modifications ($1,500 avg.) Assistive technology ($500 avg.)

Expanded In-Home Services for the Elderly Program (EISEP)

NY EISEP

Age 60+
General New York resident, at risk of decline but not nursing home level.
Income Limits ~$2,500/month individual, varies
Asset Limits $15,000 individual
NY

Cost-sharing required above certain income; urban/rural balance.

Benefits
In-home care (3-5 hours/week) Respite (up to 10 days/year) Case management Transportation (~5 trips/month)

Frequently Asked Questions about Alpine Rehabilitation and Nursing Center

Who is the owner of Alpine Rehabilitation and Nursing Center?

Alpine Rehabilitation and Nursing Center is legally operated by PALFFY Group LLC Nursing Home, Inc (For Profit).

Is Alpine Rehabilitation and Nursing Center in a walkable area?

Alpine Rehabilitation and Nursing Center has a walk score of 77. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.

What is the license number of Alpine Rehabilitation and Nursing Center?

According to NY state health department records, Alpine Rehabilitation and Nursing Center's license number is 2129303N.

What is the occupancy rate at Alpine Rehabilitation and Nursing Center?

Alpine Rehabilitation and Nursing Center's occupancy is 93%.

Are pets allowed at Alpine Rehabilitation and Nursing Center?

No, Alpine Rehabilitation and Nursing Center has a no-pet policy.

Does Alpine Rehabilitation and Nursing Center operate as a for-profit or non-profit?

Alpine Rehabilitation and Nursing Center is registered as a for-profit in NY.

How many beds does Alpine Rehabilitation and Nursing Center have?

Alpine Rehabilitation and Nursing Center has 80 beds.

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