Inspection Reports for
Alpine Skilled Nursing and Rehabilitation
2401 NORTH SERVICE ROAD, RUSTON, LA, 71270
Back to Facility Profile6 Reports
Inspection Report — Jan 13, 2026
Annual Inspection CMS
Date: Jan 13, 2026
Visit Reason
The inspection was conducted as an annual survey to assess compliance with regulatory requirements for Alpine Skilled Nursing and Rehabilitation.
Findings
The facility was found deficient in multiple areas including failure to assess residents for medication self-administration, insufficient nursing staff on certain weekends, inadequate nursing competencies related to medication administration, and failure to maintain proper infection prevention and control practices.
Deficiencies (4)
F 0554: The facility failed to assess Resident #1 for self-administration of medications and did not have an order or assessment completed for medication self-administration.
F 0725: The facility failed to provide sufficient licensed nursing staff to meet resident needs on 2 of 13 weekends during Fiscal Year Quarter 4 2025.
F 0726: Licensed nurses failed to demonstrate competencies by leaving medications unattended at Resident #80's bedside and lacking documentation of Lasix administration for Resident #55 as ordered.
F 0880: The facility failed to implement infection prevention and control practices by not following evidence-based practices during urinary catheter care and bathing, and by improperly storing respiratory equipment for Residents #10, #61, and #91.
Report Facts
Staffing hours provided: 255.7
Staffing hours required: 260.85
Staffing hours provided: 271.2
Staffing hours required: 282
Medication doses not documented: 3
Inspection Report — Dec 4, 2024
Routine CMS
Date: Dec 4, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication management, safety measures, and quality assurance at Alpine Skilled Nursing and Rehabilitation.
Findings
The facility was found deficient in multiple areas including failure to ensure accurate wound assessments by registered nurses, lack of oxygen use signage outside resident rooms, incomplete side rail risk assessments and consents prior to installation, failure of the pharmacist to identify and report medication irregularities, inappropriate use of psychotropic medications without proper diagnosis, and failure to conduct quarterly Quality Assessment and Assurance meetings.
Deficiencies (6)
F0641: The facility failed to ensure an accurate wound assessment was completed by a registered nurse upon discovery of skin breakdown for resident #316.
F0695: The facility failed to place oxygen in use signage outside the rooms of residents #29, #104, and #316 who were receiving oxygen therapy.
F0700: The facility failed to assess risk of entrapment and obtain consent prior to installing side rails for residents #22, #40, #50, #55, and #104.
F0756: The pharmacist failed to identify and report medication irregularities related to the use of Quetiapine Fumarate without appropriate diagnosis for resident #22.
F0758: The facility failed to ensure psychotropic medication was used only with an acceptable diagnosis for resident #22.
F0868: The facility failed to conduct Quality Assessment and Assurance meetings at least quarterly, missing a meeting in January 2024.
Report Facts
Residents reviewed for pressure ulcers: 5
Residents reviewed for oxygen use: 5
Residents reviewed for side rails: 5
Residents reviewed for unnecessary medications: 5
Quality Assessment and Assurance meetings reviewed: 4
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2 Director of Nursing | Director of Nursing | Confirmed wound assessment dates, oxygen signage absence, side rail assessment deficiencies, and medication irregularity reporting |
| S2 Licensed Practical Nurse | Wound Care Nurse | Assessed wound for resident #316 and confirmed no RN wound assessment on discovery date |
| S1 Administrator | Administrator | Confirmed missing quarterly Quality Assessment and Assurance meeting in January 2024 |
Inspection Report — Nov 29, 2023
Annual Inspection CMS
Date: Nov 29, 2023
Visit Reason
The inspection was conducted as a routine annual survey to assess compliance with regulatory requirements for Alpine Skilled Nursing and Rehabilitation.
Findings
The facility was found deficient in multiple areas including failure to maintain emergency transfer logs and notify the ombudsman, inadequate assistance with activities of daily living for several residents, failure to provide pressure ulcer prevention devices, missed medication administrations, and lack of annual performance reviews for some nursing assistants.
Deficiencies (6)
F0623: The facility failed to ensure emergency transfer logs were completed and the ombudsman was notified for resident #64's transfers on 07/05/2023 and 11/03/2023.
F0677: The facility failed to provide adequate assistance with grooming and personal hygiene for 3 of 4 residents reviewed, including unshaved facial hair and long fingernails.
F0686: The facility failed to provide a pressure relieving device in the wheelchair for resident #83, risking pressure ulcer development.
F0726: The facility failed to ensure licensed nurses had the competencies to care for residents by not having controlled medication Lyrica available and administered for resident #8.
F0730: The facility failed to complete annual performance reviews for 3 certified nursing assistants within the past 12 months.
F0755: The facility failed to ensure routine medications were administered to residents #18, #34, and #69 and lacked documented reasons for missed doses.
Report Facts
Residents affected: 1
Residents affected: 3
Residents affected: 1
Residents affected: 1
Personnel records reviewed: 5
Personnel without annual review: 3
Residents affected: 3
Inspection Report — Nov 29, 2023
Complaint Investigation CMS
Date: Nov 29, 2023
Visit Reason
The inspection was conducted to investigate complaints regarding medication administration and pharmaceutical services at Alpine Skilled Nursing and Rehabilitation.
Complaint Details
The investigation was complaint-driven, focusing on medication administration errors and pharmaceutical service deficiencies. The findings confirmed missed medications and lack of documentation explaining these omissions.
Findings
The facility failed to ensure that licensed nurses had the competencies to administer controlled medications as ordered, resulting in missed doses for Resident #8. Additionally, the facility failed to ensure routine medications were administered to residents #18, #34, and #69, with no documented reasons for missed medications.
Deficiencies (2)
F 0726: The facility failed to ensure licensed nurses administered controlled medication Lyrica as ordered for Resident #8, resulting in missed doses on multiple dates in November 2023.
F 0755: The facility failed to provide pharmaceutical services to meet residents' needs, resulting in missed routine medications for Residents #18, #34, and #69 without documented reasons.
Report Facts
Missed doses of Lyrica: 6
Residents reviewed for pharmaceutical services: 4
Residents with missed medications: 3
Inspection Report — Aug 9, 2023
Routine CMS
Date: Aug 9, 2023
Visit Reason
The inspection was conducted to assess compliance with nursing home regulations regarding resident safety, medication administration, and staff competencies.
Findings
The facility failed to ensure residents' environment was free from accident hazards by leaving unidentified medications unattended and accessible. Additionally, nursing staff administered medications improperly, including giving thyroid medication at the wrong time and administering blood pressure medication too close together.
Deficiencies (2)
F 0689: The facility failed to ensure the nursing home area was free from accident hazards by leaving unidentified medications unattended at the bedside and on an unlocked medication cart accessible to residents.
F 0726: The facility failed to ensure nursing staff had appropriate competencies, evidenced by a licensed practical nurse administering thyroid medication at the wrong time and administering blood pressure medication within three hours of a prior dose.
Report Facts
Residents sampled: 6
Residents affected: 2
Residents affected: 1
Unidentified pills: 4
Unidentified pills: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S2 Director of Nursing | Director of Nursing | Informed about medication left unattended and unlocked medication cart |
| S3 Licensed Practical Nurse | Licensed Practical Nurse | Administered Midodrine medication improperly and confirmed medication cart must be locked |
| S4 Licensed Practical Nurse | Licensed Practical Nurse | Administered Synthroid medication and retrieved unidentified pills from bedside |
| S6 Nurse Practitioner | Nurse Practitioner | Interviewed regarding medication administration practices |
Inspection Report — Oct 5, 2022
Routine CMS
Date: Oct 5, 2022
Visit Reason
The inspection was conducted to assess compliance with regulatory standards related to resident care, treatment, safety, and infection control at Alpine Skilled Nursing and Rehabilitation.
Findings
The facility was found deficient in multiple areas including failure to monitor edema for a resident on diuretics, missed wound care dressing changes, inadequate use of splints for contracture management, improper application of wheelchair lap trays, unsafe medication administration practices, and failure to follow proper infection control procedures during incontinence care.
Deficiencies (6)
F684: The facility failed to ensure residents received treatment and care according to professional standards and care plans, specifically failing to monitor edema for a resident on diuretics.
F686: The facility failed to provide appropriate pressure ulcer care and prevent new ulcers from developing, including missed dressing changes for a resident's Stage 3 pressure ulcer.
F688: The facility failed to provide appropriate care to maintain or improve range of motion for a resident with contracture, including failure to provide a prescribed splint.
F689: The facility failed to ensure a resident's environment was free from accident hazards, specifically improper application of a wheelchair lap tray posing a safety risk.
F726: The facility failed to ensure nursing staff administered medications safely, including leaving medications unattended at a resident's bedside resulting in missed doses.
F880: The facility failed to implement infection prevention and control practices, including failure of staff to perform hand hygiene after incontinence care.
Report Facts
Residents affected: 1
Residents reviewed for pressure ulcers: 5
Residents affected: 1
Residents investigated for position and mobility: 2
Residents affected: 1
Residents reviewed for restraints: 1
Residents affected: 1
Initial pool residents: 34
Residents affected: 1
Residents observed for incontinence care: 1
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| S3Corporate RN | Confirmed lack of edema monitoring for Resident #79 | |
| S9LPN/Wound Care Nurse | Failed to report missed wound dressing changes for Resident #58 | |
| S2DON (Director of Nursing) | Confirmed wound care documentation issues and splint use deficiency | |
| S3Corporate DON | Confirmed wound care documentation issues and splint use deficiency | |
| S4LPN | Left medications unattended at Resident #37's bedside | |
| S2DON | Confirmed medication administration deficiency for Resident #37 | |
| S3Corporate Nurse | Confirmed medication administration deficiency for Resident #37 | |
| S10CNA | Failed to perform hand hygiene after incontinence care for Resident #98 | |
| S6CNA | Reported improper lap tray application for Resident #9 | |
| S7CNA | Reported improper lap tray application for Resident #9 | |
| S8CNA | Reported improper lap tray application for Resident #9 | |
| S5LPN | Resident #9's nurse unaware of lap tray issue |
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