Federal inspection record · CMS data as of October 1, 2026
Alpine Nursing and Rehabilitation Center
164 Office Park Drive, Xenia, OH · (937) 419-4500
- Certified beds
- 99
- Residents per day
- 84
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 11, 1983
1
How this home got 4 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Ohio.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★+1 star
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★4 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Ohio homes
Alpine Nursing and Rehabilitation Center carries 68 inspection points. That is fewer than 43% of Ohio's 913 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Ohio: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–15 pts
- 4★ 15–42 pts
- 3★ 42–69 pts
- 2★ 69–121.25 pts
- 1★ over 121.25 pts
Bars show every rated home in Ohio by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
50 health citations on record since 2019. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (2)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
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G
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Everything else, by area of care
Resident Assessment and Care Planning12D
- D
Assess the resident when there is a significant change in condition
- D
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- D
Ensure each resident receives an accurate assessment.
- D
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- D
PASARR screening for Mental disorders or Intellectual Disabilities
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Assess the resident when there is a significant change in condition
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Quality of Life and Care9D
- D
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide activities to meet all resident's needs.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Assist a resident in gaining access to vision and hearing services.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service6F
- E
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- D
Ensure medication error rates are not 5 percent or greater.
- D
Ensure that residents are free from significant medication errors.
- F
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
- E
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Resident Rights6D
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
- D
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
- D
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Freedom from Abuse, Neglect, and Exploitation5D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- C
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
- D
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- D
Respond appropriately to all alleged violations.
Infection Control5F
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
- F
Implement a program that monitors antibiotic use.
Nutrition and Dietary3F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- D
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Environmental2E
- D
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-05-21
10 health deficiencies · 6 fire-safety deficiencies
Top issue: Pharmacy Service (3 deficiencies)
2022-08-29
12 health deficiencies · 11 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2019-08-28
28 health deficiencies · 17 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 34 min of nursing staff time a day, 34 min of it from a registered nurse.
This home
3 h 34 min
Ohio average
3 h 43 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 59% of nursing staff and 50% of registered nurses left in the past year.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$28,130 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-04-08 | Fine | $28,130 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine18.5 pts worse | 74.2% | 92.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine9 pts worse | 84.7% | 93.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury1.8 pts worse | 4.9% | 3.1% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms30.1 pts worse | 61.7% | 31.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight2.2 pts worse | 8.3% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication1.4 pts worse | 26.9% | 25.5% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication7 pts worse | 15.5% | 8.5% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened1.6 pts better | 3.7% | 5.3% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased2.1 pts better | 2.9% | 5.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.1 pts worse | 0.3% | 0.2% | 0.7% |
| Percentage of long-stay residents with a urinary tract infectionAbout the same | 0.4% | 0.4% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.3 pts better | 20.6% | 20.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.5 pts better | 0.7% | 3.2% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine56.3 pts worse | 22.1% | 78.4% | 82.3% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.5 pts worse | 1.7% | 1.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine33.8 pts worse | 42.6% | 76.4% | 80.1% |
·
Who owns and runs it
20 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Armstead Pharmacy Provider Services LLC | Adp Of The SNF · Organization | 0% | 5 facilities |
| Ausch, Chaim | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Ausch, Chaim | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Baker, Rebecca | Adp Of The SNF · Individual | 0% | 1 facilities |
| Berner, Susan | Adp Of The SNF · Individual | 0% | 10 facilities |
| Carerite Services LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Eminent Care Group LLC | Operational/Managerial Control · Organization | 0% | 3 facilities |
| Eminent Care Group LLC | Adp Of The SNF · Organization | 0% | 3 facilities |
| Geldzahler, Yaakov | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Geldzahler, Yaakov | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Howard, Weshbale & Co. | Adp Of The SNF · Organization | 0% | 3 facilities |
| Mack, Lauren | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Med-Net Compliance LLC | Adp Of The SNF · Organization | 0% | 17 facilities |
| Moss, Amber | Adp Of The SNF · Individual | 0% | 1 facilities |
| S & T Bank | 5% Or Greater Mortgage Interest · Organization | 0% | 7 facilities |
| Smith, Jazmaine | Operational/Managerial Control · Individual | 0% | 2 facilities |
| Smith, Jazmaine | Adp Of The SNF · Individual | 0% | 2 facilities |
| Windsor, Murica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Zserebrowski, Yechezkel | Managing Control - Governing Body · Individual | 0% | 3 facilities |
| Zserebrowski, Yechezkel | Operational/Managerial Control · Individual | 0% | 3 facilities |
·
Fire safety
34 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke14F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Provide properly protected cooking facilities.
- E
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Provide properly protected cooking facilities.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Gas, Vacuum, and Electrical Systems9F
- F
Have generator or other power source capable of supplying service within 10 seconds.
- F
Have proper medical gas storage and administration areas.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
- F
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- E
Have proper medical gas storage and administration areas.
Egress6F
- F
Have properly located and lighted "Exit" signs.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- F
Install emergency lighting that can last at least 1 1/2 hours.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Miscellaneous4F
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- F
Have simulated fire drills held at unexpected times.
- E
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Emergency Preparedness1F
- F
Establish emergency prep training and testing.
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Other homes nearby
-
Atrium Nursing and Rehabilitation
Xenia, OH
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- —
- Fines
- $176,905
-
Xenia Health And Rehab
Xenia, OH · Simcha Hyman & Naftali Zanziper
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 9 min
- Fines
- $0
-
Overbrook Landing Health and Rehabiliation
Xenia, OH · Foundations Health Solutions
Not rated- Worst citation, 3 yrs
- none
- Nursing / resident / day
- 4 h 41 min
- Fines
- $0