Federal inspection record · CMS data as of October 1, 2026
Alpine Skilled Nursing and Rehabilitation
2401 North Service Road, Ruston, LA · (318) 255-6492
- Certified beds
- 144
- Residents per day
- 113
- Ownership
- For-Profit
- Chain
- Priority Management
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- February 11, 2002
1
How this home got 2 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 Louisiana.
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Staffing
★★★★★−1 star
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
★★★★★no change
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
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Louisiana homes
Alpine Skilled Nursing and Rehabilitation carries 50 inspection points. That is fewer than 45% of Louisiana's 264 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Louisiana: 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★ 15–33 pts
- 3★ 33–53 pts
- 2★ 53–88.75 pts
- 1★ over 88.75 pts
Bars show every rated home in Louisiana 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
18 health citations on record since 2023. 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.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Quality of Life and Care5E
- 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.
- E
Provide safe and appropriate respiratory care for a resident when needed.
- E
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Nursing and Physician Services4F
- F
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- E
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
- D
Observe each nurse aide's job performance and give regular training.
Pharmacy Service3E
- D
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
- D
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.
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Resident Rights2D
- D
Allow residents to self-administer drugs if determined clinically appropriate.
- D
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Nutrition and Dietary1E
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Infection Control1E
- E
Provide and implement an infection prevention and control program.
Resident Assessment and Care Planning1E
- E
Ensure each resident receives an accurate assessment.
Administration1E
- E
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Inspection history
2026-01-13
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
2024-12-04
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Pharmacy Service (2 deficiencies)
2023-11-29
6 health deficiencies · 0 fire-safety deficiencies
Top issue: Nursing and Physician Services (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 31 min of nursing staff time a day, 16 min of it from a registered nurse.
This home
3 h 31 min
Louisiana average
3 h 49 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 37% of nursing staff and 0% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.1 pts better | 2.3 | 2.4 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.5 pts worse | 3.1 | 2.6 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.2 pts better | 100.0% | 93.8% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4 pts better | 100.0% | 96.0% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.1 pts worse | 6.6% | 3.5% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms72.5 pts worse | 74.9% | 2.4% | 13.5% |
| Percentage of long-stay residents who lose too much weight3.5 pts better | 1.8% | 5.3% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication6.5 pts better | 16.8% | 23.3% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication9.1 pts better | 13.7% | 22.8% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.2 pts better | 0.0% | 0.2% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened7.5 pts worse | 22.6% | 15.1% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased18.4 pts worse | 34.9% | 16.5% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.3% | 1.0% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1.9 pts better | 0.0% | 1.9% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence13.3 pts worse | 28.2% | 14.9% | 18.3% |
| Percentage of long-stay residents with pressure ulcers2.4 pts worse | 7.9% | 5.5% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine13.6 pts better | 100.0% | 86.4% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit6.1 pts worse | 20.5% | 14.4% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication2.7 pts better | 0.4% | 3.1% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine21.3 pts better | 99.1% | 77.8% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission3 pts worse | 31.3% | 28.3% | 23.4% |
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Who owns and runs it
10 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 |
|---|---|---|---|
| Sdb Holdings | 5% Or Greater Direct Ownership Interest · Organization | 100% | 8 facilities |
| Bauder, William | Indirect Ownership Interest · Individual | 0% | 42 facilities |
| Bennett, Jessica | Adp Of The SNF · Individual | 0% | 1 facilities |
| Boulware, Douglas | Indirect Ownership Interest · Individual | 0% | 46 facilities |
| Boulware, Douglas | Operational/Managerial Control · Individual | 0% | 46 facilities |
| Boulware, Steven | Indirect Ownership Interest · Individual | 0% | 48 facilities |
| Phillips, Michael | Adp Of The SNF · Individual | 0% | 7 facilities |
| Priority Management Group, LLC | Adp Of The SNF · Organization | 0% | 40 facilities |
| Progressive Rehab Solutions, LLC | Adp Of The SNF · Organization | 0% | 36 facilities |
| Wilson, Blake | Adp Of The SNF · Individual | 0% | 1 facilities |
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