Alpine Valley Post Acute and Healthcare Center ratings, inspections, staffing, and fines

1

How this home got 5 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.

Health inspections

starting point

Everything starts from what state inspectors found on site. This is a ranking against other homes in Pennsylvania.
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.
Quality measures

+1 star

Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
Overall

5 of 5

Matches the rating CMS publishes on Care Compare.

2

Where it sits among Pennsylvania homes

Alpine Valley Post Acute and Healthcare Center carries 12 inspection points. That is fewer than 85% of Pennsylvania's 652 rated homes.

Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Pennsylvania: 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★ 0–8 pts
4★ 8–33 pts
3★ 33–65 pts
2★ 65–128 pts
1★ over 128 pts

Bars show every rated home in Pennsylvania 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

8 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.

One resident or a fewA patternWidespread

Immediate jeopardyResidents at risk of serious injury or death

J 0 50 pts

K 0 100 pts

L 0 150 pts

Actual harmA resident was hurt

G 0 20 pts

H 0 35 pts

I 0 45 pts

Potential for harmNo one was hurt, but could have been

D 6 4 pts

E 0 8 pts

F 0 16 pts

Minimal harmPaperwork-level problems

A 0 0 pts

B 2 0 pts

C 0 0 pts

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 Care3D

D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
September 20, 2024 · Complaint · F684 · Corrected October 28, 2024
D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
September 20, 2024 · Complaint · F689 · Corrected October 28, 2024
D
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
March 14, 2024 · Complaint · F690 · Corrected April 16, 2024

Resident Rights3D

B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
September 20, 2024 · Standard · F623 · Corrected October 28, 2024
D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
October 20, 2023 · Complaint · F580 · Corrected December 1, 2023
B
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
October 20, 2023 · Standard · F623 · Corrected December 1, 2023

Resident Assessment and Care Planning1D

D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
September 20, 2024 · Complaint · F842 · Corrected October 28, 2024

Pharmacy Service1D

D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
October 20, 2023 · Standard · F755 · Corrected December 1, 2023

Inspection history

2024-09-20
4 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
2023-10-20
3 health deficiencies · 0 fire-safety deficiencies
Top issue: Resident Rights (2 deficiencies)
2022-12-16
1 health deficiencies · 0 fire-safety deficiencies
Top issue: Quality of Life and Care (1 deficiency)

4

Nursing time per resident, per day

Each resident here gets about 3 h 54 min of nursing staff time a day, 34 min of it from a registered nurse.

This home

3 h 54 min

Pennsylvania average

3 h 54 min

U.S. average

3 h 54 min

Registered nurse
Licensed practical nurse
Nurse aide

Turnover: 28% of nursing staff and 20% 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

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 days0.4 pts better	1.1	1.5	1.8
Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better	0.4	1.1	1.7
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine2.3 pts better	90.1%	87.8%	93.7%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine4.4 pts worse	89.3%	93.7%	95.3%
Percentage of long-stay residents experiencing one or more falls with major injury1 pts better	2.1%	3.1%	3.2%
Percentage of long-stay residents who have depressive symptoms29.7 pts worse	43.5%	13.8%	13.5%
Percentage of long-stay residents who lose too much weight3.7 pts worse	9.7%	6.0%	5.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication3.4 pts better	16.7%	20.1%	19.5%
Percentage of long-stay residents who received an antipsychotic medication1.7 pts better	15.9%	17.6%	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 worsened1.6 pts worse	17.0%	15.4%	12.7%
Percentage of long-stay residents whose need for help with daily activities has increased1.8 pts better	14.6%	16.4%	13.5%
Percentage of long-stay residents with a catheter inserted and left in their bladder0.6 pts better	0.0%	0.6%	0.7%
Percentage of long-stay residents with a urinary tract infection0.7 pts better	0.7%	1.4%	1.5%
Percentage of long-stay residents with new or worsened bowel or bladder incontinence1.6 pts worse	26.6%	25.0%	18.3%
Percentage of long-stay residents with pressure ulcers2.8 pts better	1.9%	4.7%	4.5%
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine8.9 pts better	79.7%	70.8%	82.3%
Percentage of short-stay residents who had an outpatient emergency department visit0.1 pts worse	9.6%	9.5%	11.8%
Percentage of short-stay residents who newly received an antipsychotic medication0.3 pts worse	1.7%	1.4%	1.5%
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine15.8 pts worse	55.1%	70.9%	80.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission2.6 pts worse	24.6%	22.0%	23.4%

·

Who owns and runs it

31 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
Alpine Valley Holdco LLC	5% Or Greater Direct Ownership Interest · Organization	100%	1 facilities
Fry, Beverly	Managing Control - Governing Body · Individual	0%	4 facilities
Fry, Beverly	Adp Of The SNF · Individual	0%	4 facilities
Harman, Dina	Managing Control - Governing Body · Individual	0%	35 facilities
Harman, Dina	Adp Of The SNF · Individual	0%	35 facilities
Hay, Howard	Managing Control - Governing Body · Individual	0%	1 facilities
Hay, Howard	Operational/Managerial Control · Individual	0%	1 facilities
Hay, Howard	Adp Of The SNF · Individual	0%	1 facilities
Lebanon Valley Property LLC	Adp Of The SNF · Organization	0%	1 facilities
Levovitz, Tzvi	Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual	0%	43 facilities
Live Well Plus LLC	Operational/Managerial Control · Organization	0%	9 facilities
Live Well Plus LLC	Adp Of The SNF · Organization	0%	9 facilities
Nfr 2020 Irrv Tr	Adp Of The SNF · Organization	0%	76 facilities
Patel, Nisarg	Operational/Managerial Control · Individual	0%	1 facilities
Patel, Nisarg	Adp Of The SNF · Individual	0%	1 facilities
Patel, Purvi	Adp Of The SNF · Individual	0%	2 facilities
Popular Bank	5% Or Greater Mortgage Interest · Organization	0%	9 facilities
Posen, Mindee	Operational/Managerial Control · Individual	0%	88 facilities
Quinto Nexgen LLC	Adp Of The SNF · Organization	0%	50 facilities
Reliant Pro Rehab LLC	Operational/Managerial Control · Organization	0%	77 facilities
Reliant Pro Rehab LLC	Adp Of The SNF · Organization	0%	77 facilities
Rokowsky, Yitzchok	Individual Is An Owner, Partner Or Trustee Of Any Adp Of The SNF · Individual	0%	50 facilities
Rsbrmk Holdings LLC	Adp Of The SNF · Organization	0%	74 facilities
Sk Nexgen Tr	Adp Of The SNF · Organization	0%	51 facilities
Tryko Nexgen Holdings LLC	Adp Of The SNF · Organization	0%	50 facilities
Uak 2020 Irrv Tr	Adp Of The SNF · Organization	0%	74 facilities
Ukr Nexgen LLC	Adp Of The SNF · Organization	0%	51 facilities
Viroja, Yogesh	Managing Control - Governing Body · Individual	0%	63 facilities
Viroja, Yogesh	Adp Of The SNF · Individual	0%	63 facilities
Yk Nexgen Tr	Adp Of The SNF · Organization	0%	52 facilities
Yr Nexgen Tr	Adp Of The SNF · Organization	0%	52 facilities

·

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