01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-05-21 | 11 | 2025-05-21 | 6 |
| Cycle 2 | 2022-08-29 | 11 | 2022-08-29 | 11 |
| Cycle 3 | 2019-08-28 | 28 | 2019-08-28 | 17 |
CMS CCN 3656012026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Alpine Nursing And Rehabilitation Center
164 Office Park Drive · Xenia, OH 45385 · Greene County
Certified beds99CMS provider file
Recent citation rows84current CMS citation release
Penalty rows1current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
84 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 21 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-08-05 · HEALTHF0602Severity D · isolated; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from the wrongful use of the resident's belongings or money.
Correction field: Past Non-Compliance · complaint2025-05-21 · HEALTHF0637Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Assess the resident when there is a significant change in condition
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0641Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0693Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0759Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0760Severity D · isolated; potential for more than minimal harm
Pharmacy Service Deficiencies
Ensure that residents are free from significant medication errors.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · HEALTHF0925Severity D · isolated; potential for more than minimal harm
Environmental Deficiencies
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · FIREK0324Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Provide properly protected cooking facilities.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · FIREK0345Severity F · widespread; potential for more than minimal harm
Smoke Deficiencies
Have approved installation, maintenance and testing program for fire alarm systems.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · FIREK0361Severity E · pattern; potential for more than minimal harm
Smoke Deficiencies
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · FIREK0712Severity F · widespread; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · FIREK0918Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have generator or other power source capable of supplying service within 10 seconds.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-05-21 · FIREK0923Severity F · widespread; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2025-06-132025-04-08 · HEALTHF0684Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Past Non-Compliance · 2025-04-02 · complaint2025-04-08 · HEALTHF0690Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint2025-04-08 · HEALTHF0804Severity D · isolated; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Correction field: Deficient, Provider has date of correction · 2025-04-28 · complaint2024-11-12 · HEALTHF0607Severity C · widespread; potential for minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Correction field: Deficient, Provider has date of correction · 2024-11-29 · complaint2024-11-12 · HEALTHF0880Severity D · isolated; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2024-11-29 · complaint2024-05-20 · HEALTHF0558Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Reasonably accommodate the needs and preferences of each resident.
Correction field: Deficient, Provider has date of correction · 2024-06-07 · complaint2024-05-20 · HEALTHF0921Severity E · pattern; potential for more than minimal harm
Environmental Deficiencies
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Correction field: Deficient, Provider has date of correction · 2024-06-07 · complaint03 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| 2025-04-08 | Fine | $28,130 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- S & T BANKOrganization · 5% OR GREATER MORTGAGE INTERESTNOT APPLICABLE · since 12/12/2017
- AUSCH, CHAIMIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/31/2024
- GELDZAHLER, YAAKOVIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/31/2024
- ZSEREBROWSKI, YECHEZKELIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 12/31/2024
- EMINENT CARE GROUP LLCOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2024
- AUSCH, CHAIMIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2024
- GELDZAHLER, YAAKOVIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2024
- MACK, LAURENIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2024
- SMITH, JAZMAINEIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2024
- ZSEREBROWSKI, YECHEZKELIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/31/2024
- ARMSTEAD PHARMACY PROVIDER SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/31/2024
- CARERITE SERVICES LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/31/2024
- EMINENT CARE GROUP LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/31/2024
- GREEN OAKS REALTY LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 08/11/2017
- HOWARD, WESHBALE & CO.Organization · ADP OF THE SNFNOT APPLICABLE · since 12/31/2024
- MED-NET COMPLIANCE LLCOrganization · ADP OF THE SNFNOT APPLICABLE · since 12/31/2024
- BAKER, REBECCAIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/31/2024
- BERNER, SUSANIndividual · ADP OF THE SNFNOT APPLICABLE · since 12/31/2024
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours3.50per resident day
RN hours0.60per resident day
Weekend nurse hours3.14per resident day
Staff turnover54.3%CMS reported field