Nursing home in Little Falls, Herkimer County
Alpine Rehabilitation and Nursing Center
755 E Monroe Street, Little Falls, NY 13365 · (315) 823-0973
Alpine Rehabilitation and Nursing Center is a 80-bed for-profit nursing home in Little Falls, Herkimer County. It is one of 4 certified nursing homes in Herkimer County. Medicare rates it 3 out of 5 stars overall (3 for health inspections, 4 for staffing and 3 for quality measures). That overall rating is above the Herkimer County average of 1.8 stars. Inspectors issued 21 health citations across 3 inspections in the current federal reporting period. CMS lists no federal fines or payment denials for the facility in the past three years. Residents receive about 3.5 hours of total nursing care per day on average, and nursing staff turnover is 52%.
Medicare star ratings
Overall Medicare rating
3 / 5
Medicare's summary rating combining inspections, staffing and quality measures.
Health inspection rating
3 / 5
Based on findings from state health inspections and complaint investigations.
Staffing rating
4 / 5
Based on reported nurse and aide staffing hours per resident.
Quality measures rating
3 / 5
Based on resident outcomes such as falls, pressure ulcers and hospitalizations.
Staffing
- Total nurse hours per resident per day
- 3.45
- RN hours per resident per day
- 0.48
- Nursing staff turnover
- 52.4%
- RN turnover
- 33.3%
Staffing hours are self-reported payroll data published by CMS. Ask the facility about current staffing, including weekends.
Facility facts
- Address
- 755 E Monroe Street, Little Falls, NY 13365
- County
- Herkimer
- Phone
- (315) 823-0973
- Certified beds
- 80
- Average residents per day
- 76
- Ownership type
- For profit - Limited Liability company
- Legal business name
- Palffy Group LLC
- Chain affiliation
- Personal Healthcare Management (21 facilities)
- In Medicare/Medicaid since
- 1977
- CMS Certification Number (CCN)
- 335586
- Most recent standard inspection
- April 3, 2026
Location and getting there
Alpine Rehabilitation and Nursing Center is located at 755 E Monroe Street in Little Falls, Herkimer County, in the Mohawk Valley (ZIP 13365). Distances are straight-line estimates; confirm travel routes before visiting.
Open in Google MapsInspection record
- Inspections on record
- 3
- Total health citations
- 21
- Serious citations (harm or immediate jeopardy)
- 0
- Immediate jeopardy citations
- 0
Inspection history
| Inspection date | Type | Citations | Most serious finding | Official report |
|---|---|---|---|---|
| April 3, 2026 | Standard health inspection | 4 | Potential for harm (pattern) | View CMS report |
| May 3, 2024 | Standard health inspection | 10 | Potential for harm (pattern) | View CMS report |
| February 28, 2022 | Standard health inspection | 7 | Potential for harm (pattern) | View CMS report |
Federal penalties
No federal fines or payment denials are listed for this facility in the CMS penalty data we compiled. Penalties are only one indicator; review the inspection reports below for cited deficiencies.
Complaints to the New York State Department of Health
- Complaints received
- 94
- Complaints per 100 beds
- 129.9
- Statewide average per 100 beds
- 57.1
- On-site complaint inspections
- 7
NYS DOH complaint data through July 31, 2026.
Owners and managers reported to CMS
| Name | Role reported to CMS |
|---|---|
| Alexander Barth | Direct owner (5% or greater) — 15% (since 03/11/2008) |
| Ephraim Zagelbaum | Direct owner (5% or greater) — 49% (since 03/11/2008) |
| Yechiel Zagelbaum | Direct owner (5% or greater) — 21% (since 03/11/2008) |
| Ephraim Zagelbaum | Corporate director (since 03/11/2008) |
| Alexander Barth | Corporate officer (since 03/11/2008) |
| Jeffrey Amidon | Operational/managerial control (since 01/01/2020) |
| Deandra Macri | Operational/managerial control (since 06/17/2015) |
| Jeffrey Amidon | Administrator/director of the SNF (since 03/21/2025) |
| Alexander Barth | Administrator/director of the SNF (since 03/11/2008) |
| Deandra Macri | Administrator/director of the SNF (since 06/17/2015) |
| Israel Ostrovitsky | Administrator/director of the SNF (since 03/11/2008) |
Official reports and records
These links open official and independent records for CCN 335586. Read several inspections, not only the most recent, to see whether problems repeat.