★★★★★Overall Medicare rating
★★★★★Health inspections
★★★★★Staffing
★★★★★Quality measures
Medicare rates every nursing home from 1 to 5 stars. 5 is much above average, 1 is much below.
Findings, latest cycle14
Findings with harm or immediate jeopardy, 3 cycles0
Fines, 3 years$0
Beds45
Inspection findings
Inspectors recorded 34 findings in the last three inspection cycles.
Each entry below is a requirement that inspectors found the home did not meet on that date, in the regulator's own English wording.
| Inspection date | Area | Requirement the home did not meet (official wording, in English) | Severity | Corrected |
|---|---|---|---|---|
| Apr 4, 2025 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm isolated | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Food and nutrition | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. (F0801) | No harm, but a risk of harm isolated | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Pharmacy and medications | Ensure medication error rates are not 5 percent or greater. (F0759) | No harm, but a risk of harm pattern | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Pharmacy and medications | 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. (F0758) | No harm, but a risk of harm pattern | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Pharmacy and medications | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. (F0756) | No harm, but a risk of harm isolated | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Nursing and physician services | Post nurse staffing information every day. (F0732) | No harm, but a risk of harm isolated | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Quality of life and care | 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. (F0700) | No harm, but a risk of harm pattern | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Resident assessment and care planning | Ensure services provided by the nursing facility meet professional standards of quality. (F0658) | No harm, but a risk of harm isolated | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Resident assessment and care planning | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. (F0640) | No harm, but a risk of harm isolated | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Resident rights | Ensure that residents are fully informed and understand their health status, care and treatments. (F0552) | No harm, but a risk of harm isolated | Corrected: Apr 26, 2025 |
| Apr 4, 2025 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Apr 26, 2025 |
| Jan 12, 2024 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Building and environment | Keep all essential equipment working safely. (F0908) | No harm, but a risk of harm widespread | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm pattern | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm pattern | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Pharmacy and medications | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (F0755) | No harm, but a risk of harm pattern | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Quality of life and care | 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. (F0700) | No harm, but a risk of harm pattern | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Quality of life and care | Provide safe and appropriate respiratory care for a resident when needed. (F0695) | No harm, but a risk of harm isolated | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Quality of life and care | Provide appropriate treatment and care according to orders, resident’s preferences and goals. (F0684) | No harm, but a risk of harm isolated | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Resident assessment and care planning | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (F0656) | No harm, but a risk of harm isolated | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Resident assessment and care planning | PASARR screening for Mental disorders or Intellectual Disabilities (F0645) | No harm, but a risk of harm isolated | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Abuse, neglect and exploitation | Develop and implement policies and procedures to prevent abuse, neglect, and theft. (F0607) | No harm, but a risk of harm isolated · from a complaint | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Resident rights | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. (F0584) | No harm, but a risk of harm pattern | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Resident rights | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (F0578) | No harm, but a risk of harm isolated | Corrected: Feb 11, 2024 |
| Jan 12, 2024 | Resident rights | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (F0550) | No harm, but a risk of harm isolated | Corrected: Feb 11, 2024 |
| Dec 5, 2022 | Building and environment | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. (F0912) | No harm, minimal risk pattern | Corrected: Dec 27, 2022 |
| Dec 5, 2022 | Infection control | Provide and implement an infection prevention and control program. (F0880) | No harm, but a risk of harm isolated | Corrected: Jan 4, 2023 |
| Dec 5, 2022 | Administration | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (F0851) | No harm, but a risk of harm isolated | Corrected: Jan 4, 2023 |
| Dec 5, 2022 | Food and nutrition | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (F0812) | No harm, but a risk of harm pattern | Corrected: Jan 4, 2023 |
| Dec 5, 2022 | Pharmacy and medications | 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. (F0761) | No harm, but a risk of harm isolated | Corrected: Jan 4, 2023 |
Fines and payment denials
No federal fines or payment denials in the last three years.
Staffing
| Nurse staff hours per resident per day | 4.37 | California median: 4.27 |
| Registered nurse hours per resident per day | 0.72 | California median: 0.52 |
| Nurse staff hours on weekends | 3.76 | California median: 3.85 |
| Nursing staff who left within a year | 53.7% | California median: 36.0% |
About this home
| Beds | 45 |
| Residents per day, average | 40.2 |
| Ownership | For-profit, limited liability company |
| Legal business name | Alpine Lake Holdings LLC |
| Chain | Links Healthcare Group (32 homes) |
| In Medicare/Medicaid since | Jan 22, 2007 |
Questions to ask when you call
- What was corrected after the last inspection?
- How many staff work at night and on weekends?
- Does anyone on staff speak my relative's language?
- May I visit at any time, without an appointment?
Source. Medicare Care Compare (CMS Provider Data), data dated Oct 1, 2026. Open this home on Medicare.gov
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