CCN 335586 · Herkimer County, New York
Alpine Rehabilitation and Nursing Center
755 E Monroe Street, Little Falls, NY 13365
Alpine Rehabilitation and Nursing Center is a 80-bed for-profit nursing home in Little Falls, New York, first certified for Medicare or Medicaid in 1977. CMS rates it 3 out of 5 stars overall in its September 2026 data, and it averaged 75.8 residents a day, about 95% of its certified beds. It has an active FHA-insured Section 232 loan: $6.5 million originally, at 4.25%, with $6.1 million outstanding as of September 30, 2026 and maturity in August 2057.
Facility facts
- Certified beds
- 80
- Average residents per day
- 75.8 (94.8% of beds)
- Ownership type
- For profit - Limited Liability company
- Certification
- Medicare and Medicaid
- Legal business name
- Palffy Group LLC
- Certified since
- Mar 1, 1977
- Chain or affiliated group
- Personal Healthcare Management (21 facilities, chain average 2.9 stars)
- Location
- Urban
Ratings and staffing
Star ratings run from 1 to 5. Staffing is nurse hours per resident per day from CMS Payroll Based Journal data; turnover is the CMS annual nursing staff turnover rate. Occupancy is CMS's average daily census divided by certified beds.
| Measure | This facility | New York median | US median |
|---|---|---|---|
| Overall rating | 3 of 5 | State spread: 111 at 1, 130 at 2, 113 at 3, 100 at 4, 136 at 5 | |
| Health inspections | 3 of 5 | ||
| Quality measures | 3 of 5 | ||
| Staffing | 4 of 5 | ||
| Total nurse hours per resident per day | 3.45 | 3.49 | 3.68 |
| RN hours per resident per day | 0.48 | 0.58 | 0.58 |
| Weekend nurse hours per resident per day | 2.50 | ||
| Nursing staff turnover | 52.4% | 38.4% | 44.9% |
| Occupancy (residents / beds) | 94.8% | 94.1% | 85.7% |
| Fines reported by CMS | None | ||
| Health deficiencies, latest standard survey | 4 (Apr 3, 2026) | ||
HUD 223(f) Express Lane: the CMS part
HUD gives 223(f) applications queue priority when the facility has CMS overall and health inspection ratings of at least 2 stars and no abuse icon, among other tests (ORCF criteria of March 31, 2026). Alpine Rehabilitation and Nursing Center meets that part today: 3 stars overall, 3 on health inspections, no abuse icon. The loan-to-value, coverage and operator tests depend on the deal. All the criteria.
Who owns and operates it
These are the owners and operators the facility reported to CMS: anyone with a 5% or greater direct or indirect stake, and any organization with operational or managerial control.
| Name | Role | Share | Since |
|---|---|---|---|
| Barth, AlexanderIndividual | Direct Ownership Interest | 15% | 03/11/2008 |
| Zagelbaum, EphraimIndividual | Direct Ownership Interest | 49% | 03/11/2008 |
| Zagelbaum, YechielIndividual | Direct Ownership Interest | 21% | 03/11/2008 |
| Amidon, JeffreyIndividual | Operational / Managerial Control | n/a | 01/01/2020 |
| Macri, DeandraIndividual | Operational / Managerial Control | n/a | 06/17/2015 |
Changes of ownership
No change of ownership for this facility appears in the CMS change-of-ownership file, which starts in January 2016.
HUD Section 232 loans
HUD's Office of Healthcare Programs lists these FHA-insured loans for a project we matched to this facility by name, city and bed count. Status, rate and balance come from HUD's insured-mortgage files as of September 30, 2026. Check the FHA number against the loan documents before relying on the match.
| Endorsed | Program | Original amount | Status | FHA number |
|---|---|---|---|---|
| Jul 25, 2022 | 223(f) refinance or purchaseHUD project name: Alpine Rehabilitation and Nursing Center, 80 beds. Lender at endorsement: M and T Realty Capital Corporation | $6,490,700 | Active: 4.25%, $6,131,138 balanceMatures Aug 1, 2057. Servicer: M and T Realty Capital Corpora | 01422181 |
Sources and dates
Facility, rating, staffing and ownership data: CMS Provider Information and CMS Ownership, processing date September 2026. Private equity, REIT and mortgage-interest flags and changes of ownership: CMS Skilled Nursing Facility All Owners and Change of Ownership files (2026-10-01). FHA-insured loans: HUD Office of Healthcare Programs endorsement database, data run July 8, 2026. How we join them, and what the join can get wrong: methodology.
SNF Register is independent. It is not affiliated with or endorsed by CMS, HUD or FHA. Spotted an error? Write to hello@hudskillednursing.loan.