Average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Altercare Of Alliance Ctr For Rehab & Nc Inc during CMS and state inspections, most recent first.
A resident with multiple medical conditions expired in the facility, and their personal funds totaling $92.51 were not disbursed to their estate within the required 30-day period. Staff interviews confirmed the funds remained undisbursed and that no specific policy existed for handling resident funds.
A resident with multiple health conditions experienced a significant drop in oxygen saturation, but neither the physician, nurse practitioner, nor family were notified as required by facility policy. Documentation and interviews confirmed that staff did not communicate the change in condition, and there was no record of notification in the medical file.
Two residents with chronic respiratory conditions were found with uncovered nebulizer masks left on their bedside tables, contrary to facility policy and NIH guidance requiring masks to be cleaned and stored in labeled plastic bags. Both an LPN and a CNA confirmed the masks should have been covered to prevent cross contamination.
Two residents received additional doses of oxycodone outside of physician orders, and an LPN failed to follow policy for wasting unused narcotics, often doing so without a witness. Despite multiple nurses being present, the LPN did not ensure proper documentation or adherence to controlled medication disposal protocols, resulting in inaccurate accounting and administration of opioid medications.
A resident reported receiving the wrong medication, cetirizine instead of tramadol, to an RN, but the incident was not reported to the DON or Administrator, nor investigated. The facility's policy requires immediate reporting and investigation of such allegations, which was not followed.
A resident reported receiving the wrong medication, cetirizine instead of tramadol, for pain management. The resident informed an RN, who failed to report the incident to the DON or initiate an investigation, as required by facility policy. Consequently, the incident was not reported to the state survey agency, resulting in a deficiency under Complaint Number OH00155160.
Failure to Timely Disburse Deceased Resident's Funds
Penalty
Summary
The facility failed to ensure that a deceased resident's personal funds were disbursed to the resident's estate within the required 30-day period. Review of the medical record showed that the resident, who had diagnoses including dysphagia, weakness, cerebral infarction, dementia without behavioral disturbance, and anemia, expired in the facility. The resident's fund statement indicated an ending balance of $92.51, which remained undisbursed as of the time of the survey. Interviews with facility staff confirmed that the corporate office was responsible for disbursing these funds, but the process had not been completed, and there was no facility policy specific to resident funds. This deficiency was identified through record review and staff interviews.
Failure to Notify Physician and Family of Resident's Declining Oxygen Levels
Penalty
Summary
The facility failed to notify the physician, nurse practitioner, and family of a resident's significant change in condition, specifically a marked decline in oxygen saturation levels. The resident, who had a history of cognitive communication deficit, COPD, traumatic amputation, hypertension, and dementia, was admitted with respiratory issues requiring oxygen therapy and close monitoring. According to the baseline care plan, staff were instructed to report any respiratory changes, including low oxygen saturation, to the physician or nurse practitioner. Despite this, documentation showed that from the morning through the evening of a specific day, the resident's oxygen saturation dropped to as low as 78-79 percent, well below the threshold identified by the Director of Nursing for physician notification. There was no evidence in the medical record that the physician, nurse practitioner, or family were informed of these critical changes. Interviews with the nurse practitioner and the resident's power of attorney confirmed they were not notified of the resident's declining oxygen levels. The Director of Nursing also confirmed that there was no documentation of notification and stated that such a change should have prompted immediate communication with the medical provider and family, as outlined in facility policy. The facility's policy required immediate consultation and documentation when a resident experienced a significant change in condition, which was not followed in this case.
Failure to Properly Store Nebulizer Masks to Prevent Cross Contamination
Penalty
Summary
The facility failed to ensure that reusable nebulizer masks for two residents were properly bagged and stored to prevent potential cross contamination. For one resident with chronic obstructive pulmonary disease, congestive heart failure, and chronic respiratory failure, observations revealed the nebulizer mask was left uncovered on the bedside table on multiple occasions. Both a Licensed Practical Nurse and a Certified Nursing Assistant confirmed that the mask should have been covered when not in use, in accordance with facility policy and National Institute of Health guidance. Similarly, another resident with chronic respiratory failure, major depressive disorder, and Alzheimer's disease was observed with an uncovered nebulizer mask placed on top of a baseball cap on the bedside table. The LPN confirmed the mask should have been covered to prevent cross contamination. Facility policy and NIH guidance both require that nebulizer parts be cleaned and stored in a clean, labeled plastic bag after use, but this procedure was not followed for these residents.
Failure to Accurately Account for and Administer Opioid Medications
Penalty
Summary
The facility failed to ensure accurate accounting and administration of opioid medications for two residents, resulting in a deficiency related to pharmaceutical services. One resident, who was cognitively intact and had diagnoses including chronic pain and depression, had a physician order for scheduled oxycodone doses. However, the medical record review revealed that this resident received additional doses of oxycodone on multiple occasions outside of the prescribed schedule. The LPN involved admitted to administering pain medication when the resident was in pain, mistakenly believing there was an as-needed order, and also failed to follow policy for wasting unused narcotics, sometimes doing so without a witness. Another resident, who had severe cognitive impairment and was prescribed scheduled oxycodone, also received extra doses not ordered by the physician. Documentation showed that on several dates, more tablets were removed and administered than prescribed, and doses were given at times not ordered. The LPN reported that family requests sometimes led to medication being withheld and then wasted, again without a witness, and was unsure about the circumstances of some extra doses, attributing them to possible accidental loss of medication. Interviews and record reviews confirmed that the LPN did not follow facility policy regarding the administration and destruction of controlled substances, including the requirement for two licensed nurses to witness the destruction of unused narcotics. Staffing records indicated that multiple nurses were present in the building during the relevant period, contradicting the LPN's claim of being unable to find a witness. The facility's policy required proper documentation and witnessing for the disposal of controlled medications, which was not followed in these cases.
Failure to Report Medication Misappropriation
Penalty
Summary
The facility failed to report an allegation of medication misappropriation involving a resident to the Administrator and the state survey agency. The resident, who had been admitted with diagnoses including cervical radiculopathy, spinal stenosis, and chronic pain, was prescribed tramadol for pain management. However, the resident reported receiving cetirizine, an allergy medication, instead of the prescribed tramadol. The resident informed the Assistant Director of Nursing, RN #121, about the incident, but the concern was not reported to the Director of Nursing or the Administrator, nor was it investigated. Interviews with the Director of Nursing and the Administrator revealed they were unaware of the medication misappropriation allegation. The facility's policy requires all allegations of misappropriation to be reported immediately to the Administrator and investigated, which was not followed in this case. The facility's self-reported incidents showed no evidence of reporting the allegation to the state survey agency, indicating a failure to comply with the policy and regulatory requirements.
Failure to Investigate Medication Misappropriation
Penalty
Summary
The facility failed to investigate an allegation of medication misappropriation involving a resident who was prescribed tramadol for pain management. The resident, who had diagnoses including cervical radiculopathy, spinal stenosis, and chronic pain, reported receiving a cetirizine tablet instead of the prescribed tramadol. The resident informed the Assistant Director of Nursing, RN #121, about the incident and provided the pill for identification. However, RN #121 did not report the incident to the Director of Nursing or any other authority, as the Director was on vacation at the time. As a result, no investigation was initiated, and the incident was not reported to the state survey agency. Interviews with the Director of Nursing and the Administrator confirmed their lack of awareness regarding the incident and the failure to follow the facility's policy on investigating allegations of misappropriation. The facility's policy, dated 2016, mandates the investigation of all allegations of abuse, mistreatment, neglect, and misappropriation of resident property. This deficiency was identified under Complaint Number OH00155160.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Alliance
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Roselawn Gardens Nursing & Rehabilitation | 0.2 mi | ★★★★★ | 0 | 0 |
| Mccrea Manor Nsng And Rehab Ctr Llc | 1.9 mi | ★★★★★ | 15 | 0 |
| Canterbury Villa Of Alliance | 2.9 mi | ★★★★★ | 3 | 0 |
| Bel Air Care Center | 2.9 mi | ★★★★★ | 0 | 0 |
| Green Meadows Skilled Nursing And Rehab | 5.7 mi | ★★★★★ | 6 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.