Altercare of Alliance Ctr for Rehab & Nc Inc
11750 Klinger Avenue Ne, Alliance, OH 44601 · Stark County · (330) 823-8263
96 certified beds, about 68 residents a day · For profit - Corporation · Medicare and Medicaid since 1978
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 365402 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 3, 2025, inspectors cited 4 health deficiencies (the Ohio average is 10.5, the national average 9.2).
None of its 26 health citations since October 2019 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 3.85 hours per resident per day, against 3.69 across Ohio and 3.86 nationally. Registered nurses accounted for 0.58 of those hours.
55.4% of nursing staff left within the year CMS measured (Ohio average 48.7%).
CMS links it to Altercare, an affiliated group of 22 nursing homes.
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
310/19
1510/22
110/23
103/24
207/24
404/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 26 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
20D
3E
3F
Potential for minimal harm
0A
0B
0C
April 3, 2025Standard inspection · 4 citations
- D Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.
Inspectors wroteBased on interview and record review, the facility failed to ensure resident funds were disbursed to the resident's estate within 30 days as required. This affected one (Resident #79) of six residents reviewed for personal funds. The facility census was 73.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on interview, record review, and facility policy, the facility failed to ensure the physician and/or nurse practitioner and family of Resident #78 were notified of a change in condition. This affected one resident (#78) out of 20 residents reviewed for notification of change in condition. The facility census was 73.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, record review, interview, facility policy review, and review of the National Institute of Health guidance, the facility failed to ensure reusable resident nebulizer masks were bagged to prevent the potential for cross contamination of the nebulizer mask. This affected two (Residents #3 and #46) of three residents (Residents #3, #17 and #46) reviewed for respiratory therapy. The facility census was 73.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NON-COMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on record review and interview, the facility failed to ensure an accurate accounting and administration of opioid medications. This affected two (Residents #25 and #58) of two residents identified during review of a Self-Reported Incident (SRI) investigation.
July 22, 2024Complaint inspection · 2 citations
- D Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Inspectors wroteBased on medical record review, facility self reported incident review, interview and policy review the facility failed to report an allegation of medication misappropriation to the Administrator and state survey agency. This affected one (Resident #18) of three residents reviewed for misappropriation. The facility census was 85.
- D Respond appropriately to all alleged violations.
Inspectors wroteBased on medical record review, facility self reported incident review, interview and policy review the facility failed to investigate an allegation of medication misappropriation. This affected one (Resident #18) of three residents reviewed for misappropriation. The facility census was 85.
March 14, 2024Complaint inspection · 1 citation
- F Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Inspectors wroteTHE FOLLOWING DEFICIENCY REPRESENTS AN INCIDENT OF PAST NONCOMPLIANCE THAT WAS SUBSEQUENTLY CORRECTED PRIOR TO THIS SURVEY. Based on review of the facility Payroll Based Journal (PBJ) submission data and staff interview, the facility failed to ensure submission of the Payroll Based Journal data as required. This had the potential to affect all 85 residents residing in the facility.
October 27, 2023Complaint inspection · 1 citation
- E 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.
Inspectors wroteBased on observation, interview, record review, and facility policy review the facility failed to store medications properly for Residents #5, #20, #22, and #55 in the medication cart on the South and Speret units. This affected four residents (#5, #20, #22, and #55) of 12 residents (#4, #5, #8, #20, #22, #23, #24, #26, #32, #55, #64, and #69) the South and Speret units who receive narcotic medications. The facility census was 72.
October 27, 2022Standard inspection · 15 citations
- F 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.
Inspectors wroteBased on observation, interview, review of temperature logs, and policy review the facility failed to ensure medications were stored wth proper temperature controls. This had the potential to affect all residents residing in the facility.
- F Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on observation, review of menus, and interview, the facility failed to ensure the appropriate amount of food was served in accordance with menus. This had the potential to affect 72 (Residents #1, #2, #3, #4, #5, #6, #7, #8, #11, #12, #13, #14, #15, #16, #17, #18, #19, #20, #21, #22, #23, #24, #25, #27, #28, #29, #30, #31, #32, #33, #34, #35, #37, #38, #39, #40, #41, #42, #44, #45, #46, #47, #48, #49, #51, #52, #53, #54, #55, #56, #57, #58, #59, #60, #61, #62, #63, #64, #65, #66, #67, #68, #69, #70, #71, #72, #73, #127, #277, #329, #330, #331) of 79 residents who had orders for regular or mechanical soft texture. The census was 79.
- E Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Inspectors wroteBased on medical record review, staffing document review, review of resident council notes, observation, and interviews the facility failed to ensure adequate staffing levels to meet the resident's needs. This affected Residents #2, #31, #55, #59, #65 and had the potential to affect all residents residing in the facility. The facility census was 79.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on medical record review and staff interview, the facility failed to provide resident representative notification after a significant weight loss was found. This affected one (Resident #44) of four residents reviewed for nutritional services. The facility census was 78.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on medical record review and interview, the facility failed to provide written notification of reasons for transfers to the hospital. This affected one (Resident #59) of three residents reviewed for hospitalization.
- D Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Inspectors wroteBased on medical record review, review of bed hold notices, and interview, the facility failed to provide required bed hold notices in a timely manner. This affected one (Resident #59) of three residents reviewed for hospitalization.
- D Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Inspectors wroteBased on medical record review and interview, the facility failed to ensure comprehensive assessments were completed a minimum of annually. This affected one (Resident #36) of 21 residents reviewed for assessments. The census was 79.
- D Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Inspectors wroteBased on medical record review, review of therapy notes, observations, and interviews the facility failed to ensure the resident had a plan of care for contracture and failed to ensure the resident performed independent range of motion (ROM) exercises to prevent decline and maintain function of the contractures. This affected one (Resident #55) of two residents reviewed for position/mobility.
- D Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Inspectors wroteBased on medical record review and interview the facility failed to ensure urinary output levels were monitored per orders. This affected one (Resident #65) of one resident reviewed for hydration.
- D Provide for the safe, appropriate administration of IV fluids for a resident when needed.
Inspectors wroteBased on medical record review, observation, and interview the facility failed to ensure intravenous (IV) fluids were administered per orders. This affected one (Resident #65) of one resident reviewed for hydration.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on medical record review, staff interview, and policy review, the facility failed to provide evidence of ongoing communication with the dialysis provider regarding dialysis care and services. This affected one (Resident #64) of one resident reviewed for dialysis care. The facility identified one resident receiving dialysis services.
- D Provide timely, quality laboratory services/tests to meet the needs of residents.
Inspectors wroteBased on medical record review, observation, and interview the facility failed to ensure stat laboratory tests were performed timely. This affected one (Resident #65) of two residents reviewed for infection.
- D Provide or obtain dental services for each resident.
Inspectors wroteBased on medical record review and interview, the facility failed to provide timely extraction of teeth for one (Resident #59) of two residents reviewed for dental status.
- D Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Inspectors wroteBased on medical record review and interview the facility failed to ensure new orders were written, medication documented on the medication administration records, and ensure nurses did not sign the Nurse Practitioner name on new orders. This affected one (Resident #65) of two residents reviewed for infections.
- D Implement a program that monitors antibiotic use.
Inspectors wroteBased on medical record review, observation, and interview the facility failed to ensure ordered antibiotics met criteria prior to administration. This affected one (Resident #65) of two residents reviewed for infection.
October 24, 2019Standard inspection · 3 citations
- E Ensure each resident receives an accurate assessment.
Inspectors wrote3. Review of Resident #90's medical record revealed an admission date of [DATE] with admission diagnoses of bladder cancer, myocardial infarction and congestive heart failure. Resident #90 was discharged to home on [DATE]. Further review of the medical record found no evidence of hospital readmission during admission to the facility. Review of the MDS 3.0 discharge assessment completed on [DATE] indicated Resident #90 was discharged to an acute hospital. On [DATE] at 3:55 P.M. interview with RN #300 verified the MDS 3.0 assessment for Resident #90 was incorrectly coded as the resident being discharged to an acute hospital when the discharge location was home. 4. Review of Resident #1's medical record revealed an admission date of [DATE]. Further review of the medical record revealed Resident #1 expired in the facility on [DATE]. [...]
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, medical record review, review of Material Safety Data sheets (MSDS) and interview the facility failed to supervise the whereabouts of a resident on the dementia unit resulting in Resident #29 being located in a storage room unsupervised. This affected one resident (#29) of 22 residents residing on the unit.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, policy review, manufacturer guidelines review and interview the facility failed to maintain adequate infection control practices related to the use of a shared glucometer to prevent the spread of infection. This had the potential to affect four residents (#34, #57, #58 and #89) of four residents identified to be diabetic and who could use glucometer testing on the 211-222 rooms medication cart.
Fire safety inspections
5 fire safety citations on file: 3 on April 3, 2025, 2 on October 27, 2022.
Every fire safety citation5 citations
- F Meet other general requirements that are deficient.
- E Have exits that are accessible at all times.
- E To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Ohio | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.85 | 3.69 | 3.86 |
| Registered nurses | 0.58 | 0.64 | 0.69 |
| All nursing staff on weekends | 3.33 | 3.28 | 3.42 |
| Nurse aides | 2.38 | ||
| Licensed practical nurses | 0.89 | ||
| Nursing staff turnover (share who left in a year) | 55.4% | 48.7% | 45.8% |
| Registered nurse turnover | 50.0% | 43.9% | 42.9% |
| Administrators who left | 1 |
CMS expects 5.23 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 4.07 on weekdays and 3.33 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.4% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.76 in April to June 2025 to 3.85 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.85 | 0.58 | 4.07 | 3.33 | 2.4% | 0 of 90 | 68 |
| Oct to Dec 2025 | 3.91 | 0.52 | 4.13 | 3.37 | 2.0% | 0 of 92 | 66 |
| Jul to Sep 2025 | 3.78 | 0.52 | 3.94 | 3.36 | 2.6% | 0 of 92 | 66 |
| Apr to Jun 2025 | 3.76 | 0.45 | 3.93 | 3.35 | 3.4% | 0 of 91 | 73 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Ohio, Jan to Mar 2026 | 3.64 | 0.60 | 3.80 | 3.24 | 4.6% | 0.4% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Ohio | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 4.6 | 5.3 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.2 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.0 | 0.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 3.2 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 2.4 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 5.2 | 6.1 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 5.9 | 3.4 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 2.3 | 8.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 14.9 | 24.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 8.7 | 12.9 | 12.0 |
Owners and operators
Legal business name: ALTERCARE OF ALLIANCE CENTER FOR REHABILITATION AND NURSING CARE, INC.. CMS links this home to Altercare, a group of 22 nursing homes averaging 3.3 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Tsg Nursing Centers, Inc | 5% or greater direct ownership interest | Organization | 100% | 12/13/2002 |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Andrew M Schroer | 5% or greater indirect ownership interest | Organization | 12/15/2015 | |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Gerald F Schroer Jr | 5% or greater indirect ownership interest | Organization | 12/15/2015 | |
| Gerald F Schroer Dynasty Tr Ua 12312009 Fbo Matthew Schroer | 5% or greater indirect ownership interest | Organization | 12/15/2015 | |
| Gerald F Schroer Dynasty Tr Ua 12312009 Margaret S Goodman | 5% or greater indirect ownership interest | Organization | 12/15/2015 | |
| Susanne Schroer Dynasty Trust U/a | 5% or greater indirect ownership interest | Organization | 12/15/2009 | |
| The Schroer Group, Inc. | 5% or greater indirect ownership interest | Organization | 10/01/2001 | |
| Mock, Douglas | W-2 managing employee | Individual | 09/20/2021 | |
| Mock, Douglas | Corporate director | Individual | 09/20/2021 | |
| Film, George | Corporate officer | Individual | 06/01/2018 | |
| Goodman, John | Corporate officer | Individual | 01/01/2003 | |
| Johnson, Kathy | Corporate officer | Individual | 01/01/2010 | |
| Mock, Douglas | Corporate officer | Individual | 09/20/2021 | |
| Nutter, Orian | Corporate officer | Individual | 10/01/2020 | |
| Altercare of Ohio, Inc | Operational/managerial control | Organization | 10/01/2001 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 7 problems in this area, most recently on April 3, 2025: "Provide safe and appropriate respiratory care for a resident when needed."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on April 3, 2025: "Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 3 problems in this area, most recently on April 3, 2025: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on October 27, 2022: "Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Roselawn Gardens Nursing & Rehabilitation Alliance, 0.2 mi · 5 of 5 stars · 18 citations
- McCrea Manor Nsng and Rehab Ctr LLC Alliance, 1.9 mi · 2 of 5 stars · 31 citations
- Canterbury Villa of Alliance Alliance, 2.9 mi · 4 of 5 stars · 24 citations
- Bel Air Care Center Alliance, 2.9 mi · 4 of 5 stars · 14 citations
- Green Meadows Skilled Nursing and Rehab Louisville, 5.7 mi · 2 of 5 stars · 51 citations
- Crandall Nursing Home Sebring, 5.9 mi · 4 of 5 stars · 12 citations
- Louisville Gardens Care Center Louisville, 7.7 mi · 2 of 5 stars · 53 citations
- Altercare of Louisville Ctr for Rehab & Nsg Care Louisville, 8.2 mi · 3 of 5 stars · 36 citations
Ohio contacts for a concern about a nursing home
These are the official offices in Ohio. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Ohio Department of Health, Nursing Homes and Facilities, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Ohio Office of the State Long-Term Care Ombudsman, 1-800-282-1206. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: Ohio Long-Term Care Quality Navigator (Ohio Department of Aging), where Ohio publishes its own records on licensed homes.
Common questions
- What is Altercare of Alliance Ctr for Rehab & Nc Inc's Medicare star rating?
- CMS rates Altercare of Alliance Ctr for Rehab & Nc Inc 3 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Altercare of Alliance Ctr for Rehab & Nc Inc get at its last inspection?
- 4 health deficiencies at the standard inspection on April 3, 2025. The Ohio average is 10.5.
- Has Altercare of Alliance Ctr for Rehab & Nc Inc been fined?
- CMS lists no fines in the last three years.
- Does Altercare of Alliance Ctr for Rehab & Nc Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Altercare of Alliance Ctr for Rehab & Nc Inc?
- CMS lists 15 owners and managers, and links the home to Altercare. Legal business name: ALTERCARE OF ALLIANCE CENTER FOR REHABILITATION AND NURSING CARE, INC..
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.