Alpine Care of Zion
2534 Elim Avenue · Zion, IL · 60099 · 8477468435
244 certified beds For profit - Limited Liability company
Why this verdict
- Federal penalties on record: $42,962 in fines in the last 24 months.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Medicare/Medicaid payments were denied
CMS refused payment for new admissions for a period — one of its strongest enforcement tools.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 3 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.34 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.65 | 0.55–0.75 |
| Weekend hours / resident-day | 3.13 | ≈ weekday level |
| Nursing turnover / year | 50% | median 45% |
| Fines (3-yr window) | 3 · $72,394 |
Inspection citations (45 in the current record)
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Potential for harm · D April 13, 2026 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 19, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D March 27, 2026 · found via complaint
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected March 30, 2026 · Quality of Life and Care
-
Potential for harm · D March 27, 2026 · found via complaint
Provide and implement an infection prevention and control program.
Corrected March 30, 2026 · Infection Control
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Potential for harm · D December 5, 2025 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected December 8, 2025 · Quality of Life and Care
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Potential for harm · E November 14, 2025 · found via complaint
Provide and implement an infection prevention and control program.
Corrected November 15, 2025 · Infection Control
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Potential for harm · D September 22, 2025 · found via complaint
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Corrected October 1, 2025 · Resident Rights
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Potential for harm · D August 13, 2025
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected August 14, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 13, 2025
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected August 14, 2025 · Quality of Life and Care
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Potential for harm · E August 13, 2025
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.
Corrected August 14, 2025 · Pharmacy Service
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Potential for harm · D August 13, 2025
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Corrected August 14, 2025 · Nutrition and Dietary
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Potential for harm · D August 13, 2025
Provide and implement an infection prevention and control program.
Corrected August 14, 2025 · Infection Control
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Actual harm · G August 8, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 9, 2025 · Quality of Life and Care
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Potential for harm · D December 17, 2024 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected December 18, 2024 · Resident Rights
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Immediate jeopardy · J August 5, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 6, 2024 · Quality of Life and Care
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Potential for harm · D July 19, 2024
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected July 23, 2024 · Resident Rights
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Potential for harm · E July 19, 2024
Honor the resident's right to organize and participate in resident/family groups in the facility.
Corrected July 23, 2024 · Resident Rights
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Potential for harm · D July 19, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 6, 2024 · Quality of Life and Care
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Potential for harm · D July 19, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 23, 2024 · Quality of Life and Care
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Potential for harm · D July 19, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 23, 2024 · Quality of Life and Care
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Potential for harm · D July 19, 2024
Provide enough food/fluids to maintain a resident's health.
Corrected July 23, 2024 · Quality of Life and Care
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Potential for harm · D July 19, 2024
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected July 23, 2024 · Quality of Life and Care
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Potential for harm · D July 19, 2024
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected July 23, 2024 · Pharmacy Service
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Potential for harm · D July 19, 2024
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.
Corrected July 23, 2024 · Nutrition and Dietary
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Potential for harm · E July 19, 2024
Provide and implement an infection prevention and control program.
Corrected July 23, 2024 · Infection Control
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Potential for harm · D July 15, 2024 · found via complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected July 20, 2024 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| September 5, 2025 | Payment Denial | 53 days |
| August 8, 2025 | Fine | $12,948 |
| July 15, 2024 | Fine | $30,014 |
| September 27, 2023 | Fine | $29,432 |
| September 27, 2023 | Payment Denial | 7 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145665 · certified since December 1, 1989. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.