Evanston, IL

Alpine Care of Evanston

4-star overall rating with 4-star inspections with $40,258 in total fines with 4 recent health deficiencies

500 Asbury Street, Evanston, IL

(847) 316-3320

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

3 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

124

Certified beds

Average residents

91

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Legacy Healthcare

Operator or chain grouping

Approved since

1967-01-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

90 facilities

Chain averages 3 overall / 3 health / 3 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.80

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.67

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.01

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.48

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.47

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.38

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.88

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.67

CMS adjusted RN staffing hours

Adjusted total hours

2.90

CMS adjusted total nurse staffing hours

Case-mix index

1.64

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

26%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

10,130

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

21.35

Composite VBP score used to determine payment impact.

Payment multiplier

0.9826

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 21.93% · Performance 24.27% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

0

Baseline 8.47% · Performance 9.90% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

8.54

Baseline 18.18% · Performance 28.77% · Measure score 8.54 · Achievement 8.54 · Improvement 0

Adjusted total nurse staffing

0

Baseline 2.74 hours · Performance 2.70 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.31%	10.72% 0.4 pts better	No Different than the National Rate · Eligible stays 86 · Observed rate 9.3% · Lower 95% interval 7.16%
Discharge to community	45.76%	50.57% 4.8 pts worse	No Different than the National Rate · Eligible stays 86 · Observed rate 37.21% · Lower 95% interval 35.44%
Medicare spending per beneficiary	1.57	1.02 0.6 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 53 · Denominator 53
Falls with major injury	1.89%	0.77% 1.1 pts worse	Numerator 1 · Denominator 53
Discharge self-care score	27.78%	53.69% 25.9 pts worse	Numerator 10 · Denominator 36
Discharge mobility score	27.78%	50.94% 23.2 pts worse	Numerator 10 · Denominator 36
Pressure ulcers or injuries, new or worsened	0%	2.29% 2.3 pts better	Numerator 0 · Denominator 53 · Adjusted rate 0%
Healthcare-associated infections requiring hospitalization	9.9%	7.12% 2.8 pts worse	No Different than the National Rate · Eligible stays 58 · Observed rate 17.24% · Lower 95% interval 6.21%
Staff COVID-19 vaccination coverage	1.1%	8.2% 7.1 pts worse	Numerator 1 · Denominator 91
Staff flu vaccination coverage	43.33%	42% 1.3 pts better	Numerator 39 · Denominator 90
Discharge function score	22.22%	56.45% 34.2 pts worse	Numerator 8 · Denominator 36
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	95.45%	96.28% 0.8 pts worse	Numerator 21 · Denominator 22
Resident COVID-19 vaccinations up to date	18.52%	25.2% 6.7 pts worse	Numerator 5 · Denominator 27

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.3	2.0 0.3 pts worse	1.9 0.4 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 1.8 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.8	2.3 0.5 pts better	1.8 About the same	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.6 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	66.1%	89.6% 23.5 pts worse	93.4% 27.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 71.4% · Q2 63.0% · Q3 66.7% · Q4 63.4% · 4Q avg 66.1%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	80.0%	91.6% 11.6 pts worse	95.5% 15.5 pts worse	Long Stay · 2024Q3-2025Q2 · 4Q avg 80.0%
Percentage of long-stay residents experiencing one or more falls with major injury	2.6%	3.3% 0.7 pts better	3.3% 0.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.2% · Q2 2.2% · Q3 4.6% · Q4 2.4% · 4Q avg 2.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	95.9%	50.3% 45.6 pts worse	11.4% 84.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 94.9% · Q2 94.0% · Q3 97.4% · Q4 97.4% · 4Q avg 95.9%
Percentage of long-stay residents who lose too much weight	14.1%	6.5% 7.6 pts worse	5.4% 8.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 15.7% · Q2 17.3% · Q3 13.6% · Q4 9.3% · 4Q avg 14.1%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	8.5%	18.5% 10 pts better	19.6% 11.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.5% · Q2 6.9% · Q3 8.5% · Q4 9.0% · 4Q avg 8.5%
Percentage of long-stay residents who received an antipsychotic medication	26.4%	22.8% 3.6 pts worse	16.7% 9.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 23.0% · Q2 21.0% · Q3 31.6% · Q4 30.9% · 4Q avg 26.4% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.8%	17.2% 10.4 pts better	16.3% 9.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 14.5% · Q2 5.5% · Q3 2.3% · Q4 5.1% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.9%	15.0% 9.1 pts better	14.9% 9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 8.2% · Q2 7.4% · Q3 5.1% · Q4 2.8% · 4Q avg 5.9% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.3%	1.1% 0.2 pts worse	1.0% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 1.1% · Q3 0.9% · Q4 2.3% · 4Q avg 1.3% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	1.2%	1.7% 0.5 pts better	1.7% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.4% · Q2 1.1% · Q3 0.0% · Q4 1.3% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	7.8%	21.3% 13.5 pts better	19.8% 12 pts better	Long Stay · 2024Q4-2025Q3 · Q1 6.6% · Q2 5.0% · Q3 9.2% · Q4 10.6% · 4Q avg 7.8%
Percentage of long-stay residents with pressure ulcers	6.3%	5.2% 1.1 pts worse	5.1% 1.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 6.3% · Q2 7.8% · Q3 5.5% · Q4 5.7% · 4Q avg 6.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	41.4%	68.8% 27.4 pts worse	81.7% 40.3 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 47.1% · Q2 41.3% · Q3 41.7% · Q4 35.4% · 4Q avg 41.4%
Percentage of short-stay residents who had an outpatient emergency department visit	16.0%	14.0% 2 pts worse	12.0% 4 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.0% · Observed 16.7% · Expected 11.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.3% 2.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	39.1%	63.0% 23.9 pts worse	79.7% 40.6 pts worse	Short Stay · 2024Q3-2025Q2 · 4Q avg 39.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	31.5%	26.2% 5.3 pts worse	23.9% 7.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 31.5% · Observed 31.8% · Expected 24.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-02-05 · Fire 2025-02-05

4 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2024-04-25 · Fire 2024-04-25

2 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (2 deficiencies)

1 fire-safety deficiencies

Top issue: Emergency Preparedness (1 deficiency)

Cycle 3 Health 2023-02-10 · Fire 2023-02-10

14 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-04-25

E22 · Emergency Preparedness Deficiencies

Fire Safety

Establish policies and procedures for sheltering.

Corrected 2024-05-01

Inspection history

Recent health citations

D · Potential for more than minimal harm 2025-07-18

F646 · Resident Assessment and Care Planning Deficiencies

Health

Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.

Corrected 2025-07-30

D · Potential for more than minimal harm 2025-07-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-30

E · Potential for more than minimal harm 2025-02-05

F584 · Resident Rights Deficiencies

Health

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.

Corrected 2025-02-16

D · Potential for more than minimal harm 2025-02-05

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-02-16

G · Actual harm 2024-09-09

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-09-20

D · Potential for more than minimal harm 2024-04-25

F607 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Corrected 2024-05-16

J · Immediate jeopardy 2024-02-02

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-02-03

G · Actual harm 2024-02-02

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-02-03

D · Potential for more than minimal harm 2024-02-02

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2024-02-03

D · Potential for more than minimal harm 2023-05-22

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2023-05-23

D · Potential for more than minimal harm 2023-04-14

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-05-04

F · Potential for more than minimal harm 2023-02-10

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-02-27

E · Potential for more than minimal harm 2023-02-10

F558 · Resident Rights Deficiencies

Health

Reasonably accommodate the needs and preferences of each resident.

Corrected 2023-02-27

E · Potential for more than minimal harm 2023-02-10

F585 · Resident Rights Deficiencies

Health

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Corrected 2023-02-27

E · Potential for more than minimal harm 2023-02-10

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2023-02-27

E · Potential for more than minimal harm 2023-02-10

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2023-02-27

D · Potential for more than minimal harm 2023-02-10

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-02-27

D · Potential for more than minimal harm 2023-02-10

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-02-27

D · Potential for more than minimal harm 2023-02-10

F803 · Nutrition and Dietary Deficiencies

Health

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 2023-02-27

D · Potential for more than minimal harm 2023-02-10