Federal inspection record · CMS data as of October 1, 2026
Alpine Care of Zion
2534 Elim Avenue, Zion, IL · (847) 746-8435
- Certified beds
- 244
- Residents per day
- 161
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- December 1, 1989
1
How this home got 2 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in Illinois.
-
Staffing
★★★★★−1 star
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
-
Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
-
Overall
★★★★★2 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among Illinois homes
Alpine Care of Zion carries 101.75 inspection points. That is fewer than 51% of Illinois's 659 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in Illinois: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–31 pts
- 4★ 31–73 pts
- 3★ 73–120.25 pts
- 2★ 120.25–219 pts
- 1★ over 219 pts
Bars show every rated home in Illinois by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
46 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
Harm and immediate-jeopardy citations (3)
-
G
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
J
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Everything else, by area of care
Quality of Life and Care17D
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- 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.
- D
Provide enough food/fluids to maintain a resident's health.
- D
Provide safe, appropriate dialysis care/services for a resident who requires such services.
- D
Provide safe and appropriate respiratory care for a resident when needed.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Provide care and assistance to perform activities of daily living for any resident who is unable.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service7E
- 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.
- 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.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- D
Ensure that residents are free from significant medication errors.
Infection Control7E
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- E
Provide and implement an infection prevention and control program.
Resident Rights6E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Reasonably accommodate the needs and preferences of each resident.
- D
Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
- D
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- E
Honor the resident's right to organize and participate in resident/family groups in the facility.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Nutrition and Dietary3F
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
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.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- D
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Environmental1E
- E
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspection history
2025-08-13
16 health deficiencies · 15 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2024-07-19
13 health deficiencies · 12 fire-safety deficiencies
Top issue: Quality of Life and Care (6 deficiencies)
2023-09-27
17 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (8 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 2 h 58 min of nursing staff time a day, 26 min of it from a registered nurse.
This home
2 h 58 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 45% of nursing staff and 65% of registered nurses left in the past year, along with 1 administrator.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Fines and payment denials
$43,156 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-08-08 | Fine | $13,142 |
| 2024-07-15 | Fine | $30,014 |
6
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.4 pts worse | 2.4 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days1.1 pts worse | 3.2 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine6.9 pts better | 97.4% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.4 pts worse | 90.3% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury0.3 pts worse | 3.3% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms44.1 pts worse | 100.0% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.6 pts worse | 6.7% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication7 pts worse | 25.4% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication4.8 pts better | 16.9% | 21.7% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.1 pts better | 0.0% | 0.1% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened6.4 pts better | 6.4% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased6.7 pts better | 6.3% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladderAbout the same | 0.8% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection1 pts better | 0.5% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence4.4 pts better | 15.4% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers1.2 pts worse | 6.0% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine17.5 pts worse | 52.5% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit2.2 pts better | 11.3% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication0.9 pts worse | 3.1% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine33.2 pts worse | 30.0% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.2 pts worse | 26.8% | 25.6% | 23.4% |
·
Who owns and runs it
18 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Doros Generation Trust U/A/D 1/3/12 | 5% Or Greater Direct Ownership Interest · Organization | 50% | 76 facilities |
| Gpn Family Trust U/A/D 4/28/08 | 5% Or Greater Direct Ownership Interest · Organization | 50% | 80 facilities |
| Doros Generation Trust U/A/D 1/3/12 | Adp Of The SNF · Organization | 0% | 76 facilities |
| Gpn Family Trust U/A/D 4/28/08 | Adp Of The SNF · Organization | 0% | 80 facilities |
| Grove At The Lake Realty, LLC | 5% Or Greater Security Interest · Organization | 0% | 1 facilities |
| Grove At The Lake Realty, LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Legacy Healthcare Financial Services LLC | Operational/Managerial Control · Organization | 0% | 78 facilities |
| Legacy Healthcare Financial Services LLC | Adp Of The SNF · Organization | 0% | 78 facilities |
| Roth & Co, Llp | Adp Of The SNF · Organization | 0% | 41 facilities |
| Shabat, Menachem | Managing Control - Governing Body · Individual | 0% | 86 facilities |
| Shabat, Menachem | Operational/Managerial Control · Individual | 0% | 86 facilities |
| Shabat, Menachem | Adp Of The SNF · Individual | 0% | 86 facilities |
| Stangel, Julie | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Stangel, Julie | Adp Of The SNF · Individual | 0% | 1 facilities |
| Vnb New York LLC | 5% Or Greater Security Interest · Organization | 0% | 14 facilities |
| Vnb New York LLC | Operational/Managerial Control · Organization | 0% | 14 facilities |
| Woike, Tom | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Woike, Tom | Adp Of The SNF · Individual | 0% | 1 facilities |
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Fire safety
29 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke10F
- F
Have an enclosure around a vertical opening shaft.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- F
Install an approved automatic sprinkler system.
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Install smoke barrier doors that can resist smoke for at least 20 minutes.
- F
Have an enclosure around a vertical opening shaft.
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- E
Properly select, install, inspect, or maintain portable fire extinguishes.
- E
Install corridor and hallway doors that block smoke.
Emergency Preparedness8F
- F
Address subsistence needs for staff and patients.
- F
Establish policies and procedures for sheltering.
- F
Establish policies and procedures for volunteers.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
- F
Conduct risk assessment and an All-Hazards approach.
- F
Develop and maintain an Emergency Preparedness Program (EP).
- F
Implement emergency and standby power systems.
Gas, Vacuum, and Electrical Systems5F
- F
Have proper power supply for life support equipment.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- E
Ensure proper usage of power strips and extension cords.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Ensure proper usage of power strips and extension cords.
Services3F
- F
Have properly installed electrical wiring and gas equipment.
- F
Have elevators that firefighters can control in the event of a fire.
- E
Install properly constructed and protected linen or trash chutes.
Egress2E
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Construction1E
- E
Use approved construction type or materials.
·
Other homes nearby
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Allure Of Zion
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★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
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-
Aspyre of Waukegan
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Elevate Care Waukegan
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- J
- Nursing / resident / day
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