Rockford, IL

Alpine Fireside Health Center

3-star overall rating with 3-star inspections with 10 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3650 North Alpine Road, Rockford, IL

(815) 877-7408

Compare this facility

Overall

3 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

Certified beds

Average residents

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2004-08-09

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

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

0.54

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

3.21

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.55

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

4.13

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.63

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.16

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.84

CMS adjusted RN staffing hours

Adjusted total hours

4.80

CMS adjusted total nurse staffing hours

Case-mix index

1.30

Higher values indicate more complex resident acuity

RN turnover

29%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

43%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

9,430

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

Performance score

23.67

Composite VBP score used to determine payment impact.

Payment multiplier

0.9832

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.82% · Performance 23.91% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.92% · Performance 8.66% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

2.58

Baseline 45.95% · Performance 53.12% · Measure score 2.58 · Achievement 2.58 · Improvement 0

Adjusted total nurse staffing

6.89

Baseline 3.56 hours · Performance 5.04 hours · Measure score 6.89 · Achievement 6.89 · Improvement 6.15

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.63%	10.72% 0.1 pts better	No Different than the National Rate · Eligible stays 149 · Observed rate 9.4% · Lower 95% interval 7.93%
Discharge to community	42.11%	50.57% 8.5 pts worse	Worse than the National Rate · Eligible stays 177 · Observed rate 37.29% · Lower 95% interval 34.44%
Medicare spending per beneficiary	1.31	1.02 0.3 pts worse
Drug regimen review with follow-up	10.79%	95.27% 84.5 pts worse	Numerator 15 · Denominator 139
Falls with major injury	0%	0.77% 0.8 pts better	Numerator 0 · Denominator 139
Discharge self-care score	55.06%	53.69% 1.4 pts better	Numerator 49 · Denominator 89
Discharge mobility score	43.82%	50.94% 7.1 pts worse	Numerator 39 · Denominator 89
Pressure ulcers or injuries, new or worsened	6.47%	2.29% 4.2 pts worse	Numerator 9 · Denominator 139 · Adjusted rate 7.65%
Healthcare-associated infections requiring hospitalization	8.66%	7.12% 1.5 pts worse	No Different than the National Rate · Eligible stays 116 · Observed rate 9.48% · Lower 95% interval 4.86%
Staff COVID-19 vaccination coverage	68%	8.2% 59.8 pts better	Numerator 51 · Denominator 75
Staff flu vaccination coverage	11.76%	42% 30.2 pts worse	Numerator 14 · Denominator 119
Discharge function score	51.69%	56.45% 4.8 pts worse	Numerator 46 · Denominator 89
Transfer of health information to provider	96.15%	95.95% 0.2 pts better	Numerator 50 · Denominator 52
Transfer of health information to patient	97.56%	96.28% 1.3 pts better	Numerator 80 · Denominator 82
Resident COVID-19 vaccinations up to date	34.78%	25.2% 9.6 pts better	Numerator 24 · Denominator 69

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.7	2.0 0.3 pts better	1.9 0.2 pts better	Long Stay · 20240701-20250630 · Adjusted 1.7 · Observed 1.7 · Expected 1.9 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.1	2.3 1.2 pts better	1.8 0.7 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.1 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	89.6% 10.4 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	95.5%	91.6% 3.9 pts better	95.5% About the same	Long Stay · 2024Q3-2025Q2 · 4Q avg 95.5%
Percentage of long-stay residents experiencing one or more falls with major injury	3.5%	3.3% 0.2 pts worse	3.3% 0.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q4 3.8% · 4Q avg 3.5% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	5.3%	50.3% 45 pts better	11.4% 6.1 pts better	Long Stay · 2024Q4-2025Q3 · Q4 12.0% · 4Q avg 5.3%
Percentage of long-stay residents who lose too much weight	2.9%	6.5% 3.6 pts better	5.4% 2.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q4 0.0% · 4Q avg 2.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	9.9%	18.5% 8.6 pts better	19.6% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.0% · Q4 14.3% · 4Q avg 9.9%
Percentage of long-stay residents who received an antipsychotic medication	42.0%	22.8% 19.2 pts worse	16.7% 25.3 pts worse	Long Stay · 2024Q4-2025Q3 · 4Q avg 42.0% · 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% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	7.2%	17.2% 10 pts better	16.3% 9.1 pts better	Long Stay · 2024Q4-2025Q3 · 4Q avg 7.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	10.1%	15.0% 4.9 pts better	14.9% 4.8 pts better	Long Stay · 2024Q4-2025Q3 · Q4 9.5% · 4Q avg 10.1% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	2.9%	1.1% 1.8 pts worse	1.0% 1.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 2.4% · 4Q avg 2.9% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	4.9%	1.7% 3.2 pts worse	1.7% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.5% · Q4 4.0% · 4Q avg 4.9% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	4.8%	21.3% 16.5 pts better	19.8% 15 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q4 4.0% · 4Q avg 4.8%
Percentage of long-stay residents with pressure ulcers	12.1%	5.2% 6.9 pts worse	5.1% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 13.6% · Q4 4.5% · 4Q avg 12.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	99.3%	68.8% 30.5 pts better	81.7% 17.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 98.6% · Q4 98.5% · 4Q avg 99.3%
Percentage of short-stay residents who had an outpatient emergency department visit	14.7%	14.0% 0.7 pts worse	12.0% 2.7 pts worse	Short Stay · 20240701-20250630 · Adjusted 14.7% · Observed 13.2% · Expected 10.0% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.1%	2.3% 1.8 pts worse	1.6% 2.5 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.8% · Q3 4.5% · Q4 9.8% · 4Q avg 4.1% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	92.2%	63.0% 29.2 pts better	79.7% 12.5 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 92.2%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	25.8%	26.2% 0.4 pts better	23.9% 1.9 pts worse	Short Stay · 20240701-20250630 · Adjusted 25.8% · Observed 24.0% · Expected 22.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-10-11 · Fire 2024-10-11

10 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2023-12-20 · Fire 2023-12-20

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 3 Health 2023-03-16 · Fire 2023-03-16

10 health deficiencies

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

2 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2024-10-11

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-11-06

F · Potential for more than minimal harm 2023-12-20

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-01-09

F · Potential for more than minimal harm 2023-12-20

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-02-12

E · Potential for more than minimal harm 2023-12-20

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2024-01-09

E · Potential for more than minimal harm 2023-12-20

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-01-09

E · Potential for more than minimal harm 2023-03-16

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-04-08

E · Potential for more than minimal harm 2023-03-16

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-04-08

Inspection history

Recent health citations

D · Potential for more than minimal harm 2026-01-21

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2026-01-30

D · Potential for more than minimal harm 2026-01-21

F744 · Quality of Life and Care Deficiencies

Health

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

Corrected 2026-01-30

G · Actual harm 2026-01-05

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 2026-01-16

G · Actual harm 2025-12-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-12-07

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-12-18

D · Potential for more than minimal harm 2025-02-18

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 2025-02-27

G · Actual harm 2025-01-10

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 2025-01-11

F · Potential for more than minimal harm 2024-10-11

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 2024-10-12

D · Potential for more than minimal harm 2024-10-11

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-10-12

D · Potential for more than minimal harm 2024-10-11

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-12

D · Potential for more than minimal harm 2024-10-11

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-10-12

D · Potential for more than minimal harm 2024-04-01

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 2024-04-06

F · Potential for more than minimal harm 2023-12-20

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 2023-12-21

F · Potential for more than minimal harm 2023-12-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-12-22

D · Potential for more than minimal harm 2023-12-20

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-12-22

G · Actual harm 2023-04-05

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 2023-04-06

F · Potential for more than minimal harm 2023-03-16

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 2023-03-17

E · Potential for more than minimal harm 2023-03-16