Federal inspection record · CMS data as of October 1, 2026
Alpine Fireside Health Center
3650 North Alpine Road, Rockford, IL · (815) 877-7408
- Certified beds
- 66
- Residents per day
- 38
- Ownership
- For-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 9, 2004
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
★★★★★no change
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
★★★★★−1 star
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 Fireside Health Center carries 99.5 inspection points. That is fewer than 52% 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
22 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
-
G
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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G
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Everything else, by area of care
Quality of Life and Care10D
- D
Provide safe, appropriate pain management for a resident who requires such services.
- D
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
- 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
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- D
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- D
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Infection Control3F
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- F
Provide and implement an infection prevention and control program.
Freedom from Abuse, Neglect, and Exploitation2D
- D
Protect each resident from the wrongful use of the resident's belongings or money.
- D
Respond appropriately to all alleged violations.
Nutrition and Dietary2F
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Resident Rights1D
- D
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Pharmacy Service1D
- D
Ensure medication error rates are not 5 percent or greater.
Inspection history
2025-12-10
12 health deficiencies · 1 fire-safety deficiencies
Top issue: Quality of Life and Care (7 deficiencies)
2024-10-11
6 health deficiencies · 4 fire-safety deficiencies
Top issue: Quality of Life and Care (4 deficiencies)
2023-12-20
4 health deficiencies · 2 fire-safety deficiencies
Top issue: Quality of Life and Care (2 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 4 h 36 min of nursing staff time a day, 57 min of it from a registered nurse.
This home
4 h 36 min
Illinois average
3 h 28 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 52% of nursing staff and 57% 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
$55,283 in federal fines on record over the past three years.
| Date | Penalty | Amount |
|---|---|---|
| 2025-12-07 | Fine | $55,283 |
| 2025-12-07 | Payment Denial · 35 day denial | $0 |
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 days0.8 pts better | 1.2 | 2.0 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days0.7 pts better | 1.4 | 2.1 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine9.5 pts better | 100.0% | 90.5% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine8.3 pts better | 100.0% | 91.7% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury2.3 pts worse | 5.3% | 3.0% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms41.8 pts better | 14.1% | 55.9% | 13.5% |
| Percentage of long-stay residents who lose too much weight4.7 pts better | 1.4% | 6.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication2.8 pts better | 15.6% | 18.4% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication10.6 pts worse | 32.3% | 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 worsened6.3 pts worse | 19.1% | 12.8% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased7.3 pts worse | 20.3% | 13.0% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder1.6 pts worse | 2.4% | 0.8% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection4.1 pts worse | 5.6% | 1.5% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence0.8 pts better | 19.0% | 19.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.2 pts worse | 8.0% | 4.8% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine29.3 pts better | 99.3% | 70.0% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit5 pts better | 8.5% | 13.5% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication4.9 pts worse | 7.1% | 2.2% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine34 pts better | 97.2% | 63.2% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.6 pts better | 24.0% | 25.6% | 23.4% |
·
Who owns and runs it
21 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 |
|---|---|---|---|
| Njolstad-Oksnevad, Ellen | 5% Or Greater Direct Ownership Interest · Individual | 20% | 2 facilities |
| Oksnevad, Erik | 5% Or Greater Direct Ownership Interest · Individual | 20% | 1 facilities |
| Oksnevad, Roy | 5% Or Greater Direct Ownership Interest · Individual | 20% | 1 facilities |
| Alpine Fireside Properties LLC | Adp Of The SNF · Organization | 0% | 1 facilities |
| Kram, Colinda | Managing Control - Governing Body · Individual | 0% | 1 facilities |
| Kram, Colinda | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Kram, Colinda | Adp Of The SNF · Individual | 0% | 1 facilities |
| Nika, Vasil | Operational/Managerial Control · Individual | 0% | 3 facilities |
| Nika, Vasil | Adp Of The SNF · Individual | 0% | 3 facilities |
| Njolstad-Oksnevad, Ellen | Trustee Of The SNF · Individual | 0% | 2 facilities |
| Njolstad-Oksnevad, Ellen | Adp Of The SNF · Individual | 0% | 2 facilities |
| Oksnevad, Erik | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Oksnevad, Erik | Adp Of The SNF · Individual | 0% | 1 facilities |
| Oksnevad, Holgeir | Corporate Officer · Individual | 0% | 2 facilities |
| Oksnevad, Holgeir | Trustee Of The SNF · Individual | 0% | 2 facilities |
| Oksnevad, Holgeir | Adp Of The SNF · Individual | 0% | 2 facilities |
| Oksnevad, Roy | Corporate Officer · Individual | 0% | 1 facilities |
| Oksnevad, Roy | Trustee Of The SNF · Individual | 0% | 1 facilities |
| Oksnevad, Roy | Adp Of The SNF · Individual | 0% | 1 facilities |
| Oxmati Management LLC | Operational/Managerial Control · Organization | 0% | 2 facilities |
| Oxmati Management LLC | Adp Of The SNF · Organization | 0% | 2 facilities |
·
Fire safety
7 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke5F
- F
Inspect, test, and maintain automatic sprinkler systems.
- E
Install corridor and hallway doors that block smoke.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
- E
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Miscellaneous1F
- F
Have simulated fire drills held at unexpected times.
Gas, Vacuum, and Electrical Systems1F
- F
Have generator or other power source capable of supplying service within 10 seconds.
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Other homes nearby
-
Fairhaven Christian Ret Center
Rockford, IL
★★★★★- Worst citation, 3 yrs
- J
- Nursing / resident / day
- 5 h 4 min
- Fines
- $120,225
-
The Citadel at Saint Anne Place
Rockford, IL · Citadel Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 21 min
- Fines
- $123,556
-
Avira Health Pavilion
Loves Park, IL
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 5 h 3 min
- Fines
- $0