Nursing homeActive

Alpine Care of Zion

2534 Elim Avenue, Zion, IL 600998477468435244 certified beds · 151 residentsFor profit - Limited Liability companyMedicare and Medicaid
Surveys on file
15
since 2023
Deficiencies
44
0413
Penalties · 3 yrs
$72,588
3 fines · 1 action
Last survey
2026-04-13
Complaint
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 3
Staffing 1
Quality 2
Star ratings as published by CMS · CMS’s caveats

Survey history

Source: CMS · Illinois Department of Public Health · data as of 2026-08-01
DateKindDeficienciesOfficial recordArchived PDF
2026-04-13Complaint010CMS-2567 (Care Compare)
2026-03-27Complaint020CMS-2567 (Care Compare)
2025-12-05Complaint010CMS-2567 (Care Compare)
2025-11-14Complaint010CMS-2567 (Care Compare)
2025-09-22Complaint010CMS-2567 (Care Compare)
2025-08-13Standard050CMS-2567 (Care Compare)
2025-08-08Complaint001CMS-2567 (Care Compare)
2024-12-17Complaint010CMS-2567 (Care Compare)
2024-08-05Complaint001CMS-2567 (Care Compare)
2024-07-19Standard0100CMS-2567 (Care Compare)
2024-07-15Complaint020CMS-2567 (Care Compare)
2024-01-08Complaint020CMS-2567 (Care Compare)
2023-12-28Complaint020CMS-2567 (Care Compare)
2023-09-27Standard0101CMS-2567 (Care Compare)
2023-08-03Complaint030CMS-2567 (Care Compare)

Counts by class: paperwork · standard · harm.

Deficiencies

CMS · Illinois Department of Public Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.

2026-04-13Complaint survey · 1 deficiencyOfficial report
F600Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-04-19Record 145665-20260413-F600
2026-03-27Complaint survey · 2 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 145665-20260327-F677
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2026-03-30Record 145665-20260327-F880
2025-12-05Complaint survey · 1 deficiencyOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-12-08Record 145665-20251205-F686
2025-11-14Complaint survey · 1 deficiencyOfficial report
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-11-15Record 145665-20251114-F880
2025-09-22Complaint survey · 1 deficiencyOfficial report
F627Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-10-01Record 145665-20250922-F627
2025-08-13Standard survey · 5 deficienciesOfficial report
F604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.Scope/severity DStandard
Abuse & neglect
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-14Record 145665-20250813-F604
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-14Record 145665-20250813-F677
F761Ensure 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.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-14Record 145665-20250813-F761
F806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-14Record 145665-20250813-F806
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-14Record 145665-20250813-F880
2025-08-08Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-08-09Record 145665-20250808-F684
2024-12-17Complaint survey · 1 deficiencyOfficial report
F580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-12-18Record 145665-20241217-F580
2024-08-05Complaint survey · 1 deficiencyOfficial report
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity JHarm
Care planning
Isolated; immediate jeopardy to resident health or safety.Corrected 2024-08-06Record 145665-20240805-F684
2024-07-19Standard survey · 10 deficienciesOfficial report
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F550
F565Honor the resident's right to organize and participate in resident/family groups in the facility.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F565
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-08-06Record 145665-20240719-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F689
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F690
F692Provide enough food/fluids to maintain a resident's health.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F692
F698Provide safe, appropriate dialysis care/services for a resident who requires such services.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F698
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F755
F803Ensure 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.Scope/severity DStandard
Food & nutrition
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F803
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-23Record 145665-20240719-F880
2024-07-15Complaint survey · 2 deficienciesOfficial report
F695Provide safe and appropriate respiratory care for a resident when needed.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-07-20Record 145665-20240715-F695
F921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.Scope/severity EStandard
Environment
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-07-20Record 145665-20240715-F921
2024-01-08Complaint survey · 2 deficienciesOfficial report
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 145665-20240108-F677
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 145665-20240108-F880
2023-12-28Complaint survey · 2 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-12-29Record 145665-20231228-F686
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-01-10Record 145665-20231228-F880
2023-09-27Standard survey · 11 deficienciesOfficial report
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2023-10-27Record 145665-20230927-F686
F573Let each resident or the resident's legal representative access or purchase copies of all the resident's records.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 145665-20230927-F573
F677Provide care and assistance to perform activities of daily living for any resident who is unable.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 145665-20230927-F677
F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 145665-20230927-F684
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity DStandard
Care planningFalls
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 145665-20230927-F689
F755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 145665-20230927-F755
F758Implement 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.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 145665-20230927-F758
F759Ensure medication error rates are not 5 percent or greater.Scope/severity EStandard
Medication
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 145665-20230927-F759
F760Ensure that residents are free from significant medication errors.Scope/severity DStandard
Medication
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 145665-20230927-F760
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2023-10-27Record 145665-20230927-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2023-09-29Record 145665-20230927-F880
2023-08-03Complaint survey · 3 deficienciesOfficial report
F658Ensure services provided by the nursing facility meet professional standards of quality.Scope/severity DStandard
Care planningRecords
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 145665-20230803-F658
F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.Scope/severity DStandard
Care planning
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 145665-20230803-F690
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-08-04Record 145665-20230803-F880

Penalties & enforcement

DateActionAmountSource
2025-08-08Civil money penalty$13,142CMS · Penalties
2024-07-15Civil money penalty$30,014CMS · Penalties
2023-09-27Civil money penalty$29,432CMS · Penalties
2023-09-27Denial of payment for new admissions
Payment denial for 7 days, from 2023-10-20
CMS · Penalties

Staffing

CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainer
RN hours per resident day0.47
Facility
Illinois
National
Illinois 0.72 · National 0.69
Total nurse hours per resident day2.86
Facility
Illinois
National
Illinois 3.45 · National 3.86
Weekend total nurse hours2.37
Facility
Illinois
National
Illinois 3.08 · National 3.42
Total nursing staff turnover48%
Facility
Illinois
National
Illinois 45% · National 46%
Registered nurse turnover39%
Facility
Illinois
National
Illinois 42% · National 43%

Quality measures

CMS MDS quality measures · 2025Q2-2026Q1 · definitions
MeasureFacilityIllinoisNational
Percentage of long-stay residents with pressure ulcers
lower is better
6.9%4.8%4.6%
Percentage of long-stay residents experiencing one or more falls with major injury
lower is better
3.2%3.1%3.2%
Percentage of long-stay residents who received an antipsychotic medication
lower is better
17.0%21.7%15.4%
Percentage of long-stay residents with a urinary tract infection
lower is better
0.5%1.5%1.6%
Percentage of long-stay residents who were physically restrained
lower is better
0.0%0.1%0.1%
Percentage of long-stay residents whose need for help with daily activities has increased
lower is better
6.1%13.4%13.9%
Percentage of long-stay residents who lose too much weight
lower is better
6.6%6.3%5.2%
Percentage of long-stay residents who received an antianxiety or hypnotic medication
lower is better
25.0%18.3%19.5%

Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.

Ownership

As reported to CMS (Provider Enrollment)
EntityRoleInterestSinceRegistry
Doros Generation Trust U/A/D 1/3/12
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Gpn Family Trust U/A/D 4/28/08
Organization
5% OR GREATER DIRECT OWNERSHIP INTEREST50%
Legacy Healthcare Financial Services LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Shabat, Menachem
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Stangel, Julie
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Vnb New York LLC
Organization
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Woike, Tom
Individual
OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Doros Generation Trust U/A/D 1/3/12
Organization
ADP OF THE SNFNOT APPLICABLE
Gpn Family Trust U/A/D 4/28/08
Organization
ADP OF THE SNFNOT APPLICABLE
Grove At The Lake Realty, LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Grove At The Lake Realty, LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Legacy Healthcare Financial Services LLC
Organization
ADP OF THE SNFNOT APPLICABLE
Roth & Co, LLP
Organization
ADP OF THE SNFNOT APPLICABLE
Shabat, Menachem
Individual
MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE
Shabat, Menachem
Individual
ADP OF THE SNFNOT APPLICABLE
Stangel, Julie
Individual
ADP OF THE SNFNOT APPLICABLE
Vnb New York LLC
Organization
5% OR GREATER SECURITY INTERESTNOT APPLICABLE
Woike, Tom
Individual
ADP OF THE SNFNOT APPLICABLE

Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.

Cost context

County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or Illinois.

No county cost figures on file for Lake.

Nearby nursing homes

FacilityDistanceLast surveyDeficiencies · 3 yrs
Allure Of Zion
Zion
2.3 mi2026-06-250407
Aspyre of Waukegan
Waukegan
4.2 mi2026-04-131324
Elevate Care Waukegan
Waukegan
6.4 mi2026-04-221547
Waukegan Health And Rehab
Waukegan
6.5 mi2026-04-290192
Avina on 32nd
Kenosha
7.0 mi2026-06-301291
Watch this facility

One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.

Sources & provenance

SectionAgency · datasetRetrieved
Facility, ratingsCMS Provider Data · Nursing Home Provider Information2026-08-01
SurveysCMS · Survey Summary2026-08-01
DeficienciesCMS · Health Deficiencies (CMS-2567 findings via Care Compare)2026-08-01
PenaltiesCMS · Penalties2026-08-01
StaffingCMS · Payroll-Based Journal (PBJ, as published Aug 2026)2026-08-01
Quality measuresCMS · MDS Quality Measures2026-08-01
OwnershipCMS · Ownership2026-08-01