Alpine Care of Zion
2534 Elim Avenue, Zion, IL 60099 · Lake County · (847) 746-8435
244 certified beds, about 151 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989
Certified for Medicaid Certified for Medicare
Overall
2 of 5
Health inspections
3 of 5
Staffing
1 of 5
Quality measures
2 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145665 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 13, 2025, inspectors cited 5 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 45 health citations since September 2023, 3 were rated as actual harm or immediate jeopardy to residents (1 immediate jeopardy).
CMS lists 3 fines totaling $72,588 in the last three years; the largest was $30,014, and the latest is dated August 8, 2025.
Nurses and nurse aides worked 2.86 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.47 of those hours.
48.2% of nursing staff left within the year CMS measured (Illinois average 44.5%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
1109/23
212/23
201/24
207/24
1007/24
108/24
112/24
108/25
508/25
109/25
111/25
112/25
203/26
104/26
107/26
307/26
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 45 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
1J
0K
0L
Actual harm
2G
0H
0I
Potential for more than minimal harm
33D
8E
1F
Potential for minimal harm
0A
0B
0C
July 28, 2026Complaint inspection · 3 citations
- D Reasonably accommodate the needs and preferences of each resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident's call light was within reach and able to be used while she was in bed. This applies to 1 (R2) of 3 residents reviewed for accommodations of needs in the sample of 7.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident's hair was cleaned regularly and brushed daily to prevent matting. This applies to 1 of 3 residents (R1) reviewed for Activities of Daily Living (ADLs) in the sample of 7.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to put fall interventions in place for a resident at risk for falls and with a history of a fall in another facility. This applies to 1 of 3 residents (R1) reviewed for fall interventions in the sample of 7.
July 20, 2026Complaint inspection · 1 citation
- 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.
Inspectors wroteBased on observation, interview and record review, the facility failed to ensure multi-use insulin pens and vials were labeled with the dates they were opened and the dates they expired. This applies to 5 of 5 residents (R4, R5, R6, R7 and R8) reviewed for medication labeling and storage in the sample of 8.
April 13, 2026Complaint inspection · 1 citation
- D Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on interview and record review the facility failed to ensure that residents were free from physical abuse, including residents who have a history of resident-to-resident physical altercations. This applies to 2 of 4 residents (R1 & R2) reviewed for physical abuse in the sample of 4.
March 27, 2026Complaint inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure residents were changed in a timely manner for two of three residents (R1 and R2) reviewed for activities of daily living (ADLs) in the sample of 5.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure staff changed gloves and completed hand hygiene during and after incontinence care for 1 of 3 residents (R2) reviewed for incontinence care in the sample of 5.
December 5, 2025Complaint inspection · 1 citation
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review the facility failed to identify, assess, and implement treatment orders for a resident who had facility acquired pressure ulcer. This applies to 1 of 3 residents (R3) reviewed for pressure ulcers in the sample of 6.
November 14, 2025Complaint inspection · 1 citation
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident's bathrooms had an antiseptic handwash for 4 of 8 residents (R5, R6, R7 and R8) reviewed for infection control in the sample of 8.
September 22, 2025Complaint inspection · 1 citation
- D Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
Inspectors wroteBased on interview and record review the facility failed to initiate discharge upon a resident's request for one (R1) of three residents reviewed for discharge planning in the sample of 3.
August 13, 2025Standard inspection · 5 citations
- 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.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a medication refrigerator was maintained in the acceptable temperature range for 4 of 4 residents (R18, R73, R34 and R143) reviewed for medication storage in the sample of 33.
- D Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Inspectors wroteBased on observation, interview, and record review the facility failed to provide an on going assessment for R149's restraint use for 1 of 1 residents (R149) reviewed for physical restraints in the sample of 33.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents who require staff assist were provided incontinence care and facial grooming in a timely manner. This applies to 3 of 33 residents (R9, R90 & R85) reviewed for activities of daily living (ADLs) in the sample of 33.
- D Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Inspectors wroteBased on observation, interview, and record review the facility failed to serve a resident their preferred meal portion/size for 1 of 33 residents (R10) reviewed for food preferences in the sample of 33.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure staff wore the required personal protective equipment (PPE) when entering a COVID-19 isolation room for 1 of 1 residents (R21) reviewed for infection control in the sample of 33.
August 8, 2025Complaint inspection · 1 citation
- G Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review the facility failed to assess a surgical wound and change the dressing as ordered for13 days. This failure resulted in R2 developing an infection in the left knee surgical wound requiring hospitalization and surgery on 6/3/25. This applies to 1 of 3 residents (R2) reviewed for surgical wounds in the sample of 5.
December 17, 2024Complaint inspection · 1 citation
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, interview, and record review the facility failed to notify a resident's representative of a significant change of condition. This applies to 1 of 3 (R1) residents reviewed for notification in the sample of 3.
August 5, 2024Complaint inspection · 1 citation
- J Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review the facility failed to follow the physician's order to send R1, who was hypoxic, and having difficulty breathing to the hospital. This failure resulted in R1's deterioration towards the end of the evening shift, on [DATE] to needing cardiopulmonary resuscitation (CPR) on [DATE] at 2:25AM, to R1's death at the facility in her room at 3:10AM, for 1 of 5 residents reviewed for quality of nursing care in the sample of 5. The Immediate Jeopardy began on [DATE], towards the end of the 3:00PM to 11:00PM shift, when V6 (RN-Registered Nurse) provided R1 with a 100% non-rebreather due to R1 having difficulty breathing and becoming hypoxic with blood oxygen levels dropping below 90%. V6 (RN) failed to follow R1's Physician Order provided on [DATE] at 1:13PM, showing to send R1 to hospital with difficulty breathing/SOB (shortness of breath).
July 19, 2024Standard inspection · 10 citations
- E Honor the resident's right to organize and participate in resident/family groups in the facility.
Inspectors wroteBased on interview and record review the facility failed to address and follow-up with resident concerns brought forward in resident council. This applies to 1 of 1 residents (R71) reviewed for resident council grievances in the sample of 30 and 5 residents (R48, R75, R105, R74, and R24) outside the sample.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to wear appropriate personal protective equipment (PPE) for residents in isolation precautions, failed to remove PPE prior to exiting an isolation room, and failed to use gloves in a manner to prevent cross-contamination. This applies to 5 of 5 residents (R457, R98, R45, R204, R136) reviewed for isolation precautions in the total sample of 30.
- D Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Inspectors wroteBased on observation, interview, and record review the facility failed to treat a resident in a dignified manner for 1 of 2 residents (R457) reviewed for dignity in sample of 30 and one resident (R147) outside of the sample.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident's heels were off-loaded for 1 of 1 residents (R204) reviewed for wounds in the sample of 30.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure nectar thick liquids were provided to a resident for 1 of 9 residents (R4) reviewed for safety in the sample of 30.
- 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.
Inspectors wroteBased on interview and record review the facility failed to ensure a resident's catheter drainage bag was kept below the level of the bladder, catheter tubing was free of obstruction, and catheter securement device was in place for 1 of 1 residents (R204) reviewed for catheters in the sample of 30.
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on interview and record review, the facility failed to ensure an accurate weight was obtained on a resident (R92) showing a significant weight loss, failed to identify a significant weight gain for a resident (R46). These failures apply to 2 of 7 residents reviewed for nutrition in the sample of 30.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview, and record review, the facility failed to obtain orders and assess a resident's dialysis site for 1 of 2 residents (R56) reviewed for dialysis.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to administer medications in a timely manner leading to a missed dose of medication, and failed to follow manufacturer instructions for an inhaler medication. This applies to two residents (R143, and R146) outside the sample.
- 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.
Inspectors wroteBased on observation, interview, and record review the facility failed to offer a resident a dietary substitution for 1 of 1 resident (R147) reviewed for dietary preferences outside of the sample of 30.
July 15, 2024Complaint inspection · 2 citations
- E Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Inspectors wroteBased on observation, interview, and record review the facility failed to maintain the third floor shower room in a safe, comfortable, and sanitary condition and failed to maintain a resident's air conditioning unit in a safe manner (R1). This applies 53 residents that use the third floor shower room.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure tracheostomy care was provided in a manner to prevent cross-contamination and was completed as ordered for 1 or 3 residents (R1) reviewed for tracheostomy care in the sample of 5.
January 8, 2024Complaint inspection · 2 citations
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide ADL (Activities of Daily Living) assistance for residents that require assistance for two of three residents (R2, R3) reviewed for ADL assistance in the sample of five.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review, the facility failed to wear personal protective equipment (PPE) and failed to perform hand hygiene and change their gloves in a manner to prevent cross contamination during incontinence care for two of three residents (R2, R3) reviewed for infection control in the sample of five.
December 28, 2023Complaint inspection · 2 citations
- D Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview, and record review the facility failed to have a physician ordered dressing in place on a pressure ulcer and failed to ensure pressure relieving interventions were in place for 1 of 3 residents (R2) reviewed for pressure ulcers in the sample of 4.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure PPE (personal protective equipment) was worn in a manner to prevent cross contamination for 1 of 1 resident (R2) reviewed for pressure ulcers in the sample of 4.
September 27, 2023Standard inspection, Complaint inspection · 11 citations
- G Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Inspectors wroteBased on observation, interview and record review the facility failed to identify or assess an unstageable deep tissue sacral pressure injury. This failure resulted in R108's sacral pressure injury being infected upon identification/evaluation, requiring intravenous antibiotic therapy. The facility also failed to identify a left heel pressure injury and failed to ensure treatments were in place per physician orders. This applies to 2 of 5 residents (R108 & R131) reviewed for pressure injuries in the sample of 29.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and record review the facility failed to store bulk bin scoops in a manner to prevent cross-contamination and failed to ensure a plate was sanitized and dried before plating food and serving. This has the potential to affect all residents residing in the facility.
- E Ensure medication error rates are not 5 percent or greater.
Inspectors wroteBased on observation, interview and record review the facility failed to administer medications as prescribed by the physician. There were 29 opportunities with 3 errors resulting in a 10.34% medication error rate. This applies to 1 of 5 resident (R251) observed in the medication pass.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure PPE (personal protective equipment) was worn for residents on Enhanced Barrier Precautions. The facility also failed to ensure staff changed their gloves and washed their hands to prevent the spread of infection. This applies to 4 of 29 residents (R108, R131, R109 & R42) reviewed for infection control in the sample of 29.
- D Let each resident or the resident's legal representative access or purchase copies of all the resident's records.
Inspectors wroteBased on interview and record review the facility failed to provide medical records when requested. This applies to 1 of 3 (R401) residents reviewed for medical records in the sample of 29.
- D Provide care and assistance to perform activities of daily living for any resident who is unable.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident who requires extensive assist received personal hygiene and bathing assistance. This applies to 1 of 29 residents (R113) reviewed for activities of daily living in the sample of 29.
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure skin assessments were preformed on a resident with a leg brace, failed to ensure tube dressings were in place and failed to ensure weights were being monitored for a resident with CHF (Congestive Heart Failure). This applies to 2 of 29 residents (R131 & R52) reviewed for quality of care in the sample of 29.
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure a resident with a history of falls was not left unattended in the bathroom (R54) and failed to ensure residents were safely transferred (R54 and R65) for 2 of 29 residents reviewed for safety and supervision in the sample of 29.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were immediately administered after dispensing (R39 & R90) and failed to ensure a prescribed medication was received and administered (R251) for 3 of 5 residents (R39, R90 and R251) reviewed for medication administration in the sample of 29.
- 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.
Inspectors wroteBased on interview and record review the facility failed to implement a Gradual Dose Reduction (GDR) on a psychotropic medication per pharmacy recommendation and failed to ensure stop dates were in place for a PRN (as needed) psychotropic medication. This applies to 3 of 5 residents (R53, R301, R108) reviewed for unnecessary medications in the sample of 29.
- D Ensure that residents are free from significant medication errors.
Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents were free from significant medication errors. This applies to 3 of 29 residents (R7, R251 & R49) reviewed for significant medications in the sample of 29.
Fire safety inspections
29 fire safety citations on file: 17 on July 19, 2024, 10 on September 27, 2023, 2 on October 19, 2022.
Every fire safety citation29 citations
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Conduct risk assessment and an All-Hazards approach.
- F Address subsistence needs for staff and patients.
- F Establish policies and procedures for sheltering.
- F Establish policies and procedures for volunteers.
- F Implement emergency and standby power systems.
- 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.
- F Have proper power supply for life support equipment.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Use approved construction type or materials.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- 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.
- E Ensure proper usage of power strips and extension cords.
- F Have an enclosure around a vertical opening shaft.
- F Have approved installation, maintenance and testing program for fire alarm systems.
- F Have properly installed electrical wiring and gas equipment.
- F Have elevators that firefighters can control in the event of a fire.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Keep aisles, corridors, and exits free of obstruction in case of emergency.
- E Properly select, install, inspect, or maintain portable fire extinguishes.
- E Install corridor and hallway doors that block smoke.
- E Install properly constructed and protected linen or trash chutes.
- D Ensure proper usage of power strips and extension cords.
- F Develop and maintain an Emergency Preparedness Program (EP).
- F Implement emergency and standby power systems.
Fines and payment denials
| Date | Penalty | Amount or length |
|---|---|---|
| August 8, 2025 | Fine | $13,142 |
| July 15, 2024 | Fine | $30,014 |
| September 27, 2023 | Fine | $29,432 |
| September 27, 2023 | Payment Denial | 7 days from October 20, 2023 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.86 | 3.45 | 3.86 |
| Registered nurses | 0.47 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.37 | 3.07 | 3.42 |
| Nurse aides | 1.71 | ||
| Licensed practical nurses | 0.68 | ||
| Nursing staff turnover (share who left in a year) | 48.2% | 44.5% | 45.8% |
| Registered nurse turnover | 39.1% | 41.8% | 42.9% |
| Administrators who left | 0 |
CMS expects 5.18 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 3.06 on weekdays and 2.37 on weekends, 23% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.32 in April to June 2025 to 2.86 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.86 | 0.47 | 3.06 | 2.37 | 8.0% | 0 of 90 | 151 |
| Oct to Dec 2025 | 3.34 | 0.65 | 3.42 | 3.13 | 6.3% | 0 of 92 | 147 |
| Jul to Sep 2025 | 3.32 | 0.57 | 3.39 | 3.13 | 9.8% | 0 of 92 | 150 |
| Apr to Jun 2025 | 3.32 | 0.61 | 3.39 | 3.15 | 17.3% | 0 of 91 | 151 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 0.6% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 6.1 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.7 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.5 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 3.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 3.2 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 8.0 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 7.0 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 17.0 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 27.3 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.5 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.7 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 2.2 | 1.8 |
Owners and operators
Legal business name: GROVE AT THE LAKE SKILLED NURSING FACILITY LLC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Doros Generation Trust U/a/D 1/3/12 | 5% or greater direct ownership interest | Organization | 50% | 05/03/2017 |
| Gpn Family Trust U/a/D 4/28/08 | 5% or greater direct ownership interest | Organization | 50% | 05/03/2017 |
| Grove at the Lake Realty, LLC | 5% or greater security interest | Organization | 11/06/2015 | |
| Vnb New York LLC | 5% or greater security interest | Organization | 03/07/2025 | |
| Shabat, Menachem | Managing control - governing body | Individual | 05/03/2017 | |
| Legacy Healthcare Financial Services LLC | Operational/managerial control | Organization | 11/06/2015 | |
| Vnb New York LLC | Operational/managerial control | Organization | 03/07/2025 | |
| Shabat, Menachem | Operational/managerial control | Individual | 05/03/2017 | |
| Stangel, Julie | Operational/managerial control | Individual | 11/06/2015 | |
| Woike, Tom | Operational/managerial control | Individual | 01/01/2024 | |
| Doros Generation Trust U/a/D 1/3/12 | Adp of the SNF | Organization | 11/01/2015 | |
| Gpn Family Trust U/a/D 4/28/08 | Adp of the SNF | Organization | 11/06/2015 | |
| Grove at the Lake Realty, LLC | Adp of the SNF | Organization | 11/06/2015 | |
| Legacy Healthcare Financial Services LLC | Adp of the SNF | Organization | 11/17/2025 | |
| Roth & Co, LLP | Adp of the SNF | Organization | 01/01/2024 | |
| Shabat, Menachem | Adp of the SNF | Individual | 05/03/2017 | |
| Stangel, Julie | Adp of the SNF | Individual | 11/06/2015 | |
| Woike, Tom | Adp of the SNF | Individual | 01/01/2024 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 19 problems in this area, most recently on July 28, 2026: "Provide care and assistance to perform activities of daily living for any resident who is unable."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 7 problems in this area, most recently on July 20, 2026: "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."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 7 problems in this area, most recently on March 27, 2026: "Provide and implement an infection prevention and control program."
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 6 problems in this area, most recently on July 28, 2026: "Reasonably accommodate the needs and preferences of each resident."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.37 hours per resident per day, below the Illinois average of 3.07.
Other nursing homes nearby
- Allure of Zion Zion, 2.3 mi · 1 of 5 stars · 65 citations
- Aspyre of Waukegan Waukegan, 4.2 mi · 1 of 5 stars · 37 citations
- Elevate Care Waukegan Waukegan, 6.4 mi · 2 of 5 stars · 63 citations
- Waukegan Health and Rehab Waukegan, 6.5 mi · 4 of 5 stars · 27 citations
- Avina on 32nd Kenosha, 7 mi · 1 of 5 stars · 37 citations
- Sheridan Health and Rehabilitation Center Kenosha, 7.2 mi · 2 of 5 stars · 49 citations
- Clairidge House Kenosha, 9.1 mi · 1 of 5 stars · 46 citations
- Complete Care at Grande Prairie Pleasant Prairie, 9.5 mi · 2 of 5 stars · 21 citations
Illinois contacts for a concern about a nursing home
These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Illinois Department of Public Health, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Illinois Long-Term Care Ombudsman Program, Illinois Department on Aging, 1-800-252-8966. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: IDPH Quarterly Reports of Nursing Home Violators, where Illinois publishes its own records on licensed homes.
Common questions
- What is Alpine Care of Zion's Medicare star rating?
- CMS rates Alpine Care of Zion 2 out of 5 stars overall, with 3 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Alpine Care of Zion get at its last inspection?
- 5 health deficiencies at the standard inspection on August 13, 2025. The Illinois average is 12.6.
- Has Alpine Care of Zion been fined?
- Yes. CMS lists 3 fines totaling $72,588 in the last three years.
- Does Alpine Care of Zion accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Alpine Care of Zion?
- CMS lists 18 owners and managers. Legal business name: GROVE AT THE LAKE SKILLED NURSING FACILITY LLC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.