Alpine Fireside Health Center

Name: Alpine Fireside Health Center
Address: 3650 NORTH ALPINE ROAD, Rockford, IL, 61114, US
Telephone: 8158777408

3650 North Alpine Road, Rockford, IL 61114 · Winnebago County · 66 certified beds · avg 34 residents/day · certified since Aug 9, 2004

3/5

Health inspection rating (on-site)

Serious findings on record

$85,050

Fines, last 3 years

5.48

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, one-off · Jan 5, 2026 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 16, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Dec 7, 2025 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Dec 18, 2025 (Deficient, Provider has date of correction)

▲ Actual harm, one-off · Jan 10, 2025 · F-0689 · triggered by a complaint

The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.

Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.

Corrected: Jan 11, 2025 (Deficient, Provider has date of correction)

All citations in the current public record (22)

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.

Date	Severity	What the facility was cited for
Mar 31, 2026	D · Potential for harm, one-off	The facility did not provide safe and appropriate pain management for a resident who needed it. · from a complaint
Jan 21, 2026	D · Potential for harm, one-off	The facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint
Jan 21, 2026	D · Potential for harm, one-off	The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint
Jan 21, 2026	D · Potential for harm, one-off	The facility did not provide the right treatment and services for residents with dementia or signs of dementia. Dementia care requires specific approaches, training, and patience. · from a complaint
Jan 5, 2026	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide required paperwork or notices about a resident's needs, their right to appeal a transfer or discharge, or the facility's bed-hold policy (how long a bed is saved during a hospital stay).
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Dec 10, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Dec 10, 2025	D · Potential for harm, one-off	The facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time.
Dec 7, 2025	▲ G · Actual harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint
Dec 7, 2025	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · from a complaint
Feb 18, 2025	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Jan 10, 2025	▲ G · Actual harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Oct 11, 2024	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Oct 11, 2024	D · Potential for harm, one-off	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Apr 1, 2024	D · Potential for harm, one-off	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint
Dec 20, 2023	F · Potential for harm, facility-wide	The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Dec 20, 2023	F · Potential for harm, facility-wide	The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide.
Dec 20, 2023	D · Potential for harm, one-off	The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 5).

Year	Citations	Serious (G–L)	Worst severity that year
2023	3	0	F
2024	5	0	F
2025	9	2	G ▲
2026	5	1	G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

1 fine totaling $85,050, plus 1 Medicare payment denial period.

Date	Type	Amount / length
Dec 7, 2025	Fine	$85,050
Dec 7, 2025	Payment Denial	35 days from Dec 26, 2025

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	Illinois avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	5.48	2.99	3.95	top 4% in Illinois; top 8% in the U.S.
Registered Nurse hours	1.03	0.63	0.69	top 13% in Illinois; top 15% in the U.S.
Weekend total nurse staffing	5.20	2.67	3.50	top 2% in Illinois; top 5% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.74	0.56	0.48	top 21% in Illinois; top 14% in the U.S.
Total nursing staff turnover (%)	49.0	44.5	45.8	bottom 36% in Illinois; bottom 39% in the U.S.
RN turnover (%)	33.3	41.8	42.9	top 35% in Illinois; top 33% in the U.S.

Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.73, RN 0.89, weekend 4.49. Staffing rating: 5/5.

Self-reported quality measures

Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.

Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 1/5

Who owns this facility

For profit - Corporation

Owner / manager	Type	Role	Stake	Since
Njolstad-Oksnevad, Ellen	Individual	5% or Greater Direct Ownership Interest	20%	05/01/2019
Oksnevad, Erik	Individual	5% or Greater Direct Ownership Interest	20%	05/01/2019
Oksnevad, Roy	Individual	5% or Greater Direct Ownership Interest	20%	05/01/2019
Alpine Fireside Properties LLC	Organization	ADP of the SNF	NOT APPLICABLE	08/15/2022
Kram, Colinda	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/08/2026
Kram, Colinda	Individual	Operational/Managerial Control	NOT APPLICABLE	01/08/2026
Kram, Colinda	Individual	ADP of the SNF	NOT APPLICABLE	01/08/2026
Nika, Vasil	Individual	Operational/Managerial Control	NOT APPLICABLE	06/01/2016
Nika, Vasil	Individual	ADP of the SNF	NOT APPLICABLE	06/01/2016
Njolstad-Oksnevad, Ellen	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2019
Njolstad-Oksnevad, Ellen	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2019
Oksnevad, Erik	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2019
Oksnevad, Erik	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2019
Oksnevad, Holgeir	Individual	Corporate Officer	NOT APPLICABLE	08/07/2022
Oksnevad, Holgeir	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2019
Oksnevad, Holgeir	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2019
Oksnevad, Roy	Individual	Corporate Officer	NOT APPLICABLE	08/07/2022
Oksnevad, Roy	Individual	Trustee of the SNF	NOT APPLICABLE	05/01/2019
Oksnevad, Roy	Individual	ADP of the SNF	NOT APPLICABLE	05/01/2019
Oxmati Management LLC	Organization	Operational/Managerial Control	NOT APPLICABLE	08/12/2022

Questions to ask on your visit

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

"What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
"How do you assess and manage residents' pain, especially for those who have trouble communicating?"
"What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
"If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
"What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
"What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
"How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
"What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
"Can I see the results and plan of correction from your most recent state inspection?"

Nearby facilities (within 20 miles)

Facility	Distance	City	Overall	Inspection	Flags
Fairhaven Christian Ret Center	0.2 mi	Rockford, IL	★★★☆☆	3/5
The Citadel at Saint Anne Place	2.0 mi	Rockford, IL	★☆☆☆☆	1/5
Avira Health Pavilion	2.0 mi	Loves Park, IL	★★★★☆	4/5
Rock River Health Care	2.1 mi	Rockford, IL	★★★☆☆	3/5
River Bluff Nursing Home	2.5 mi	Rockford, IL	★★☆☆☆	2/5
Pa Peterson at the Citadel	2.7 mi	Rockford, IL	★☆☆☆☆	2/5	abuse
Alden Park Strathmoor	3.3 mi	Rockford, IL	★☆☆☆☆	2/5
Willows Health Center	3.3 mi	Rockford, IL	★★★☆☆	3/5
Forest City Rehab & Nrsg Ctr	3.6 mi	Rockford, IL	★☆☆☆☆	1/5
Mercyhealth Javon Bea Hospital -SNF	3.6 mi	Rockford, IL	★★★★☆	5/5
Amberwood Care Centre	3.7 mi	Rockford, IL	★★★☆☆	4/5
Alden Debes Rehab & HCC	3.9 mi	Rockford, IL	★☆☆☆☆	2/5	abuse

Compare this facility with the 3 closest →

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Facility data as of CMS processing date 2026-08-01. CCN 146066.

The Care File

Visit checklist — Alpine Fireside Health Center

3650 North Alpine Road, Rockford, IL 61114 · 8158777408

Health inspection rating 3/5 · CMS overall 3/5· Fines (3y): $85,050

Most serious findings on record:

▲ Jan 5, 2026 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
▲ Dec 7, 2025 (F-0686, Actual harm, one-off): The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
▲ Jan 10, 2025 (F-0689, Actual harm, one-off): The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
☐ "How do you assess and manage residents' pain, especially for those who have trouble communicating?"
☐ "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
☐ "If someone reports suspected abuse or neglect here, what happens in the first 24 hours?"
☐ "What specific dementia training do your staff receive, and how do you handle difficult moments without medication?"
☐ "What written notices do we get before any transfer or discharge, and what is your bed-hold policy?"
☐ "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
☐ "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
☐ "Can I see the results and plan of correction from your most recent state inspection?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 146066 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)