Alpine Fireside Health Center

Penalties

• Mar 10, 2026 — IDPH fine (Nursing Home Care Act) ($1,100)
• Jan 5, 2026 — IDPH fine (Nursing Home Care Act) ($25,000)
• Dec 7, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Dec 7, 2025 — Fine ($85,050)
• Dec 7, 2025 — Payment Denial · payment denial 35 days
• Jan 10, 2025 — IDPH fine (Nursing Home Care Act) ($2,200)
• Dec 20, 2023 — IDPH fine (Nursing Home Care Act) ($25,000)

Inspection findings

1. Mar 31, 2026 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0697 Quality of Life and Care Deficiencies

     Provide safe, appropriate pain management for a resident who requires such services.

     Corrected Apr 21, 2026 · CMS health inspection

2. Mar 10, 2026 IDPH docket NH 26-C0419 · 1 finding
   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 330.710c)3)H).

     Statement of deficiencies (PDF)

3. Jan 21, 2026 Health · 3 findings
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

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

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0610 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Respond appropriately to all alleged violations.

     Corrected Jan 30, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0744 Quality of Life and Care Deficiencies

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

     Corrected Jan 30, 2026 · CMS health inspection

4. Jan 5, 2026 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 16, 2026 · CMS health inspection

   • Serious Scope/severity A

     Type A Illinois Nursing Home Care Act violation

     Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b)4)5), 300.1210c), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

5. Dec 10, 2025 Health · 5 findings
   • Not serious Scope/severity D

     F0628 Resident Rights Deficiencies

     Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

     Corrected Dec 23, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Dec 24, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Dec 24, 2025 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 16, 2026 · CMS health inspection

   • Not serious Scope/severity D

     F0759 Pharmacy Service Deficiencies

     Ensure medication error rates are not 5 percent or greater.

     Corrected Dec 23, 2025 · CMS health inspection

6. Dec 7, 2025 Health · 3 findings
   • Serious Scope/severity G Complaint

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Dec 18, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Dec 18, 2025 · CMS health inspection

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210a), 300.1210b), 300.1210c), and 300.1210d)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation:300.1210b) and 300.1210d)5).

     Statement of deficiencies (PDF)

7. Feb 18, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 27, 2025 · CMS health inspection

8. Jan 10, 2025 Health · 2 findings
   • Serious Scope/severity G Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jan 11, 2025 · CMS health inspection

   • Not serious Scope/severity B

     Type B Illinois Nursing Home Care Act violation

     Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b), and 300.1210d)6). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)6).

     Statement of deficiencies (PDF)

9. Oct 11, 2024 Health · 5 findings
   • Not serious Scope/severity D

     F0684 Quality of Life and Care Deficiencies

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

     Corrected Oct 12, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0686 Quality of Life and Care Deficiencies

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

     Corrected Oct 12, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Oct 12, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Oct 12, 2024 · CMS health inspection

   • Not serious Scope/severity F

     K0353 Smoke Deficiencies

     Inspect, test, and maintain automatic sprinkler systems.

     Corrected Nov 6, 2024 · CMS fire safety

10. Apr 1, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Apr 6, 2024 · CMS health inspection

11. Dec 20, 2023 Health · 8 findings
    • Not serious Scope/severity D

      F0686 Quality of Life and Care Deficiencies

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

      Corrected Dec 22, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Dec 21, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Dec 22, 2023 · CMS health inspection

    • Not serious Scope/severity E

      K0363 Smoke Deficiencies

      Install corridor and hallway doors that block smoke.

      Corrected Jan 9, 2024 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

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

      Corrected Jan 9, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0712 Miscellaneous Deficiencies

      Have simulated fire drills held at unexpected times.

      Corrected Jan 9, 2024 · CMS fire safety

    • Not serious Scope/severity F

      K0918 Gas, Vacuum, and Electrical Systems Deficiencies

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

      Corrected Feb 12, 2024 · CMS fire safety

    • Serious Scope/severity A

      Type A Illinois Nursing Home Care Act violation

      Type A: substantial probability of death or serious harm, or actual harm (1-129). Sections of the Illinois Administrative Code cited: 330.790a). The fine was doubled in this instance in accordance with 330.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 330.780 and 330.790).

      Statement of deficiencies (PDF)

12. Mar 16, 2023 Fire Safety · 2 findings
    • Not serious Scope/severity E

      K0321 Smoke Deficiencies

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

      Corrected Apr 8, 2023 · CMS fire safety

    • Not serious Scope/severity E

      K0372 Smoke Deficiencies

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

      Corrected Apr 8, 2023 · CMS fire safety

Owners and managers (as published by CMS)

• KRAM, COLINDA — operational/managerial control, NOT APPLICABLE, since 01/08/2026
• KRAM, COLINDA — adp of the snf, NOT APPLICABLE, since 01/08/2026
• KRAM, COLINDA — managing control - governing body, NOT APPLICABLE, since 01/08/2026
• NIKA, VASIL — adp of the snf, NOT APPLICABLE, since 06/01/2016
• NIKA, VASIL — operational/managerial control, NOT APPLICABLE, since 06/01/2016
• NJOLSTAD-OKSNEVAD, ELLEN — trustee of the snf, NOT APPLICABLE, since 05/01/2019
• NJOLSTAD-OKSNEVAD, ELLEN — adp of the snf, NOT APPLICABLE, since 05/01/2019
• NJOLSTAD-OKSNEVAD, ELLEN — 5% or greater direct ownership interest, 20%, since 05/01/2019
• OKSNEVAD, ERIK — trustee of the snf, NOT APPLICABLE, since 05/01/2019
• OKSNEVAD, ERIK — adp of the snf, NOT APPLICABLE, since 05/01/2019
• OKSNEVAD, ERIK — 5% or greater direct ownership interest, 20%, since 05/01/2019
• OKSNEVAD, HOLGEIR — adp of the snf, NOT APPLICABLE, since 05/01/2019
• OKSNEVAD, HOLGEIR — corporate officer, NOT APPLICABLE, since 08/07/2022
• OKSNEVAD, HOLGEIR — trustee of the snf, NOT APPLICABLE, since 05/01/2019
• OKSNEVAD, ROY — corporate officer, NOT APPLICABLE, since 08/07/2022
• OKSNEVAD, ROY — trustee of the snf, NOT APPLICABLE, since 05/01/2019
• OKSNEVAD, ROY — 5% or greater direct ownership interest, 20%, since 05/01/2019
• OKSNEVAD, ROY — adp of the snf, NOT APPLICABLE, since 05/01/2019
• ALPINE FIRESIDE PROPERTIES LLC — adp of the snf, NOT APPLICABLE, since 08/15/2022
• OXMATI MANAGEMENT LLC — adp of the snf, NOT APPLICABLE, since 03/10/2025
• OXMATI MANAGEMENT LLC — operational/managerial control, NOT APPLICABLE, since 08/12/2022