Nursing Care Index

Alpine Fireside Health Center

Rockford, Winnebago County, Illinois · CCN 146066 · For-profit (Corporation) · not part of a chain

CMS rates Alpine Fireside Health Center 3 of 5 overall as of August 2026. 66 certified beds, 34 residents a day on average. 22 citations on record from the current inspection cycles, 3 involving actual harm; 1 fine totalling $85,050 and 1 payment denial.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★☆☆ 3 of 5
Health inspections★★★☆☆ 3 of 5
Staffing★★★★★ 5 of 5
Quality measures★☆☆☆☆ 1 of 5
Quality: long-stay / short-stay1 / 1 of 5

Staffing

Total nurse staffing4.72962 hours per resident per day
Registered nurses0.88727 hours per resident per day
Weekend total4.49235 hours per resident per day
Nursing staff turnover49% (registered nurses 33.3%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2026-03-31
complaint survey
Provide safe, appropriate pain management for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0697
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-04-21
2026-01-21
complaint survey
Protect each resident from the wrongful use of the resident's belongings or money.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0602
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-30
2026-01-21
complaint survey
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · tag F0610
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-30
2026-01-21
complaint survey
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.
Quality of Life and Care Deficiencies · tag F0744
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-30
2026-01-05
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2026-01-16
2025-12-10 Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · tag F0628
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-23
2025-12-10 Provide care and assistance to perform activities of daily living for any resident who is unable.
Quality of Life and Care Deficiencies · tag F0677
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-24
2025-12-10 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-24
2025-12-10 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2026-01-16
2025-12-10 Ensure medication error rates are not 5 percent or greater.
Pharmacy Service Deficiencies · tag F0759
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-23
2025-12-07
complaint survey
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-12-18
2025-12-07
complaint survey
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-12-18
2025-02-18
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-02-27
2025-01-10
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-01-11
2024-10-11 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-10-12
2024-10-11 Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies · tag F0684
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-12
2024-10-11 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-12
2024-10-11 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-10-12
2024-04-01
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-04-06
2023-12-20 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-12-21
2023-12-20 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-12-22
2023-12-20 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-12-22

Fines and payment denials

DatePenaltyAmount
2025-12-07Payment denial for 35 days from 2025-12-26
2025-12-07Fine$85,050

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Alpine Fireside Properties LLC
Organization
adp of the snf2022-08-15
Oxmati Management LLC
Organization
adp of the snf2025-03-10
Oxmati Management LLC
Organization
operational/managerial control2022-08-12
Njolstad-Oksnevad, Ellen
Individual
5% or greater direct ownership interest20%2019-05-01
Oksnevad, Erik
Individual
5% or greater direct ownership interest20%2019-05-01
Oksnevad, Roy
Individual
5% or greater direct ownership interest20%2019-05-01
Kram, Colinda
Individual
adp of the snf2026-01-08
Nika, Vasil
Individual
adp of the snf2016-06-01
Njolstad-Oksnevad, Ellen
Individual
adp of the snf2019-05-01
Oksnevad, Erik
Individual
adp of the snf2019-05-01
Oksnevad, Holgeir
Individual
adp of the snf2019-05-01
Oksnevad, Roy
Individual
adp of the snf2019-05-01
Oksnevad, Holgeir
Individual
corporate officer2022-08-07
Oksnevad, Roy
Individual
corporate officer2022-08-07
Kram, Colinda
Individual
managing control - governing body2026-01-08
Kram, Colinda
Individual
operational/managerial control2026-01-08
Nika, Vasil
Individual
operational/managerial control2016-06-01
Njolstad-Oksnevad, Ellen
Individual
trustee of the snf2019-05-01
Oksnevad, Erik
Individual
trustee of the snf2019-05-01
Oksnevad, Holgeir
Individual
trustee of the snf2019-05-01
Oksnevad, Roy
Individual
trustee of the snf2019-05-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Winnebago County.