All citations for Alpine Care of Zion

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Alpine Care of Zion

Last standard health inspection on record

August 13, 2025

Showing 1 to 18 of 18 citations

  1. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 5, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 6, 2024).

  2. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

  3. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

  4. No harm, with potential for more than minimal harm

    Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0921, Environmental Deficiencies. Inspection of July 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2024).

  5. No harm, with potential for more than minimal harm

    Ensure medication error rates are not 5 percent or greater.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0759, Pharmacy Service Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 27, 2023).

  6. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0880, Infection Control Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  7. No harm, with potential for more than minimal harm

    Provide safe and appropriate respiratory care for a resident when needed.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of July 15, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 20, 2024).

  8. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of January 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2024).

  9. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of January 8, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2024).

  10. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of December 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 29, 2023).

  11. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 28, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (January 10, 2024).

  12. No harm, with potential for more than minimal harm

    Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0573, Resident Rights Deficiencies. Inspection of September 27, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  13. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  14. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  15. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  16. No harm, with potential for more than minimal harm

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  17. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

  18. No harm, with potential for more than minimal harm

    Ensure that residents are free from significant medication errors.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0760, Pharmacy Service Deficiencies. Inspection of September 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 29, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.