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 25 of 45 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 treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of August 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 9, 2025).

  3. 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).

  4. 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).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of July 20, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 24, 2026).

  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 November 14, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 15, 2025).

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

    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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2025).

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

    Honor the resident's right to organize and participate in resident/family groups in the facility.

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

    Health citation F-0565, Resident Rights Deficiencies. Inspection of July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2024).

  9. 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 July 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 23, 2024).

  10. 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).

  11. 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).

  12. 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).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

  14. 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 July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

  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 July 28, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 31, 2026).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of April 13, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 19, 2026).

  17. 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 March 27, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  18. 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 March 27, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (March 30, 2026).

  19. 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 5, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 8, 2025).

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

    Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

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

    Health citation F-0627, Resident Rights Deficiencies. Inspection of September 22, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (October 1, 2025).

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

    Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

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

    Health citation F-0604, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2025).

  22. 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 August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2025).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, Nutrition and Dietary Deficiencies. Inspection of August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2025).

  24. 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 August 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 14, 2025).

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of December 17, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (December 18, 2024).

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.