Alpine Care Of St. Charles Llc
Alpine Care of St. Charles LLC in SAINT CHARLES, IL — inspection on April 24, 2026.
Found 1 citation. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
the sample of 4.
The findings include: On 4/23/26 at 9:37 AM, R1 was observed in her room lying in
did not receive her pain patch (Fentanyl) and blood thinner injection (Lovenox) a few weeks ago.
Nursing said they didn't have the medication. R1 said there's medication issues every month.R1's Medication Administration Record (MAR) dated April 2026 shows orders including Lovenox 40 mg (milligrams) inject 40 mg every twelve hours. R1's MAR shows Lovenox 40 mg was not administered for five doses. R1's MAR on 4/10 and 4/22 shows there was no documentation of the medication administered. R1's MAR shows on 4/7, 4/8, 4/11, the medication was unavailable and not administered. R1's MAR dated April 2026 shows orders including Fentanyl transdermal patch every 72 hours 50 mcg/hr (micrograms) apply one patch transdermally every 72 hours for pain. On 4/10/26, R1's fentanyl patch was unavailable and not administered. On 4/23/26 at 11:13 AM, V2 (DON/Director of Nursing) said when the medication is running low nursing should order at minimum three days in advance.
Some medication we can pull from our emergency supply if the medication is not available. If the medication is not documented on the M.A.R it was not administered. V2 said there was a time when R1 did not receive her blood thinner injection because the agency nurse said she could not find it. V2 said she was not aware of any other missed doses. On 4/23/26 at 12:46 PM, V3 (ADON/Assistant DON) reviewed R1's April 2026 MAR with this surveyor and confirmed R1 did not receive her fentanyl patch on 4/4/26. V3 said the patch was ordered through pharmacy but it was not available to administer. V3 said medications should be signed off when administered. V3 said R1's blood thinner injection medication is delivered in a box supply.
There should be plenty of supply for nursing to administer the medication.
She is not sure why nursing is documenting unavailable.
The facility's Medication Administration Policy dated 4/2026 states, To ensure that the administration of medications is performed in a safe manner to prevent medications errors.at completion of med pass, review all EMARs to assure all medications have been administered and documented.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
Frequently Asked Questions
More Reports
Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.