Alpine Care Of Zion
Inspection Findings
F-Tag F0880
F 0880
Provide and implement an infection prevention and control program.
Level of Harm - Minimal harm or potential for actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview and record review the facility failed to ensure resident's bathrooms had an antiseptic handwash for 4 of 8 residents (Resident R5, Resident R6, Resident R7 and Resident R8) reviewed for infection control in the sample of 8.The findings include:1.On 11/14/25 at 9:40 AM, Resident R5's bathroom had no hand soap. Resident R5 said there has been no hand soap in the bathroom for a while, I have asked for hand soap repeatedly from staff, but I am ignored. I feed myself, I do things for myself, I have nothing to wash my hands, only plain water, no soap. Resident R5's facility assessment dated [DATE REDACTED] show a BIMS of 13- no cognitive impairment.2. On 11/14/25 at 9:55 AM, Resident R6's bathroom had no hand soap. Resident R6 said there has been no soap for a long time now, staff should know we have no soap to use to wash our hands.Resident R6's facility assessment dated [DATE REDACTED] show a BIMS of 13- no cognitive impairment.3. On 11/14/25 at 12:45 PM, Resident R7 was eating his lunch in his room. His bathroom had no hand soap. Resident R7 stated It's been months that there has been no hand soap, they took everything out because they said there was a recall of the hand soap and gave us hand sanitizer but never filled the hand soap. There was nothing to use to remove germs after using the bathroom, we were all taught that we are supposed to wash our hands, right? Resident R7's facility assessment dated [DATE REDACTED] show a BIMS of 15- no cognitive impairment.4. On 11/14/25 at 1pm. Resident R8 said staff removed the hand soap because they were talking about a recall. Resident R8 said after using the bathroom, after meals, or after going out to smoke, there is no soap to wash his hands. Resident R8 said staff just replaced the hand soap just now, actually just a moment ago.Resident R8's facility assessment dated [DATE REDACTED] show a BIMS of 15- no cognitive impairment.Both V5 (Certified Nursing Assistant) and V6 Social Services confirmed with this Surveyor that there was no hand soap in Resident R4-Resident R8's bathrooms. On 11/14/25 at 1:00 PM, V2 (Director of Nursing) said there was a hand soap recall but that was way back in August 2025. All residents should have access to hand soap in their bathrooms for handwashing to prevent infection.On 11/14/25 at 1:30 PM, V7 (Maintenance Director) said he had informed his housekeeping staff to make sure all bathrooms have soap to prevent infection.The facility policy entitled hand hygiene dated 6/30/25 show, hand hygiene is important in controlling infections. the facility will comply with the CDC guidelines in regard to hand hygiene. Hand washing with soap and water for at least 20 seconds is recommended: d- before eating and after personally using the toilet.
Residents Affected - Some
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 REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
Alpine Care of Zion in ZION, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in ZION, IL, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Alpine Care of Zion or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.