La Bella of Alton

In the surveyor’s words

From the most serious findings on record at La Bella of Alton, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 29, 2025

  Based on interview, observation, and record review the facility failed to implement a resident's bed mobility care plan and failed to have the proper number of staff were present to change the resident's position in bed as directed by the resident's facility-created care plan for 1 of 5 residents (R2) reviewed for falls in the sample of 7. This failure resulted in R2 falling from R2's bed and sustaining a raised hematoma above the left eye, bruising below the left eye, bruising behind the left ear, bruising covering the left side of R2's neck and multiple bruises covering the left side of R2's face. […]

• Actual harm, isolatedF578Aug 22, 2024

  Based on interview and record review, the facility failed to update and have appropriate documentation regarding the Code Status/Advanced Directives for 2 of 3 residents (R3, R4) reviewed for Advanced Directives in the sample of 12. Utilizing the reasonable person concept, R3 made his advanced directive choices clear when updating his directive status in [DATE] to Do No Resuscitate (DNR) status. Due to the facility failure to correctly identify his DNR, R3 experienced life saving measures including intubation and extubation prior to expiring. The Findings Include: 1. […]

• Actual harm, isolatedF602Jan 25, 2024

  Based on interview and record review the facility failed to a protect a resident from misappropriation of property by a staff member for 1 of 2 residents (R8) reviewed for theft, in the sample of 11. This failure resulted in $1100 being diverted from R8's bank account by staff causing R8 to be upset and deprived of money for her room and board. Findings include: R8's Care Plan, undated, documents that R8 is at risk for abuse-vulnerability due to her deficits in cognitive/mental status. R8's Care Plan also documented on 1/12/2024 that resident made allegations of missing money from the business offices. […]

• Actual harm, isolatedF689Sep 29, 2023

  Based on interview and record review, the facility failed to provide appropriate assist and supervision while turning a resident in bed for 1 of 4 residents (R2) reviewed for falls with injury in the sample of 14. This failure resulted in R2 rolling out of her bed during care and falling to the floor, sustaining a right hip fracture. Findings include: R2's Face Sheet documents, she was admitted to the facility on [DATE] with the diagnoses to include Chronic Kidney Disease, Stage 3, Basal Cell Carcinoma of Skin of Right Upper Limb, including Shoulder, Other Specified Peripheral Vascular Diseases, Chronic Pain, Anxiety Disorder, Essential Hypertension, (HTN), Gastrointestinal Hemorrhage, Gastro-Esophageal Reflux Disease Without Esophagitis, Need for Assistance with Personal Care,… […]

• Actual harm, isolatedF689May 31, 2023

  Based on observation, interview, and record review the facility failed to utilize proper equipment, appropriate assist during resident care, and utilize care plan interventions to prevent accidents for 1 of 4 residents (R14) reviewed for supervision to prevent accidents in the sample of 14. This failure resulted in R14 falling out of bed during care and sustaining a subdural hematoma, requiring a 7-day hospitalization for treatment. Findings include: On 5/30/23 at 1:40 PM R14 was lying in bed with head of bed elevated and oxygen on per nasal cannula. R14's bed height was raised and there was a mat on the right side of her bed on the floor. There were no landing strips on the floor and R14 was lying in a standard sized bed, not an expanded bed. […]