La Bella of Cahokia

In the surveyor’s words

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

• Immediate jeopardy, widespreadF689Aug 27, 2025

  Based on observation, interview and record review, the facility failed to provide monitoring of a resident requiring continues oxygen with a known history of having smoking materials in the room and failed to implement interventions to ensure a safe environment for 1 of 3 residents (R3) reviewed for smoking. This failure resulted in (R3) continuing to smoke inside room while wearing oxygen placing self and others at risk for safety concerns. Findings include:This failure resulted in an Immediate Jeopardy began on 8/5/2025 when R3 who requires continuous oxygen and suffers from Chronic Obstructive Pulmonary Disease and Dyspnea was found to have odors of smoke of mind altering substances in his room. The survey team validated the abatement on 8/26/25 at 3:27pm. […]

• Immediate jeopardy, widespreadF600Jul 9, 2025

  Based on observation, interview, and record review, the facility failed to prevent mental abuse by denying access to visitors who abuse, exploits and harasses the residents residing in the facility. This failure has the potential to affect all 91 residents residing in the facility. This failure resulted in a Immediate Jeopardy when on 6/18/25, the facility failed to prevent a group of men from entering the facility, smoking marijuana, saying/singing obscenities such as sit your old a** down, f*** you n****, and swinging a leather belt around, while shooting a music video which included two residents (R1, R4), without their permission, that was posted on social media, now showing over 67,000 viewers. […]

• Immediate jeopardy, isolatedF578Jun 10, 2025

  Based on interview and record review, the facility failed to follow advanced directives for 1 of 4 (R89) residents reviewed for advanced directives in the sample of 67. This failure resulted in an Immediate Jeopardy on [DATE] when R89 was transferred to the hospital with lifesaving measures, against the documented DNR (do not resuscitate) advanced directive status. R89 ultimately expired at the hospital after being subjected to CPR, Mechanical Ventilation and the use of an AED (automated external defibrillator) which subsequently re-started his heart for a period of time. On [DATE] at 2:28 PM V1, Administrator, V2 DON and V3 ADON were notified of the Immediate Jeopardy. […]

• Immediate jeopardy, isolatedF684Jun 10, 2025

  3. R240's Electronic Medical Record (EMR) Medical Diagnoses Sheet, documented his code status was Do Not Resuscitate (DNR) with comfort focused measures. The Sheet documented R240 had the following diagnoses: Acute Kidney Failure, Type 2 Diabetes Mellitus, Essential Hypertension, Chronic Kidney Disease stage 2, Congestive Heart Failure, muscle weakness, sepsis, severe sepsis with septic shock, vascular dementia. R240's Physician's Orders (PO), dated 5/13/25, documented R240 was receiving Bactrim DS Oral, tablet 800-160 mg (milligram), Give 1 tablet by mouth two times a day for UTI (urinary tract infection) for 7 days. R240's Progress Note, dated 5/13/25, at 17:17 PM, documented Resident on antibiotic therapy due to UTI. […]

• Immediate jeopardy, isolatedF686Jun 10, 2025

  3. R66's Face Sheet, print date of 5/21/25, documented diagnoses of Alzheimer's Disease with late onset, muscle weakness, difficulty walking, R66's Care Plan, revision dated of 3/6/25, documented left heel 'mushy'. R66's Care Plan intervention, initiated on 3/7/25, documented Left multipodus boot to be worn at all times. R66's MDS, dated [DATE], documented she was not at risk for pressure ulcer and did not have any pressure ulcers at that time. On 5/21/25, at 10:06 AM, R66 was seated in a wheelchair (w/c) at the nurse's station near the bird cage. R66 was wearing blue colored crocs with fur-type lining and pink socks. She was not wearing a pressure relieving boot on her left foot. […]