La Bella of Caseyville

In the surveyor’s words

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

• Actual harm, isolatedF684Feb 19, 2026

  Based on interview and record review, the facility failed to assess 1 (R5) of 3 residents that had a change in condition. This failure resulted in R5 being transferred to the emergency room after not eating or coming out of her room for over 2 days. R5 was admitted to the hospital and diagnosed with RSV (Respiratory Syncytial Virus.)Findings Include:R5's Undated Face Sheet documents she was initially admitted to the facility on [DATE] with diagnoses including acute and chronic respiratory failure with hypoxia, chronic obstructive pulmonary disease (COPD), pneumonia, nasal congestion and postnasal drip. […]

• Actual harm, isolatedF689Jun 27, 2025

  Based on observation, interview, and record review, the facility failed to ensure staff implemented existing accident prevention interventions and failed to review and revise interventions after changes in resident's condition in 3 of 4 residents reviewed for falls in the sample of 37. These failures resulted in R5 suffering multiple falls and right ankle fracture. 1. R5's Face sheet documents an admission date of 3/29/2021. Diagnosis include Displaced Comminuted Fracture of Shaft of Right Tibia, Chronic Obstructive Pulmonary Disease, Acute and Chronic Respiratory Failure, Chronic Kidney Disease. R5's Minimum Data Set, MDS, dated [DATE] R5 is moderately cognitively impaired. MDS dated [DATE] documents R5 requires partial to moderate assist with lying to sitting and sitting to standing. […]

• Actual harm, isolatedF600Feb 14, 2025

  Based on interview and record review, the facility failed to prevent abuse in 2 of 8 residents (R4, R5) reviewed for abuse in the sample of 8. This failure resulted in R5 being scared and not feeling safe in the facility. Findings include: 1. On 2/14/25 at 8:25 AM, R5 stated recently R6 grabbed her by the arm and left bruises as she was walking by him. R5 stated staff didn't intervene right away but did come when she yelled out. R5 stated R6 resides on the same hall as her, she's scared and doesn't feel safe in the facility because of him (R6). R5 stated she wants to be moved off that hallway to get away from R6. R5 stated there haven't been any further incidents with R6 but she doesn't go near him. […]

• Actual harm, isolatedF697Jan 2, 2024

  Based on interview, observation and record review the facility failed to pass as needed (PRN) pain medications in a timely manner and failed to provide prescribed medications as ordered to 1 of 10 residents (R2) reviewed for medications in a sample of 30. The failure resulted in R2 experiencing continued pain and the inability to sleep. Findings include: R2's Face Sheet, dated 12/14/23, documents R2 has diagnoses of fracture if unspecified part of neck of left femur and other acute postprocedural pain. […]

• Actual harm, isolatedF755Jan 2, 2024

  Based on observation, interview, and record review, the facility failed to provide scheduled medications as ordered for 7 of 10 residents (R1, R2, R3, R12, R13, R19, R20) reviewed for medications in a sample of 30. Findings include: 1. R1's Face Sheet, dated 12/19/23, documents R1 has diagnoses of pneumonitis due to inhalation of food and vomit, chronic obstructive pulmonary disease (COPD), type II diabetes mellitus, end stage renal disease, and dependence on renal dialysis. R1's Minimum Data Set (MDS), dated [DATE], documents R1 is cognitively intact and requires supervision/or touching assistance with oral hygiene, personal hygiene, eating, dependent with toileting hygiene, toilet transfer, tub/shower transfer, and substantial/maximal assistance with shower/bathe. […]