Belleville, IL

Nexus Pavilion at Belleville

1-star overall rating with 1-star inspections with Special Focus status with abuse icon flag with $876,893 in total fines with 21 recent health deficiencies with 4 fire-safety deficiencies in the latest cycle

727 North 17th Street, Belleville, IL

(618) 234-3323

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

180

Certified beds

Average residents

105

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Bria Health Services

Operator or chain grouping

Approved since

1977-05-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

15 facilities

Chain averages 1 overall / 2 health / 1 staffing / 3 quality stars

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.34

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.93

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

3.48

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

4.75

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.27

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

4.16

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.22

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.00

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.28

CMS adjusted RN staffing hours

Adjusted total hours

3.91

CMS adjusted total nurse staffing hours

Case-mix index

1.66

Higher values indicate more complex resident acuity

RN turnover

75%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

62%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,448

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

16.73

Composite VBP score used to determine payment impact.

Payment multiplier

0.9817

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Healthcare-associated infections

Not reported

This facility did not meet this measure's case minimum policy requirement and therefore no measure data is publicly reported.

Total nurse turnover

3.35

Baseline 59.42% · Performance 50.00% · Measure score 3.35 · Achievement 3.35 · Improvement 2.22

Adjusted total nurse staffing

0

Baseline 3.76 hours · Performance 2.56 hours · Measure score 0 · Achievement 0 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 9.8%
10.72%
0.9 pts better
No Different than the National Rate · Eligible stays 31 · Observed rate 3.23% · Lower 95% interval 5.52%
Discharge to community Not Available
50.57%
Not Available · Eligible stays 7 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Medicare spending per beneficiary 1.25
1.02
0.2 pts worse
Drug regimen review with follow-up Not Available
95.27%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Falls with major injury Not Available
0.77%
Numerator Not Available · Denominator 16 · Too few residents or stays to report publicly.
Discharge self-care score Not Available
53.69%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Discharge mobility score Not Available
50.94%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Pressure ulcers or injuries, new or worsened Not Available
2.29%
Numerator Not Available · Denominator 16 · Adjusted rate Not Available · Too few residents or stays to report publicly.
Healthcare-associated infections requiring hospitalization Not Available
7.12%
Not Available · Eligible stays 15 · Observed rate Not Available · Lower 95% interval Not Available · Too few residents or stays to report publicly.
Staff COVID-19 vaccination coverage 73.81%
8.2%
65.6 pts better
Numerator 62 · Denominator 84
Staff flu vaccination coverage 83.02%
42%
41 pts better
Numerator 88 · Denominator 106
Discharge function score Not Available
56.45%
Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to provider Not Available
95.95%
Numerator Not Available · Denominator 5 · Too few residents or stays to report publicly.
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator Not Available · Newly certified or not enough cases to report.
Resident COVID-19 vaccinations up to date Not Available
25.2%
Numerator Not Available · Denominator 9 · Too few residents or stays to report publicly.

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.1
2.0
1.1 pts worse
1.9
1.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 3.1 · Observed 2.4 · Expected 1.5 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
2.3
0.3 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.6 · Observed 2.6 · Expected 1.7 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 87.9%
89.6%
1.7 pts worse
93.4%
5.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 86.4% · Q2 87.4% · Q3 89.7% · Q4 88.0% · 4Q avg 87.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 76.4%
91.6%
15.2 pts worse
95.5%
19.1 pts worse
Long Stay · 2024Q3-2025Q2 · 4Q avg 76.4%
Percentage of long-stay residents experiencing one or more falls with major injury 3.4%
3.3%
0.1 pts worse
3.3%
0.1 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 3.6% · Q2 4.5% · Q3 3.4% · Q4 1.9% · 4Q avg 3.4% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 83.2%
50.3%
32.9 pts worse
11.4%
71.8 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 82.1% · Q2 78.8% · Q3 80.6% · Q4 91.8% · 4Q avg 83.2%
Percentage of long-stay residents who lose too much weight 4.0%
6.5%
2.5 pts better
5.4%
1.4 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.8% · Q2 4.7% · Q3 4.6% · Q4 1.9% · 4Q avg 4.0%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 4.8%
18.5%
13.7 pts better
19.6%
14.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 4.6% · Q2 0.9% · Q3 8.8% · Q4 4.6% · 4Q avg 4.8%
Percentage of long-stay residents who received an antipsychotic medication 48.9%
22.8%
26.1 pts worse
16.7%
32.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 45.7% · Q2 45.5% · Q3 51.4% · Q4 53.1% · 4Q avg 48.9% · Used in QM five-star
Percentage of long-stay residents who were physically restrained 0.0%
0.1%
0.1 pts better
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened 7.8%
17.2%
9.4 pts better
16.3%
8.5 pts better
Long Stay · 2024Q4-2025Q3 · Q1 9.3% · Q2 10.0% · Q3 3.4% · Q4 8.5% · 4Q avg 7.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 8.2%
15.0%
6.8 pts better
14.9%
6.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 6.5% · Q2 10.4% · Q3 4.6% · Q4 11.2% · 4Q avg 8.2% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 1.2%
1.1%
0.1 pts worse
1.0%
0.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 1.0% · Q3 1.9% · Q4 2.0% · 4Q avg 1.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.0%
1.7%
1.7 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 13.6%
21.3%
7.7 pts better
19.8%
6.2 pts better
Long Stay · 2024Q4-2025Q3 · Q1 7.0% · Q2 22.5% · Q3 13.9% · Q4 10.9% · 4Q avg 13.6%
Percentage of long-stay residents with pressure ulcers 4.5%
5.2%
0.7 pts better
5.1%
0.6 pts better
Long Stay · 2024Q4-2025Q3 · Q1 3.8% · Q2 6.1% · Q3 4.7% · Q4 3.6% · 4Q avg 4.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 60.7%
68.8%
8.1 pts worse
81.7%
21 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 49.1% · Q2 64.0% · Q3 73.5% · Q4 62.5% · 4Q avg 60.7%
Percentage of short-stay residents who had an outpatient emergency department visit 20.5%
14.0%
6.5 pts worse
12.0%
8.5 pts worse
Short Stay · 20240701-20250630 · Adjusted 20.5% · Observed 25.0% · Expected 13.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 6.6%
2.3%
4.3 pts worse
1.6%
5 pts worse
Short Stay · 2024Q4-2025Q3 · Q2 4.8% · 4Q avg 6.6% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 16.0%
63.0%
47 pts worse
79.7%
63.7 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 16.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 32.3%
26.2%
6.1 pts worse
23.9%
8.4 pts worse
Short Stay · 20240701-20250630 · Adjusted 32.3% · Observed 30.0% · Expected 22.2% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-03-14 · Fire 2025-03-14

24 health deficiencies

Top issue: Quality of Life and Care (8 deficiencies)

4 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Cycle 2 Health 2024-04-18 · Fire 2024-04-18

31 health deficiencies

Top issue: Quality of Life and Care (10 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (4 deficiencies)

Cycle 3 Health 2023-03-15 · Fire 2023-03-15

23 health deficiencies

Top issue: Quality of Life and Care (5 deficiencies)

7 fire-safety deficiencies

Top issue: Smoke (6 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-03-14

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2025-05-07

F · Potential for more than minimal harm 2025-03-14

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-03-14

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2025-04-25

E · Potential for more than minimal harm 2025-03-14

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-04-25

F · Potential for more than minimal harm 2024-04-18

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-15

F · Potential for more than minimal harm 2024-04-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-05-15

F · Potential for more than minimal harm 2024-04-18

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2024-05-15

F · Potential for more than minimal harm 2024-04-18

K914 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Corrected 2024-05-15

F · Potential for more than minimal harm 2024-04-18

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2024-05-15

E · Potential for more than minimal harm 2024-04-18

K354 · Smoke Deficiencies

Fire Safety

Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

Corrected 2024-05-15

E · Potential for more than minimal harm 2024-04-18

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-05-15

F · Potential for more than minimal harm 2023-03-15

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-04-08

E · Potential for more than minimal harm 2023-03-15

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-04-08

E · Potential for more than minimal harm 2023-03-15

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-04-08

E · Potential for more than minimal harm 2023-03-15

K324 · Smoke Deficiencies

Fire Safety

Provide properly protected cooking facilities.

Corrected 2023-04-08

E · Potential for more than minimal harm 2023-03-15

K363 · Smoke Deficiencies

Fire Safety

Install corridor and hallway doors that block smoke.

Corrected 2023-04-08

E · Potential for more than minimal harm 2023-03-15

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2023-04-08

E · Potential for more than minimal harm 2023-03-15

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-04-08

Inspection history

Recent health citations

F · Potential for more than minimal harm 2026-01-09

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2026-01-10

G · Actual harm 2025-10-16

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-10-31

J · Immediate jeopardy 2025-08-04

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-05

G · Actual harm 2025-07-23

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-07-26

G · Actual harm 2025-07-23

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2025-07-26

J · Immediate jeopardy 2025-06-25

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-08-05

F · Potential for more than minimal harm 2025-06-11

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-06-12

E · Potential for more than minimal harm 2025-06-11

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-12

E · Potential for more than minimal harm 2025-06-04

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-06-04

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2025-06-05

E · Potential for more than minimal harm 2025-05-21

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2025-05-22

G · Actual harm 2025-04-29

F677 · Quality of Life and Care Deficiencies

Health

Provide care and assistance to perform activities of daily living for any resident who is unable.

Corrected 2025-04-30

G · Actual harm 2025-04-29

F691 · Quality of Life and Care Deficiencies

Health

Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

Corrected 2025-04-30

G · Actual harm 2025-04-29

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2025-04-30

E · Potential for more than minimal harm 2025-04-07

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-04-16

G · Actual harm 2025-03-28

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-21

G · Actual harm 2025-03-28

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-08

D · Potential for more than minimal harm 2025-03-28

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-21

G · Actual harm 2025-03-14

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-05-21

G · Actual harm 2025-03-14

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-04-08

F · Potential for more than minimal harm 2025-03-14

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2025-04-02

F · Potential for more than minimal harm 2025-03-14

F814 · Nutrition and Dietary Deficiencies

Health

Dispose of garbage and refuse properly.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-14

F573 · Resident Rights Deficiencies

Health

Let each resident or the resident's legal representative access or purchase copies of all the resident's records.

Corrected 2025-04-02

D · Potential for more than minimal harm 2025-03-14

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-05-21

L · Immediate jeopardy 2025-01-22

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-02-03

E · Potential for more than minimal harm 2025-01-22

F712 · Nursing and Physician Services Deficiencies

Health

Ensure that the resident and his/her doctor meet face-to-face at all required visits.

Corrected 2025-02-03

J · Immediate jeopardy 2025-01-09

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-01-29

E · Potential for more than minimal harm 2025-01-09

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2025-01-29

G · Actual harm 2024-11-21

F609 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Corrected 2024-12-10

G · Actual harm 2024-11-21

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-10

D · Potential for more than minimal harm 2024-10-24

F602 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from the wrongful use of the resident's belongings or money.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-24

F697 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate pain management for a resident who requires such services.

Corrected 2024-11-15

D · Potential for more than minimal harm 2024-10-22

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-11-08

G · Actual harm 2024-08-29

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-09-16

E · Potential for more than minimal harm 2024-08-16

F919 · Environmental Deficiencies

Health

Make sure that a working call system is available in each resident's bathroom and bathing area.

Corrected 2024-08-21

D · Potential for more than minimal harm 2024-06-27

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-07-11

G · Actual harm 2024-04-24

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-13

H · Actual harm 2024-04-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2024-05-13

G · Actual harm 2024-04-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-05-13

G · Actual harm 2024-04-18

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-04-18

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-04-18

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-04-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-04-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-04-18

F882 · Infection Control Deficiencies

Health

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-04-18

F947 · Nursing and Physician Services Deficiencies

Health

Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

Corrected 2024-05-13

F · Potential for more than minimal harm 2024-04-18

F949 · Administration Deficiencies

Health

Provide behavior health training consistent with the requirements and as determined by a facility assessment.

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-04-18

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-04-18

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-04-18

F755 · Pharmacy Service Deficiencies

Health

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Corrected 2024-05-13

E · Potential for more than minimal harm 2024-04-18

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-05-13

D · Potential for more than minimal harm 2024-04-18

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-13

D · Potential for more than minimal harm 2024-03-01

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-03-01

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2024-03-25

D · Potential for more than minimal harm 2024-03-01

F808 · Nutrition and Dietary Deficiencies

Health

Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.

Corrected 2024-03-25

J · Immediate jeopardy 2023-11-09

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-30

G · Actual harm 2023-11-09

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-11-30

G · Actual harm 2023-11-09

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-11-09

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-11-30

D · Potential for more than minimal harm 2023-10-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-11-03

F · Potential for more than minimal harm 2023-05-25

F925 · Environmental Deficiencies

Health

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

Corrected 2023-06-05

F · Potential for more than minimal harm 2023-04-20

F727 · Nursing and Physician Services Deficiencies

Health

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Corrected 2023-04-26

F · Potential for more than minimal harm 2023-04-20

F803 · Nutrition and Dietary Deficiencies

Health

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Corrected 2023-04-27

D · Potential for more than minimal harm 2023-04-20

F623 · Resident Rights Deficiencies

Health

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Corrected 2023-04-26

D · Potential for more than minimal harm 2023-04-20

F625 · Resident Rights Deficiencies

Health

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Corrected 2023-04-26

D · Potential for more than minimal harm 2023-04-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-04-26

D · Potential for more than minimal harm 2023-04-20

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-26

D · Potential for more than minimal harm 2023-04-20

F842 · Resident Assessment and Care Planning Deficiencies

Health

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Corrected 2023-04-26

K · Immediate jeopardy 2023-03-15

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2023-04-07

F · Potential for more than minimal harm 2023-03-15

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2023-04-07

F · Potential for more than minimal harm 2023-03-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-07

E · Potential for more than minimal harm 2023-03-15

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2023-04-07

E · Potential for more than minimal harm 2023-03-15

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2023-04-07

E · Potential for more than minimal harm 2023-03-15

F921 · Environmental Deficiencies

Health

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-15

F638 · Resident Assessment and Care Planning Deficiencies

Health

Assure that each resident’s assessment is updated at least once every 3 months.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-15

F657 · Resident Assessment and Care Planning Deficiencies

Health

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Corrected 2023-04-07

D · Potential for more than minimal harm 2023-03-15

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-04-26

D · Potential for more than minimal harm 2023-03-15

F692 · Quality of Life and Care Deficiencies

Health

Provide enough food/fluids to maintain a resident's health.

Corrected 2023-04-07

Penalties and ownership

What sits behind the stars

$245,350 2025-03-14

Fine

Fine · fine $245,350

Fine

$0 2025-03-14

Payment Denial

Payment Denial · denial start 2025-04-08 · 128 days

128 day denial

$178,935 2025-01-09

Fine

Fine · fine $178,935

Fine

$29,510 2024-11-21

Fine

Fine · fine $29,510

Fine

$37,700 2024-08-16

Fine

Fine · fine $37,700

Fine

$192,836 2024-04-18

Fine

Fine · fine $192,836

Fine

$0 2024-04-18

Payment Denial

Payment Denial · denial start 2024-05-16 · 56 days

56 day denial

$192,562 2023-10-18

Fine

Fine · fine $192,562

Fine

Ownership

Weinfeld, Avrum

5% Or Greater Direct Ownership Interest · Individual

28% 27 facilities 2022-07-01
Weiss, Daniel

5% Or Greater Direct Ownership Interest · Individual

28% 15 facilities 2022-07-01
Weiss, Natan

5% Or Greater Direct Ownership Interest · Individual

28% 9 facilities 2022-07-01
Weinfeld, Dvorah

5% Or Greater Indirect Ownership Interest · Individual

15% 15 facilities 2022-07-01
Davis, Christine

Operational/Managerial Control · Individual

0% 5 facilities 2024-01-01
Dhaliwal, Navdeep

Operational/Managerial Control · Individual

0% 10 facilities 2024-01-01

Nearby options

Other facilities in reach

#1

Bria Of Belleville

Belleville, IL

1-star overall rating with 2-star inspections with abuse icon flag with $340,688 in total fines with 16 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$340,688
#2

St Paul's Senior Community

Belleville, IL

1-star overall rating with 2-star inspections with $227,658 in total fines with 12 recent health deficiencies with 5 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
2 / 5
Staffing
1 / 5
Fines
$227,658
#3

Evercare Of Swansea

Swansea, IL

1-star overall rating with 1-star inspections with abuse icon flag with $22,994 in total fines with 31 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

Overall
1 / 5
Health
1 / 5
Staffing
1 / 5
Fines
$22,994

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