Belleville, IL

St Paul's Senior Community

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

1021 West E Street, Belleville, IL

(618) 233-2095

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

1 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

108

Certified beds

Average residents

99

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

Tutera Senior Living & Health Care

Operator or chain grouping

Approved since

2008-06-23

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Chain footprint

25 facilities

Chain averages 2 overall / 2 health / 2 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

0.44

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

1.09

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.35

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.88

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.53

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.49

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.31

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.03

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.38

CMS adjusted RN staffing hours

Adjusted total hours

3.32

CMS adjusted total nurse staffing hours

Case-mix index

1.60

Higher values indicate more complex resident acuity

RN turnover

0%

Annual RN turnover

Total nurse turnover

0%

Annual nurse turnover

SNF VBP

Value-based purchasing

Program rank

12,357

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

Performance score

12.66

Composite VBP score used to determine payment impact.

Payment multiplier

0.9811

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

0

Baseline 20.82% · Performance 24.08% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

2.2

Baseline 6.77% · Performance 7.18% · Measure score 2.2 · Achievement 2.2 · Improvement 0

Total nurse turnover

Not reported

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

Adjusted total nurse staffing

1.60

Baseline 3.95 hours · Performance 3.53 hours · Measure score 1.60 · Achievement 1.60 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure Facility National Note
Potentially preventable 30-day readmission 10.71%
10.72%
About the same
No Different than the National Rate · Eligible stays 278 · Observed rate 12.23% · Lower 95% interval 7.87%
Discharge to community 46.31%
50.57%
4.3 pts worse
No Different than the National Rate · Eligible stays 291 · Observed rate 36.77% · Lower 95% interval 40.27%
Medicare spending per beneficiary 1.02
1.02
About the same
Drug regimen review with follow-up 100%
95.27%
4.7 pts better
Numerator 171 · Denominator 171
Falls with major injury 1.17%
0.77%
0.4 pts worse
Numerator 2 · Denominator 171
Discharge self-care score 28.57%
53.69%
25.1 pts worse
Numerator 34 · Denominator 119
Discharge mobility score 42.02%
50.94%
8.9 pts worse
Numerator 50 · Denominator 119
Pressure ulcers or injuries, new or worsened 4.09%
2.29%
1.8 pts worse
Numerator 7 · Denominator 171 · Adjusted rate 3.63%
Healthcare-associated infections requiring hospitalization 7.18%
7.12%
0.1 pts worse
No Different than the National Rate · Eligible stays 173 · Observed rate 7.51% · Lower 95% interval 4.73%
Staff COVID-19 vaccination coverage 52.38%
8.2%
44.2 pts better
Numerator 55 · Denominator 105
Staff flu vaccination coverage 22.93%
42%
19.1 pts worse
Numerator 36 · Denominator 157
Discharge function score 42.02%
56.45%
14.4 pts worse
Numerator 50 · Denominator 119
Transfer of health information to provider 99.05%
95.95%
3.1 pts better
Numerator 104 · Denominator 105
Transfer of health information to patient Not Available
96.28%
Numerator Not Available · Denominator 15 · Too few residents or stays to report publicly.
Resident COVID-19 vaccinations up to date 52.81%
25.2%
27.6 pts better
Numerator 47 · Denominator 89

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 2.1
2.0
0.1 pts worse
1.9
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.7 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days 2.0
2.3
0.3 pts better
1.8
0.2 pts worse
Long Stay · 20240701-20250630 · Adjusted 2.0 · Observed 2.3 · Expected 1.9 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 75.9%
89.6%
13.7 pts worse
93.4%
17.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 43.5% · Q2 88.3% · Q3 88.6% · Q4 79.5% · 4Q avg 75.9%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 97.7%
91.6%
6.1 pts better
95.5%
2.2 pts better
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.7%
Percentage of long-stay residents experiencing one or more falls with major injury 8.6%
3.3%
5.3 pts worse
3.3%
5.3 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 5.8% · Q2 9.1% · Q3 8.9% · Q4 10.3% · 4Q avg 8.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms 42.1%
50.3%
8.2 pts better
11.4%
30.7 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 14.6% · Q2 53.1% · Q3 42.6% · Q4 51.7% · 4Q avg 42.1%
Percentage of long-stay residents who lose too much weight 3.3%
6.5%
3.2 pts better
5.4%
2.1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 1.8% · Q2 1.6% · Q3 6.2% · Q4 3.2% · 4Q avg 3.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication 23.6%
18.5%
5.1 pts worse
19.6%
4 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 21.1% · Q2 24.2% · Q3 25.8% · Q4 23.1% · 4Q avg 23.6%
Percentage of long-stay residents who received an antipsychotic medication 13.8%
22.8%
9 pts better
16.7%
2.9 pts better
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 8.0% · Q3 14.3% · Q4 19.6% · 4Q avg 13.8% · 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 52.0%
17.2%
34.8 pts worse
16.3%
35.7 pts worse
Long Stay · 2024Q4-2025Q3 · 4Q avg 52.0% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased 20.5%
15.0%
5.5 pts worse
14.9%
5.6 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 47.3% · Q2 15.0% · Q3 6.2% · Q4 17.2% · 4Q avg 20.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder 0.2%
1.1%
0.9 pts better
1.0%
0.8 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.9% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.2% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection 0.7%
1.7%
1 pts better
1.7%
1 pts better
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 1.3% · Q4 1.3% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 30.3%
21.3%
9 pts worse
19.8%
10.5 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 32.2% · Q2 39.6% · Q3 26.4% · Q4 23.5% · 4Q avg 30.3%
Percentage of long-stay residents with pressure ulcers 7.3%
5.2%
2.1 pts worse
5.1%
2.2 pts worse
Long Stay · 2024Q4-2025Q3 · Q1 13.9% · Q2 5.1% · Q3 4.2% · Q4 6.8% · 4Q avg 7.3% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 30.7%
68.8%
38.1 pts worse
81.7%
51 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 20.1% · Q2 44.7% · Q3 40.6% · Q4 18.3% · 4Q avg 30.7%
Percentage of short-stay residents who had an outpatient emergency department visit 16.2%
14.0%
2.2 pts worse
12.0%
4.2 pts worse
Short Stay · 20240701-20250630 · Adjusted 16.2% · Observed 17.7% · Expected 12.2% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication 1.9%
2.3%
0.4 pts better
1.6%
0.3 pts worse
Short Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.9% · Q3 2.0% · Q4 2.2% · 4Q avg 1.9% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 32.7%
63.0%
30.3 pts worse
79.7%
47 pts worse
Short Stay · 2024Q3-2025Q2 · 4Q avg 32.7%
Percentage of short-stay residents who were rehospitalized after a nursing home admission 28.5%
26.2%
2.3 pts worse
23.9%
4.6 pts worse
Short Stay · 20240701-20250630 · Adjusted 28.5% · Observed 33.8% · Expected 28.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-01-17 · Fire 2025-01-17

12 health deficiencies

Top issue: Nutrition and Dietary (7 deficiencies)

5 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 2 Health 2023-12-05 · Fire 2023-12-05

19 health deficiencies

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

4 fire-safety deficiencies

Top issue: Gas and Vacuum and Electrical Systems (2 deficiencies)

Cycle 3 Health 2022-12-07 · Fire 2022-12-07

7 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

5 fire-safety deficiencies

Top issue: Smoke (2 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-01-17

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2025-02-28

F · Potential for more than minimal harm 2025-01-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2025-02-28

E · Potential for more than minimal harm 2025-01-17

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-02-28

E · Potential for more than minimal harm 2025-01-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-02-28

E · Potential for more than minimal harm 2025-01-17

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2025-02-28

F · Potential for more than minimal harm 2023-12-05

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2023-12-28

F · Potential for more than minimal harm 2023-12-05

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

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

Corrected 2023-12-20

E · Potential for more than minimal harm 2023-12-05

K761 · Miscellaneous Deficiencies

Fire Safety

To conduct inspection, testing and maintenance of fire doors by qualified individuals.

Corrected 2023-12-27

E · Potential for more than minimal harm 2023-12-05

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2023-12-27

F · Potential for more than minimal harm 2022-12-07

K345 · Smoke Deficiencies

Fire Safety

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

Corrected 2023-03-15

F · Potential for more than minimal harm 2022-12-07

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-03-15

F · Potential for more than minimal harm 2022-12-07

K712 · Miscellaneous Deficiencies

Fire Safety

Have simulated fire drills held at unexpected times.

Corrected 2022-12-30

E · Potential for more than minimal harm 2022-12-07

K225 · Egress Deficiencies

Fire Safety

Have stairways and smokeproof enclosures used as exits that meet safety requirements.

Corrected 2022-12-16

E · Potential for more than minimal harm 2022-12-07

K923 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have proper medical gas storage and administration areas.

Corrected 2022-12-30

Inspection history

Recent health citations

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

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2026-02-02

C · Minimal harm 2026-01-09

F732 · Nursing and Physician Services Deficiencies

Health

Post nurse staffing information every day.

Corrected 2026-02-02

D · Potential for more than minimal harm 2025-11-25

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-12-16

D · Potential for more than minimal harm 2025-11-25

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 2025-12-16

D · Potential for more than minimal harm 2025-11-25

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-12-16

D · Potential for more than minimal harm 2025-09-17

F726 · Nursing and Physician Services Deficiencies

Health

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Corrected 2025-10-06

D · Potential for more than minimal harm 2025-09-05

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-09-05

F806 · Nutrition and Dietary Deficiencies

Health

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

Corrected 2025-09-25

D · Potential for more than minimal harm 2025-04-01

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 2025-04-04

G · Actual harm 2025-02-24

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-19

G · Actual harm 2025-02-10

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2025-03-07

E · Potential for more than minimal harm 2025-02-10

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 2025-03-07

D · Potential for more than minimal harm 2025-02-10

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 2025-03-07

D · Potential for more than minimal harm 2025-02-10

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 2025-03-07

D · Potential for more than minimal harm 2025-02-10

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2025-03-07

F · Potential for more than minimal harm 2025-01-17

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 2025-02-10

F · Potential for more than minimal harm 2025-01-17

F851 · Administration Deficiencies

Health

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Corrected 2025-02-10

D · Potential for more than minimal harm 2025-01-17

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 2025-02-10

D · Potential for more than minimal harm 2024-08-29

F550 · Resident Rights Deficiencies

Health

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Corrected 2024-09-02

G · Actual harm 2024-06-12

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 2024-07-09

D · Potential for more than minimal harm 2024-06-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-07-09

J · Immediate jeopardy 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 2024-04-12

G · Actual harm 2024-03-08

F760 · Pharmacy Service Deficiencies

Health

Ensure that residents are free from significant medication errors.

Corrected 2024-02-26

D · Potential for more than minimal harm 2024-03-08

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 2024-03-18

D · Potential for more than minimal harm 2024-03-08

F804 · Nutrition and Dietary Deficiencies

Health

Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Corrected 2024-03-11

G · Actual harm 2023-12-21

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 2024-01-02

J · Immediate jeopardy 2023-12-05

F684 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-02

J · Immediate jeopardy 2023-12-05

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 2024-01-02

G · Actual harm 2023-12-05

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 2024-01-02

D · Potential for more than minimal harm 2023-12-05

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-12-05

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-12-05

F881 · Infection Control Deficiencies

Health

Implement a program that monitors antibiotic use.

Corrected 2024-01-02

D · Potential for more than minimal harm 2023-10-26

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2023-10-27

D · Potential for more than minimal harm 2023-09-19

F582 · Resident Rights Deficiencies

Health

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Corrected 2023-09-20

E · Potential for more than minimal harm 2023-03-29

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 2023-04-21

G · Actual harm 2022-12-07

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-01-02

D · Potential for more than minimal harm 2022-12-07

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2023-01-02

D · Potential for more than minimal harm 2022-12-07

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 2023-01-02

Penalties and ownership

What sits behind the stars

$83,317 2025-01-17

Fine

Fine · fine $83,317

Fine

$0 2025-01-17

Payment Denial

Payment Denial · denial start 2025-03-12 · 23 days

23 day denial

$54,665 2024-06-12

Fine

Fine · fine $54,665

Fine

$16,801 2024-04-18

Fine

Fine · fine $16,801

Fine

$12,035 2024-03-08

Fine

Fine · fine $12,035

Fine

$60,840 2023-12-05

Fine

Fine · fine $60,840

Fine

Ownership

Ti-Belleville LLC

5% Or Greater Direct Ownership Interest · Organization

100% 1 facilities 2019-12-01
Tutera Investments, LLC

5% Or Greater Indirect Ownership Interest · Organization

40% 13 facilities 2019-12-01
Tutera, Joseph

5% Or Greater Indirect Ownership Interest · Individual

30% 28 facilities 2019-12-01
Brooks, Kiley

Corporate Officer · Individual

0% 29 facilities 2019-12-01
Gannon, Jeff

Corporate Officer · Individual

0% 7 facilities 2019-12-01
Merritt, Amy

W-2 Managing Employee · Individual

0% 1 facilities 2019-12-01

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#3

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