Helia Southbelt Healthcare: Dementia Care Failures - IL
The August 13 inspection, triggered by a complaint, found that the facility had failed to properly manage the behavioral symptoms of a dementia resident identified in records as Resident 3. The violation was cited under F0744, which covers the care and services a facility must provide to residents with dementia.
A certified nursing assistant, identified in the report as V7 CNA, told inspectors on August 8 that Resident 3 "thinks everyone's bed is his bed." The aide also said Resident 3 "messes with" the snacks belonging to Resident 2, his roommate. The statement was matter-of-fact, the kind of thing staff say when they have grown accustomed to something happening and stopped expecting it to stop.
Another staff member, interviewed the same day, said they were unaware of Resident 3 getting into Resident 2's bed.
That gap, between the aide who knew it as a routine fact and the staff member who claimed no knowledge of it, is part of what inspectors documented. The behavior was known to some and invisible to others, which is what happens when a problem is observed but never formally addressed.
The facility's own dementia care policy, dated November 2011, lays out what is supposed to happen. Staff and the physician are to review each dementia resident's physical, functional, and psychosocial status to build an accurate picture of the person's condition and behavioral complications. When a resident's responses to interventions change, or when new complications develop, the physician is supposed to help staff adjust the plan. The policy acknowledges directly that people with dementia can have personality disorders, psychosis, depression, or other conditions that drive problematic behavior, and that care plans must account for all of it.
What inspectors found was that the process the policy describes had not been applied to what was happening between Resident 3 and Resident 2.
Resident 3 entering Resident 2's bed is not a trivial behavioral quirk. For a resident with dementia, wandering into another person's sleeping space is a recognized symptom that carries real risk, to both residents. Resident 2 shares a room with someone who gets into his bed and takes his food. The inspection report does not describe what Resident 2 said about it, or whether anyone asked.
The harm level assigned to this violation was minimal, meaning inspectors found no evidence of serious physical injury resulting from the behavior. But the citation also notes potential for actual harm, and the residents affected were described as few.
Helia Southbelt Healthcare is a long-term care facility on the south side of Belleville. The inspection that produced this finding was a complaint investigation, not a routine survey, which means someone, a resident, a family member, or a staff member, had reason to contact regulators before inspectors arrived.
The facility's dementia protocol is more than a decade old. It was written in 2011. Whether it has been revised since then, and whether staff receive regular training on it, the inspection report does not say. What the report does say is that on August 8, 2025, a nursing aide described a dementia resident routinely entering his roommate's bed, and the care plan had not caught up to what the aide already knew.
Resident 2's snacks were being taken. His bed was being entered. The aide knew his roommate's name and knew the pattern well enough to describe it in a single sentence. What nobody had done was write it down somewhere that required a response.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Helia Southbelt Healthcare from 2025-08-13 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
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Last verified: October 25, 2026 · Our methodology
HELIA SOUTHBELT HEALTHCARE in BELLEVILLE, IL was cited for violations during a health inspection on August 13, 2025.
The violation was cited under F0744, which covers the care and services a facility must provide to residents with dementia.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.