La Bella of Edwardsville: Fall Prevention Failures - IL
The deficiency, tagged at the actual harm level, affected a small number of residents....
Latest reports, citations, and penalties from CMS data
The deficiency, tagged at the actual harm level, affected a small number of residents....
Four residents, identified in the report as Residents 4, 5, 6, and 7, had described to staff how CNA G made them feel....
The deficiency, tagged F0678, was not a paperwork problem....
The inspection, completed November 5, 2025, was triggered by a complaint....
The incident happened on October 27, 2025....
The resident, identified in inspection records only as Resident 1, had active diabetic ulcers on his right great toe and right ankle....
The resident, identified in the report as Resident R1, first complained of left eye redness on October 22, 2025....
The catheter had been rubbing against the resident's skin long enough to cause gangrene....
Inspectors flagged the gap during a complaint inspection completed November 10, 2025....
Resident C had dementia, heart failure, and a prosthetic heart valve....
The resident at the center of the allegation is identified in inspection records only as Resident B....
That was the morning of September 30, 2025, at Metropolis Rehab & Health Care Center....
The inspection, completed November 11, 2025, focused on one resident identified in the report as R5....
Inspectors watched it happen both times....
As of September 24, 2025, at 5:30 in the afternoon, no interdisciplinary team notes had been produced....
The test tray told the story plainly....
That's what federal inspectors found when they visited the facility on November 4, 2025, responding to a complaint....
The resident, identified in inspection records only as Resident R1, has dementia....
The resident, identified in inspection records only as Resident B, was moved to the secured memory care unit sometime before October 10, 2025....
The gap between the system the facility described and what actually happened to that resident is the story....