Helia Southbelt Healthcare
HELIA SOUTHBELT HEALTHCARE in BELLEVILLE, IL — inspection on March 26, 2026.
Found 3 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
(injury/decline/room, etc.) that affect the resident.
physician of a change in condition in 1 of 3 residents (R7), reviewed for notifications of changes in the
they received a bill from a wound care company that had seen R7 for a wound and something was removed, the family was not notified of any wounds and didn't know about it until they received a bill.
V7 stated they did not notify the family that R7 had been removing her tracheostomy tube, and the communication was horrible. R7's Face Sheet, undated, documents R7 had the following diagnoses: Intracerebral Hemorrhage, Anxiety Disorder, Unspecified Dementia, Tracheostomy Status, Acute Respiratory Failure, and Depression. V7 is listed as R7's emergency contact and power of attorney.R7's MDS (Minimum Data Set), dated 9/28/25, R7 had a BIMS (Brief Interview of Mental Status) score of 00, indicating R7 had severe cognitive impairment. R7 utilizes a tracheostomy with ventilatory support.R7's Care Plan, dated 9/24/25, documents R7 is at risk for respiratory difficulties related to respiratory failure with an intervention to notify her physician of any changes.R7's Progress Note, dated 9/27/25 at 9:17 AM, documents the following: Resident decannulated herself. RT (Respiratory Therapy) attempted three times to replace trach.
Resident's stoma closed quickly.
Stoma care provided and resident placed on 3 lpm nasal cannula.
Resident's cough is strong, and saturation levels are wnl.
Will continue to monitor.On 3/24/26 at 9:00 AM, V2, DON (Director of Nurses) stated R7 was a resident at the facility for about two weeks. V2 stated R7 did have a history of removing her tracheostomy tube. V2 was not sure if R7's family or physician was notified of any changes. On 3/26/26 at 12:10 PM, V3, ADON (Assistant Director of Nurses) and V30, MDS/Care Plan Coordinator, stated they were unsure if R7's family was notified of any changes in condition. On 3/26/26 at 12:15 PM, V15, LPN (Licensed Practical Nurse), stated she is not familiar with R7, however does notify the residents families with any changes in condition.On 3/26/26 at 12:25 PM, V26, LPN, stated R7 did have a history of pulling at her tracheostomy tube, the feeding tube, and anything within her reach. V26 stated after R7 extubated herself and was placed on oxygen she was moved to the 200 hallway and that is where she (V26) took care of her. V26 stated she always notified R7's family and physician of any changes.
The Change in a Resident's Condition or Status Policy, dated 11/2016, documents the facility must immediately inform the resident, consult with the resident's physician, and notify, consisitent with his or her authority, the resident representative when there is any changes in the level of care, resident rights, etc.
Unless otherwise instructed by the resident, the nurse supervisor/charge nurse will immediately notify the resident's family or representative anytime there is a significant change in the resident's physical, mental or psychosocial status.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
145241 03/26/2026
Helia Southbelt Healthcare 101 South Belt West Belleville, IL 62220
stroke. resident is decannulated and on 3 L of O2 NC (Nasal Cannula). resident continues to take NC
and patent. resident extremely restless. resident having to be repositioned multiple times. resident
light in reach.R7's Progress Note, dated 10/01/25 at 12:44 AM, documents the following: (R7) removed her nasal cannula X2, her saturations were 90%. RT put 1 liter NC on her and her saturation went up to 99%. RT will continue to monitor.On 3/24/26 at 9:00 AM, V2, DON (Director of Nurses) V2 stated R7 was a resident at the facility for about two weeks and passed away. V2 stated R7 did have a history of removing her tracheostomy tube. On 3/26/26 at 12:10 PM, V30, MDS/Care Plan Coordinator, stated R7 extubated herself, he isn't sure if she had a history of doing this or if there were any preventative measures in place. On 3/26/26 at 12:25 PM, V26, LPN (Licensed Practical Nurse), stated R7 did have a history of pulling at her tracheostomy tube, the feeding tube, and anything within her reach. V26 stated R7 was very anxious and they got her on some medications and after a while, they did help to calm her down. V26 stated as preventative measures, they placed an abdominal binder over R7's g-tube site and kept other items out of her reach. V26 stated with R7's tracheostomy tube, there wasn't anything they could do to keep her from pulling at it and it was inevitable that she was going to pull it out.
The Problematic Behavior Management Clinical Protocol Policy, dated 2/2012, documents the staff will use protocols to identify pertinent interventions, other than medications, for the nature and causes of the individual's problematic behavior.
The Physician will help identify and authorize appropriate, targeted, and symptomatic treatments. As part of the initial assessment, the staff and physician will identify individuals with a history of impaired cognition, problematic behavior, or mental illness. In addition, the nurse shall assess and document/report whether a resident is a danger to themselves or others.
145241 03/26/2026
Helia Southbelt Healthcare 101 South Belt West Belleville, IL 62220
serve food in accordance with professional standards.
manner that prevents potential contamination.
This has the potential to affect all 94 residents living in
steam table and was not wearing a hairnet. V6 stated she was wearing a hairnet, but it is clear because the Facility buys clear hairnets. On 3/24/26 at 7:54 AM, in the dry storage room there were several stacks of boxes all over the floor that included three boxes of bread, two boxes of brown sugar, a box of dry cereal, a box of apple juice, a box of potato chips, a box of jelly, a box of syrup and a box of non-dairy creamer. V4, Dietary Manager, stated the boxes were delivered yesterday and they were short staffed and did not get them put away yet. On 3/24/26 at 11:00 AM, V4 stated the Facility does not buy clear hairnets.
The hairnets used in the kitchen have thin black webbing and can be harder to see on dark hair, but are not invisible. On 3/24/26 at 3:30 PM, V1, Administrator, stated he expects all dietary staff to wear hairnets in the kitchen and store food per policy guidelines.
The Facility's Cleaning and Sanitation - General Policy revised January 2012 documents the kitchen will be maintained in a clean and sanitary condition, and hairnets or hair coverings will be worn at all times.
The Facility's Food and Supply Storage Policy revised January 2012 documents food and supplies will be stored six inches above the floor on clean racks or shelves.
The Facility's Daily Census Report dated 3/24/26 documents there are 94 residents living in the Facility.