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Complaint Investigation

La Bella Of Freeburg

October 21, 2025 · Freeburg, IL · 746 Urbanna Drive
Citations 1
CMS Rating 1/5
Beds 118
Provider ID 145515
Healthcare Facility
La Bella Of Freeburg
Freeburg, IL  ·  View full profile →
Inspection Summary

La Bella of Freeburg in FREEBURG, IL — inspection on October 21, 2025.

Found 1 citation. 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.

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Inspection Findings

FF0600
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Actual Harm

in wheelchair.

Surveyor asked R2 about incident with R3. R2 stated I was sitting here and this guy I didn't know clocked me. I thought he punched me, but he used a knife. I only saw his fist. I fell out of my chair.

He's gone now.

Surveyor asked R2 if he felt safe and R2 stated I guess so.On 10/21/2025 at 9:15AM V6, CNA (Certified Nurse's Assistant), stated I was at a table close by R2's table assisting another resident and heard R2 scream My eye my eye. I ran over and R3 was walking away with a glazed look in his eyes. He said, Get out of my face #####. I started helping R2 and getting his vitals. R3 left the dining room with other staff. R3 had never acted this way before.On 10/21/2025 at 8:10AM V5, RN (Registered Nurse) stated I was in V2's office when I heard someone yell Help me Help me. I saw R3 walking away out of the dining room.

Staff members that were in the dining room were already there and walking with R3 and staff were already assisting R2. R2 was on the floor. R2 thought he had gotten hit. We laid R2 on the ground flat. R2 had a very small laceration under his right eye on his cheekbone area.

There was a very small amount of blood.

We started neuro checks and vitals on R2 and helped him up. R3 was sent out to the hospital first and then R2. R2's vitals and neuro checks were all fine.On 10/21/2025 at 8:33AM V2, DON, stated I was in my office the time of the incident with R2 and R3. I heard Ouch, Ouch and went running out of office. I saw R2 on the floor and his head was on the foot pedals of his wheelchair. I asked R2 what happened, and he said, That guy clocked me. We then laid R2 flat and started getting vitals and neuro checks.

One of the CNAs had walked out of the dining room with R3. I went to see about R3, and he was away from all other residents.

He was talking crazy. He was saying his wife was cheating on him and his son was stealing from him. He was irate. We stayed with him and kept him away from residents until EMS came.On 10/21/2025 at 10:40AM V8, LPN, stated I was walking back into the dining room on 10/13/2025 during lunch and heard R2 yelling help and that his eye hurt. V2 was already there by R2 and some other staff were with R3 keeping him away from other residents. We started vitals and neuro checks. I then called and got orders to send both residents out.

Facility abuse policy updated 12/13/2023 states This facility affirms the right of our residents to be free from abuse, neglect, misappropriation of property, corporal punishment and involuntary seclusion.

This facility therefore prohibits mistreatment, neglect or abuse of its residents, and has attempted to establish a resident-sensitive and secure environment.

The purpose of this policy is to assure that the facility is doing all that is within our control to prevent occurrences of mistreatment, neglect or abuse of our residents.

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in FREEBURG, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from La Bella of Freeburg or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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