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Complaint Investigation

La Bella Of Woodstock

Inspection Date: December 19, 2025
Total Violations 3
Facility ID 145222
Location WOODSTOCK, IL
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Inspection Findings

F-Tag F0550

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0550 Level of Harm - Minimal harm or potential for actual harm

Director of Nursing (DON), said housekeeping should only come in and clean if the resident says it is OK.The Illinois Long-Term Care Ombudsman Program Residents' Rights for People in Long-Term Care Facilities booklet (Revised 11/18) shows the facility must treat residents with dignity and respect and must care for them in a manner that promotes their quality of life and the facility must make arrangements to meet residents' needs and choices.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

LA Bella of Woodstock

309 McHenry Avenue Woodstock, IL 60098

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0812

Nutrition and Dietary Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many

FORM CMS-2567 (02/99) Previous Versions Obsolete

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Based on observation, interview, and record review, the facility failed to ensure staff wore a beard guard/net while handling/serving food. This has the potential to affect all 73 residents in the facility.The findings include: The facility's Facility Data Sheet dated 12/19/25 shows 73 residents reside in the facility.On 12/19/25 as the lunch meal was being served/plated in the dining room at 12:08 PM, V15, Cook, was observed to have a beard and was not wearing a beard guard as he plated the residents' meals.On 12/19/25 at 12:30 PM, V4, Dietary Manager, stated a beard guard is required if the (facial) hair is more than

an inch long. The facility's Dietary Policies and Procedures Dress Code Policy (not dated) shows beard nets should be used for employees with facial hair.

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

12/19/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

LA Bella of Woodstock

309 McHenry Avenue Woodstock, IL 60098

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0880

Provide and implement an infection prevention and control program.

Level of Harm - Minimal harm or potential for actual harm

Based on observation, interview, and record review, the facility failed to ensure staff performed hand hygiene after touching their face/nose and handling resident food for 1 of 4 residents (Resident R4) reviewed for infection control in the sample of 4.The findings include: On 12/19/25 at 12:22 PM, V11, Certified Nursing Assistant (CNA), was sitting in the dining room feeding Resident R4. V11 had her left hand over her mouth, resting her head on her left hand as she was feeding Resident R4. V11 then rubbed her hands together and ran them over her nose. Resident R4 asked for more bread and V11 went to the serving counter and got more garlic bread and brought it to Resident R4. V11 did not wash her hands or perform hand hygiene before delivering the bread to Resident R4.On 12/29/25 at 12:44 PM, V4, Dietary Manager, stated staff should not touch their face/nose and deliver food to the resident without washing or sanitizing their hands first; it's not sanitary.The facility's Hand Washing Policy (not dated) shows staff should wash their hands before handling food. Staff should wash hands to remove contamination after touching bare human body parts. Hand sanitizer does not replace handwashing.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

📋 Inspection Summary

La Bella of Woodstock in WOODSTOCK, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

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 WOODSTOCK, 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 Woodstock or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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