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Home / Illinois / Alton

La Bella of Alton

3490 Humbert Road, Alton, IL 62002 · Madison County · (618) 465-2626

180 certified beds, about 160 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 1989

Last standard inspection more than 2 years ago Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
4 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 145651 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on March 25, 2024, inspectors cited 9 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 53 health citations since December 2021, 5 were rated as actual harm or immediate jeopardy to residents.

CMS lists 5 fines totaling $85,546 in the last three years; the largest was $51,610, and the latest is dated February 20, 2024.

Nurses and nurse aides worked 2.75 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.24 of those hours.

49.6% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Jenmax Group, an affiliated group of 7 nursing homes.

Health inspections

Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.

Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.

Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit

Where its citations fall on CMS's grid

CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 53 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
5G
0H
0I
Potential for more than minimal harm
30D
11E
7F
Potential for minimal harm
0A
0B
0C
January 7, 2026Complaint inspection · 3 citations
  1. D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    F580 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2026
    Inspectors wroteBased on interview and record review, the facility failed to notify the physician of a change in condition and holding diabetic medication for 1 of 4 residents (R2) reviewed for notifications in the sample of 4.
  2. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Past noncompliance: already fixed when inspectors found it
    Inspectors wroteBased on interview and record review, the Facility failed to ensure a resident with known diabetes received timely blood glucose monitoring per physician orders for 1 of 4 residents (R2) reviewed for quality of care in the sample of 4. This past non-compliance occurred from 10/25/25 to 10/28/25.
  3. D
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 10, 2026
    Inspectors wroteBased on interview and record review, the facility failed to administer subcutaneous insulin medication as ordered by a physician for 1 of 4 residents (R2) who had a diagnosis of Diabetes Mellitus Type 2 with Hyperglycemia, reviewed for medication in the sample of 4. Findings Include:R2's Face Sheet documents R2 was admitted to the facility on [DATE] with diagnoses including Dementia and Diabetes Mellitus Type 2 with Hyperglycemia. R2's Minimum Data Set (MDS) dated [DATE] documents R2 was cognitively impaired and took insulin. R2's Care Plan initiated 9/15/25 documents R2 has the potential for high and low blood sugar related to diabetes mellitus. Care Plan interventions include diabetes medication and blood sugar checks as ordered by physician. [...]
July 29, 2025Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 15, 2025
    Inspectors wroteBased on interview, observation, and record review the facility failed to implement a resident's bed mobility care plan and failed to have the proper number of staff were present to change the resident's position in bed as directed by the resident's facility-created care plan for 1 of 5 residents (R2) reviewed for falls in the sample of 7. This failure resulted in R2 falling from R2's bed and sustaining a raised hematoma above the left eye, bruising below the left eye, bruising behind the left ear, bruising covering the left side of R2's neck and multiple bruises covering the left side of R2's face. Findings Include:R2's face sheet, dated 7/24/25, documented R2 has diagnoses including Alzheimer's disease, chronic embolism, and thrombosis of left femoral vein, type 2 diabetes, vascular dementia, hyperlipidemia, and hypertension. [...]
June 16, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 2, 2025
    Inspectors wroteBased on observations, interviews and record reviews the facility failed to provide complete incontinent care to prevent urinary tract infections (UTI) for 1 of 3 residents (R68) reviewed for incontinent care in a sample of 66.
May 1, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 20, 2025
    Inspectors wroteBased on interview and record review the facility failed to change an indwelling urinary catheter per Physician order and failed to perform urinary catheter care per Physician order for 2 of 3 (R1, R3) residents reviewed for quality of care.
February 7, 2025Complaint inspection · 1 citation
  1. D
    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
    F600 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from verbal abuse for 2 of 2 residents (R2, R3) reviewed for abuse in the sample of 6.
January 15, 2025Complaint inspection · 1 citation
  1. D
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteBased on interview and record review, the facility failed to follow physician's hospital discharge order and apply a wound vac and coordinate care for an abdominal wound for 1 (R2) of 4 residents reviewed for quality of care/treatment in the sample of 4.
November 26, 2024Complaint inspection · 2 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure residents received a shower. The facility also failed to document residents who received a shower for 4 of 4 residents (R2, R4, R1, R3) reviewed for Activities of Daily Living care for dependent residents in a sample of 4.
  2. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2025
    Inspectors wroteBased on observation, interview and record review the facility failed to uphold resident rights for 1 of 3 residents (R2) reviewed for resident rights in a sample of 3.
October 4, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 23, 2024
    Inspectors wroteBased on interview and record review, the Facility failed to respond to call lights in a timely manner for 3 (R1, R3, and R7) of 7 residents reviewed for adequate and timely care in the sample of 8.
August 22, 2024Complaint inspection · 3 citations
  1. G
    Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
    F578 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to update and have appropriate documentation regarding the Code Status/Advanced Directives for 2 of 3 residents (R3, R4) reviewed for Advanced Directives in the sample of 12. Utilizing the reasonable person concept, R3 made his advanced directive choices clear when updating his directive status in [DATE] to Do No Resuscitate (DNR) status. Due to the facility failure to correctly identify his DNR, R3 experienced life saving measures including intubation and extubation prior to expiring. The Findings Include: 1. [...]
  2. D
    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
    F623 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to notify the resident's responsible party prior to a transfer to an acute care facility for evaluation and treatment of a change in condition for 2 of 3 residents (R3, R4)) reviewed for hospitalization in the sample of 12. The Findings Include: 1. R3's Face Sheet, undated, documents R3 was originally admitted to the facility on [DATE] and was discharged to the hospital on 8/16/24 with diagnosis of Chronic Obstructive Pulmonary Disease (COPD), Respiratory Failure, Panlobular Emphysema, Type 2 Diabetes Mellitus (DM), Malnutrition, Schizophrenia, Hypertension (HTN), Dependence on Supplemental Oxygen, COVID-19, and Deep Vein Thrombosis (DVT). R3's Care Plan, dated 7/25/24, documents R3 has a behavior problem related to threatening and cursing staff. [...]
  3. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 5, 2024
    Inspectors wroteBased on interview and record review, the facility failed to administer medications as ordered for one of 5 residents (R8) reviewed for medication administration in the sample of 12.
August 15, 2024Complaint inspection · 1 citation
  1. D
    Provide safe, appropriate dialysis care/services for a resident who requires such services.
    F698 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 20, 2024
    Inspectors wroteBased on interview and record review the Facility failed to ensure communication and continuity of care between the facility and dialysis center for 1 of 3 residents (R2) reviewed for dialysis in the sample of 6.
July 25, 2024Complaint inspection · 3 citations
  1. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on observation, interview and record review, the Facility failed to operationalize their policy and procedures for testing and tracking COVID-19; wear appropriate PPE (Personal Protective Equipment), clean multi-use equipment, and perform hand hygiene after resident encounter of a COVID-19 resident, and post signage indicating the Facility is in COVID-19 outbreak. This failure has the potential to affect all 126 residents living in the Facility.
  2. F
    Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.
    F882 · Infection Control · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on interview and record review, the Facility failed to employ a qualified Infection Preventionist (IP) with specialized training needed to track Facility infections and prevent the spread of infectious diseases, including COVID-19. This has the potential to affect all 126 residents living in the Facility.
  3. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) August 8, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide the physician prescribed medication. There were 25 opportunities with 2 errors resulting in a 8% medication error rate. The errors involved R13 in the sample of 22.
July 10, 2024Complaint inspection · 1 citation
  1. D
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 22, 2024
    Inspectors wroteBased on Interview and Record Review the facility failed to accommodate and inform 1 of 5 residents (R5) of change in shower schedule.
June 28, 2024Complaint inspection · 2 citations
  1. E
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2024
    Inspectors wroteBased on observations, interview, and record review, the facility failed to provide showers for 4 of 4 residents (R2, R5, R6 and R17) in the sample of 21 reviewed for showers.
  2. E
    Ensure that the resident and his/her doctor meet face-to-face at all required visits.
    F712 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 12, 2024
    Inspectors wroteBased on interview and record review the facility failed to ensure residents were seen by a physician for 4 of 7 residents (R2, R5, R18 and R21) reviewed for physician visits in the sample of 21. 1. R2's face sheet, dated 6/27/24, documented that R2 was admitted to the facility on [DATE]. R2's medical diagnosis sheet, dated 6/27/24, documented that R2 has the following diagnoses: cerebral ischemia, hypertension, history of cerebral infarction, depression, anxiety, muscle weakness, schizoaffective disorder, and need for assistance with personal care. R2's MDS (Minimum Data Set), dated 3/15/24, documented R2 is cognitively intact. On 6/26/24 at 9:15 am R2 stated that she has only seen her Medical Doctor (V18) one time and that was when she was admitted about two years ago. R2 stated that the Physician Assistant comes to see her but that her doctor never does. [...]
May 8, 2024Complaint inspection · 1 citation
  1. F
    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
    F725 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) May 20, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to sufficiently staff the facility to care for the resident needs, including Activities of Daily Living (ADLs), and answering call lights for 5 of 5 residents (R1, R2, R3, R4, R5) reviewed for sufficient staffing in the sample of 7. This deficiency has the potential to affect all 131 residents living in the facility.
April 25, 2024Complaint inspection · 3 citations
  1. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to follow through on a recommendation for a medication change for 1 of 11 residents (R2) reviewed for medications in the sample of 11.
  2. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to Administer Medications as ordered by the Physician for 1 of 11 residents (R11) reviewed for medications in the sample of 11.
  3. D
    Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
    F808 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, record review, and interview the facility failed to provide Therapeutic Diets as ordered by the Physician for two of three residents (R2 and R4) reviewed for Therapeutic Diets in a sample of 11. Findings Include: 1. On 4/23/2024 at 12:00PM, R4 received his lunch tray in his room. Observed his lunch to be a single serving of pasta and meat, (protein), and double portion of salad. R4's meal ticket documented, no specific diet order. On 4/18/2024 at 2:55PM, R4 face sheet revealed a diagnosis of sepsis, malignant neoplasm of rectum, history of antineoplastic chemotherapy; [...]
March 25, 2024Standard inspection, Complaint inspection · 9 citations
  1. F
    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
    F812 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on interview, observation and record review, the facility failed to store food at appropriate temperatures and failed to perform hand hygiene and change gloves while plating food to prevent potential food-borne illnesses. This has the potential to affect all 126 residents in the facility.
  2. F
    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
    F947 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to provide Dementia, Abuse, and other training to ensure competency of nurse's aides. This failure had the potential to affect all 126 residents residing in the facility.
  3. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to provide complete incontinent care and proper catheter care to prevent urinary tract infections (UTIs) for 4 of 4 residents (R76, R85, R107, R108) reviewed for incontinence care in the sample of 59.
  4. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to document a date accessed/opened for multi-dose insulin injection pens for 4 of 4 residents (R12, R27, R122, R229) reviewed for medication labeling in the sample of 59.
  5. E
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to perform hand hygiene to prevent the spread of infection for 4 of 5 residents (R76, R85, R107, R108) reviewed for infection control in the sample of 59.
  6. D
    Assure that each resident’s assessment is updated at least once every 3 months.
    F638 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on interview and record review, the facility failed to timely complete the quarterly Minimum Data Sets (MDSs) for 3 of 3 residents (R85, R87) reviewed for timely completion of MDS quarterly assessments in the sample of 59.
  7. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide timely turning and repositioning to prevent pressure ulcers for 3 of 6 residents (R85, R107, R279) reviewed for pressure ulcers in the sample of 59.
  8. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to secure cigarettes and lighters for 2 of 2 residents (R21, and R281) reviewed for supervision to prevent accidents in the sample of 59.
  9. D
    Ensure medication error rates are not 5 percent or greater.
    F759 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) May 1, 2024
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure that all medications were administered with an error rate less than 5%. There were 30 opportunities with 2 errors observed which calculated to a medication error rate of 6.67%. This deficient practice was identified for 1 of 3 nurses administering medications to one of 3 residents (R58) reviewed for medication administration in the sample of 59.
February 1, 2024Complaint inspection · 1 citation
  1. E
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · found on a complaint visit · Corrected (the home has a date of correction) February 14, 2024
    Inspectors wroteBased on interview, and record review, the facility failed to obtain resident blood glucose levels, failed to administer medications, and failed to contact the Physician as ordered for 4 of 6 residents (R1, R8, R12, R13) reviewed for medication administration, in the sample of 13.
January 25, 2024Complaint inspection · 1 citation
  1. G
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 8, 2024
    Inspectors wroteBased on interview and record review the facility failed to a protect a resident from misappropriation of property by a staff member for 1 of 2 residents (R8) reviewed for theft, in the sample of 11. This failure resulted in $1100 being diverted from R8's bank account by staff causing R8 to be upset and deprived of money for her room and board.
September 29, 2023Complaint inspection · 1 citation
  1. G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 30, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide appropriate assist and supervision while turning a resident in bed for 1 of 4 residents (R2) reviewed for falls with injury in the sample of 14. This failure resulted in R2 rolling out of her bed during care and falling to the floor, sustaining a right hip fracture.
January 11, 2023Standard inspection · 8 citations
  1. G
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · Actual harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to place the call light within reach of residents for 2 of 5 residents (R76, R285) residents reviewed for reasonable accommodation of needs in this sample of 57. This failure resulted in R285 feeling sad, horrible and unwanted. R285's Care Plan, dated 10/24/22, documents Resident is at risk for falls. The resident has balance or walking impairments., The resident has a history of falls., The resident experiences weakness., The resident has urinary incontinence which may create a wet floor and increase fall risk. It continues Be sure the resident's call light is within reach and encourage the resident to use it for assistance as needed. R285's Minimum Data Set (MDS), dated [DATE], documents that R285 is cognitively intact. [...]
  2. F
    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
    F804 · Nutrition and Dietary · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on interview, observation and record review, the facility failed to provide flavorful and palatable food. This failure has the ability to affect all 139 residents residing at the facility.
  3. F
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to perform hand hygiene and cleanse soiled resident equipment 5 of 5 residents (R56, R63, R95, R127 and R235) reviewed for infection control in the sample of 57.
  4. E
    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
    F690 · Quality of Life and Care · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview and record review the facility failed to provide complete incontinent care for 4 residents (R36, R56, R284, and R285) of 7 residents reviewed for incontinent care in the sample of 57.
  5. D
    Protect each resident from the wrongful use of the resident's belongings or money.
    F602 · Freedom from Abuse, Neglect, and Exploitation · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on record review and interview the facility failed to maintain accountability of narcotic medication for 1 resident (R116) of 1 resident reviewed for misappropriation of property in the sample of 57.
  6. D
    Provide care and assistance to perform activities of daily living for any resident who is unable.
    F677 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide showers or bathing assist for 2 of 2 (R233 and R236) residents reviewed for Activities of Daily Living in a sample of 57.
  7. D
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observations interview and record review the facility failed to implement interventions and transfer appropriately for 2 of 6 (R18, R283) residents reviewed for accidents and incidents in a sample of 57. This failure caused R283 to experience pain during transfer. 1. R283's Care Plan, dated 12/29/22, documents that Resident needs help transferring in and out of the bed or chair: It continues Transfer: the resident is not able to help with a transfer at all and will need the assistance of 2 staff and a (full body mechanical) lift to move from bed to chair and back. R283's MDS, dated [DATE], documents that R283 requires extensive assist of 2 people for transfers. On 1/3/2022 at 10:40 AM observed V17 transfer R283 into his wheelchair using the sit to stand mechanical lift. Once in chair V17 attempted to reposition R283. R283's right foot and lower leg was turned outward. [...]
  8. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 31, 2023
    Inspectors wroteBased on observation, interview and record review, the facility failed to provide appropriate water flushes and give medication as the physician had ordered for 1 of 1 (R107) resident reviewed for enteral feedings in a sample of 57.
December 17, 2021Standard inspection · 8 citations
  1. E
    Keep residents' personal and medical records private and confidential.
    F583 · Resident Rights · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 16, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to maintain confidentiality/privacy of medical records for 4 of 4 residents (R20, R25, R53, and R183) reviewed for privacy in the sample of 46.
  2. E
    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
    F761 · Pharmacy Service · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 16, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to store medications in a locked area to prevent access to resident medications and ensure insulin is labeled upon opening for for 6 of 6 residents (R16, R20, R25, R53, R54 and R183), reviewed for labeling/storage of medications in the sample of 46.
  3. E
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · No actual harm, potential for more than minimal harm, pattern · Corrected (the home has a date of correction) January 16, 2022
    Inspectors wroteBased on interview and record review the facility failed to provide adequate tracking for antibiotic stewardship surveillance to monitor for patterns and trends in infections and antibiotic use for 4 of 4 residents (R40, R47, R79 and R80) reviewed for antibiotic stewardship in the sample of 46.
  4. D
    Reasonably accommodate the needs and preferences of each resident.
    F558 · Resident Rights · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure call lights were within resident's reach for one of one residents (R25) reviewed for accommodation of need in the sample of 46.
  5. D
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2022
    Inspectors wroteBased on observation, interview and record review, the facility failed to administer pressure ulcer treatments as ordered for 1 of 8 residents (R81) reviewed for pressure ulcers in the sample of 46.
  6. D
    Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.
    F693 · Quality of Life and Care · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2022
    Inspectors wroteBased on observation, record review, and interview, the facility failed to administer tube feeding as ordered for 1 of 2 residents (R77) reviewed for enteral feedings in a sample of 46.
  7. D
    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
    F755 · Pharmacy Service · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2022
    Inspectors wroteBased on observation, interview and record review the facility failed to ensure staff documented the narcotic medication counts correctly on the resident's narcotic medication count sheet for 3 of 3 residents (R21, R41, R46) reviewed for Pharmacy Procedures/Records in a sample of 46.
  8. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 16, 2022
    Inspectors wroteBased on observation, interview, and record review, the facility failed to identify residents on isolation precautions, by failing to place signage outside resident's doors for 2 of 2 residents (R236, R237), reviewed for infections control precautions in the sample of 46.

Fire safety inspections

22 fire safety citations on file: 4 on March 25, 2024, 13 on January 11, 2023, 5 on December 17, 2021.

Every fire safety citation22 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · March 25, 2024 · Corrected (the home has a date of correction)
  2. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · March 25, 2024 · Corrected (the home has a date of correction)
  3. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · March 25, 2024 · Corrected (the home has a date of correction)
  4. E
    Ensure proper usage of power strips and extension cords.
    K 920 · March 25, 2024 · Corrected (the home has a date of correction)
  5. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 11, 2023 · Corrected (the home has a date of correction)
  6. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 11, 2023 · Corrected (the home has a date of correction)
  7. F
    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
    K 521 · January 11, 2023 · Corrected (the home has a date of correction)
  8. F
    Provide a written emergency evacuation plan.
    K 711 · January 11, 2023 · Corrected (the home has a date of correction)
  9. F
    Have simulated fire drills held at unexpected times.
    K 712 · January 11, 2023 · Corrected (the home has a date of correction)
  10. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 11, 2023 · Corrected (the home has a date of correction)
  11. E
    Provide properly protected cooking facilities.
    K 324 · January 11, 2023 · Corrected (the home has a date of correction)
  12. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · January 11, 2023 · Corrected (the home has a date of correction)
  13. E
    Install corridor and hallway doors that block smoke.
    K 363 · January 11, 2023 · Corrected (the home has a date of correction)
  14. E
    Install smoke barrier doors that can resist smoke for at least 20 minutes.
    K 374 · January 11, 2023 · Corrected (the home has a date of correction)
  15. E
    Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
    K 741 · January 11, 2023 · Corrected (the home has a date of correction)
  16. E
    Ensure proper usage of power strips and extension cords.
    K 920 · January 11, 2023 · Corrected (the home has a date of correction)
  17. E
    Have proper medical gas storage and administration areas.
    K 923 · January 11, 2023 · Corrected (the home has a date of correction)
  18. F
    Provide a written emergency evacuation plan.
    K 711 · December 17, 2021 · Corrected (the home has a date of correction)
  19. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 17, 2021 · Corrected (the home has a date of correction)
  20. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 17, 2021 · Corrected (the home has a date of correction)
  21. E
    Properly select, install, inspect, or maintain portable fire extinguishes.
    K 355 · December 17, 2021 · Corrected (the home has a date of correction)
  22. E
    Install corridor and hallway doors that block smoke.
    K 363 · December 17, 2021 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
February 20, 2024Fine $2,659
February 12, 2024Fine $2,279
January 25, 2024Fine $24,440
January 22, 2024Fine $4,558
September 29, 2023Fine $51,610
September 29, 2023Payment Denial 9 days from October 21, 2023

A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.

Staffing

Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.

MeasureThis homeIllinoisUnited States
All nursing staff (RN, LPN and aides)2.753.453.86
Registered nurses0.240.720.69
All nursing staff on weekends2.513.073.42
Nurse aides1.76
Licensed practical nurses0.74
Nursing staff turnover (share who left in a year)49.6%44.5%45.8%
Registered nurse turnover37.5%41.8%42.9%
Administrators who leftnot reported

CMS expects 5.56 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.

Staffing by quarter, from daily payroll records

Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.84 on weekdays and 2.51 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 8.3% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 2.71 in April to June 2025 to 2.75 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20262.750.242.842.51 8.3%0 of 90160
Oct to Dec 20253.060.183.132.89 13.1%0 of 92165
Jul to Sep 20252.670.172.762.44 9.5%1 of 92163
Apr to Jun 20252.710.152.832.40 13.0%2 of 91156
United States, Jan to Mar 20263.750.623.923.335.3%0.5% of days
Illinois, Jan to Mar 20263.260.653.402.925.4%0.6% of days

Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.

Staff pay reports

Staff pay at this home

No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.

Official wage estimates for Illinois

JobMedianMiddle halfEmployed
Illinois, all employers
CNAs (nursing assistants)$22.10$18.95 to $23.2668,640
LPNs and LVNs$36.06$30.57 to $38.2517,440
Registered nurses$46.15$38.47 to $50.94138,910
United States, nursing care facilities
CNAs (nursing assistants)$20.67$17.91 to $22.55534,270
LPNs and LVNs$33.86$30.05 to $37.40188,210
Registered nurses$41.11$37.85 to $47.68142,270

Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.

Work here? Share your pay anonymously

For La Bella of Alton. No name, email or phone, and nothing you could type about a resident: every answer is a number or a choice.

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Mandatory overtime?
How did staffing feel on your usual shift?

Every report is reviewed before it counts; what it says about the home never decides whether it counts. How pay reports are handled.

How staff pay reports work · CNA pay by state

Quality measures

The measures CMS uses for the quality star. Lower is better for every one of them.

MeasureThis homeIllinoisUS
Percentage of long-stay residents whose need for help with daily activities has increased
Long Stay residents, 2025Q2-2026Q1
9.913.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.30.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
0.21.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
4.23.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
1.42.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
12.514.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
6.74.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
10.821.715.4
Percentage of short-stay residents who were rehospitalized after a nursing home admission
Short Stay residents, 20250101-20251231
23.926.123.8
Percentage of short-stay residents who had an outpatient emergency department visit
Short Stay residents, 20250101-20251231
8.813.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.82.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
1.42.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for La Bella of Alton's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (57.7% of residents, after adjusting for how sick they were). How to read these, and what Medicare pays for.

Went home or back to the community

57.7% this home

No different from the national rate

US median of homes 51.5% · Illinois: 106 better, 85 worse

Rate of successful return to home or community from a SNF (risk-standardized discharge to community rate). Higher is better. October 2022 to September 2024. 145 eligible stays.

Potentially preventable readmissions

11.7% this home

No different from the national rate

US median of homes 10.7% · Illinois: 2 better, 14 worse

Rate of potentially preventable hospital readmissions 30 days after discharge from a SNF (risk-standardized rate). Lower is better. October 2022 to September 2024. 184 eligible stays.

Infections that led to a hospital stay

8.0% this home

No different from the national rate

US median of homes 7.1% · Illinois: 3 better, 10 worse

Percentage of infections residents got during their SNF stay that resulted in hospitalization (risk-standardized rate). Lower is better. October 2023 to September 2024. 68 eligible stays.

Self-care and mobility at discharge

53.7% this home

Median of homes: Illinois50.0% · US 56.6%

Percentage of residents who are at or above an expected ability to care for themselves and move around at discharge. Higher is better. October 2024 to September 2025. 67 residents counted.

Falls with major injury

1.9% this home

Median of homes: Illinois0.3% · US 0.0%

Percentage of SNF residents who experience one or more falls with major injury during their SNF stay. Lower is better. October 2024 to September 2025. 104 residents counted.

New or worsened pressure ulcers

0.0% this home

Median of homes: Illinois1.5% · US 1.7%

Percentage of residents with pressure ulcers or pressure injuries that are new or worsened (adjusted rate). Lower is better. October 2024 to September 2025. 104 residents counted.

Medication list given at discharge

Not reported

CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.

Median of homes: Illinois100.0% · US 98.7%

Percentage of residents where the SNF provided a current medication list to the resident, family, and/or caregiver at final discharge. Higher is better. October 2024 to September 2025. 19 residents counted.

Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.

Owners and operators

Legal business name: ALTON NURSING AND REHAB CENTER LLC. CMS links this home to Jenmax Group, a group of 7 nursing homes averaging 1 stars overall.

NameRoleTypeShareSince
Il2 Opco Holdings LLC5% or greater direct ownership interestOrganization100%12/01/2023
Jm SNF Member LLCDirect ownership interestOrganization12/01/2023
Il2 Opco Inv LLC5% or greater indirect ownership interestOrganization60%12/01/2023
Il2 Opco Holdings LLCIndirect ownership interestOrganization12/01/2023
3490 Hunbert Road LLC5% or greater security interestOrganization12/01/2023
6277 Center Grove Road LLC5% or greater security interestOrganization12/01/2023
Ccg Barbados, LLC5% or greater security interestOrganization12/01/2023
Garfinkel, AkivaManaging control - governing bodyIndividual12/01/2023
Garfinkel, AllanManaging control - governing bodyIndividual12/01/2023
Garfinkel, AllanCorporate officerIndividual12/01/2023
6277 Center Grove Road LLCOperational/managerial controlOrganization12/01/2023
Ccg Barbados, LLCOperational/managerial controlOrganization12/01/2023
Jenmax Holdings LLCOperational/managerial controlOrganization12/01/2023
Blair, Billie JoOperational/managerial controlIndividual02/03/2025
Dianati, BehfarOperational/managerial controlIndividual12/01/2023
Garfinkel, AkivaOperational/managerial controlIndividual12/01/2023
Garfinkel, AllanOperational/managerial controlIndividual12/01/2023
6277 Center Grove Road LLCAdp of the SNFOrganization12/01/2023
Ccg Barbados, LLCAdp of the SNFOrganization10/24/2025
Blair, Billie JoAdp of the SNFIndividual02/03/2025
Dianati, BehfarAdp of the SNFIndividual12/01/2023
Garfinkel, AkivaAdp of the SNFIndividual12/01/2023
Garfinkel, AllanAdp of the SNFIndividual12/01/2023

As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.

Questions to ask on a visit

Chosen from this home's own inspection record.

  1. How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 18 problems in this area, most recently on January 7, 2026: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
  2. How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 10 problems in this area, most recently on January 7, 2026: "Ensure that residents are free from significant medication errors."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 9 problems in this area, most recently on January 7, 2026: "Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident."
  4. What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 6 problems in this area, most recently on July 25, 2024: "Provide and implement an infection prevention and control program."
  5. Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.51 hours per resident per day, below the Illinois average of 3.07.

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

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Common questions

What is La Bella of Alton's Medicare star rating?
CMS rates La Bella of Alton 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did La Bella of Alton get at its last inspection?
9 health deficiencies at the standard inspection on March 25, 2024. The Illinois average is 12.6.
Has La Bella of Alton been fined?
Yes. CMS lists 5 fines totaling $85,546 in the last three years.
Does La Bella of Alton accept Medicaid?
It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
Who owns La Bella of Alton?
CMS lists 23 owners and managers, and links the home to Jenmax Group. Legal business name: ALTON NURSING AND REHAB CENTER LLC.

Sources

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