2 Annable Court, Cahokia, IL 62206 · St. Clair County · (618) 332-0114
150 certified beds, about 83 residents a day · For profit - Partnership · Medicare and Medicaid since 1987
CMS Care Compare ratings, data as of September 1, 2026 · CCN 145581 · See it on Medicare.gov · Compare with other homes
At its most recent standard inspection, on April 5, 2024, inspectors cited 4 health deficiencies (the Illinois average is 12.6, the national average 9.2).
Of 63 health citations since March 2022, 15 were rated as actual harm or immediate jeopardy to residents (6 immediate jeopardy).
CMS lists 3 fines totaling $714,107 in the last three years; the largest was $448,601, and the latest is dated June 10, 2025.
Nurses and nurse aides worked 3.36 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.30 of those hours.
48.9% 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.
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.
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 63 health citations on file.
Inspectors wroteBased on observation, interview, and record review, the facility failed to do temperature readings on food cooked to maintain safe and appetizing temperatures for residents. This failure has the potential to affect all 84 residents residing in the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to follow proper sanitation and food handling practices for safe food handling, and failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety. This failure has the potential to affect all 84 residents residing in the facility.
Inspectors wroteBased on interview, and record review, the facility failed to maintain a resident's right to secure and confidential personal and medical records for 2 of 2 residents (R4, R5) reviewed for resident rights in the sample of 9.
Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent resident to resident abuse for 2 of 6 residents (R2 and R3) reviewed for abuse in a sample of 7. Findings Include: 1. R3's Face Sheet, original admission date of 12/26/22, documented R3 has diagnoses of but not limited to dementia, parkinsonism, bipolar disorder, and hypertension (HTN). R3's MDS (Minimum Data Set), dated 09/24/25, documented R3 is cognitively intact with a Brief Interview for Mental Status (BIMS) of 15 out of 15 and is independent with most of his activities of daily living (ADLs) and with walking 50 feet. R3's Care Plan, not dated, documented the following: R3 refuses to change rooms or be moved off the hall regarding recent altercation with another resident. Goal: R3 will not engage in an altercation until next review. Intervention: [...]
Inspectors wroteBased on interview and record review, the facility failed to ensure residents were free from abuse in 2 of 3 residents (R2, R3) reviewed for sexual abuse in the sample of 6. This failure resulted in R2 crying, was emotional and shaken up. For a reasonable, rational person this would result in psychosocial distress. Top of FormFindings include:1.) R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including traumatic brain injury. R1's Minimum Data Set (MDS) dated [DATE] documented R1 was moderately cognitively impaired and ambulated by wheelchair. R1's Care Plan dated 8/5/25 documents R1 has a behavior problem of being sexually inappropriate. On 10/10/25 at 1:35 PM, V8 (Certified Nursing Assistant/CNA Supervisor) stated R1 has been on 15-minute checks since 8/22/25 for inappropriate behavior. [...]
Inspectors wroteBased on interview and record review, the Facility failed to implement its abuse policy through prevention, reporting and investigating abuse allegations in 2 of 3 residents (R2, R3) reviewed for abuse in the sample of 6. Top of FormFindings include:1.) R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including traumatic brain injury. R1's Minimum Data Set (MDS) dated [DATE] documented R1 was moderately cognitively impaired and ambulated by wheelchair. R1's Care Plan dated 8/5/25 documents R1 has a behavior problem of being sexually inappropriate. On 10/10/25 at 1:35 PM, V8 (Certified Nursing Assistant/CNA Supervisor) stated R1 has been on 15-minute checks since 8/22/25 for inappropriate behavior. On 10/14/25 at 9:10 AM, V14 (Nurse Practitioner) stated R1 has a history of sexual aggression and is monitored every shift. [...]
Inspectors wroteBased on interview and record review, the Facility failed to report an allegation of abuse for 1 of 3 residents (R3) reviewed for abuse in the sample of 6.
Inspectors wroteBased on interview and record review, the Facility failed to thoroughly investigate abuse allegations from 1 of 3 residents (R2) reviewed for abuse in the sample of 6.
Inspectors wroteBased on observation, interview, and record review the facility failed to 1) develop and implement a person-centered plan of care for fall prevention; 2) ensure proper working order of R2's bed for 1 of 3 residents reviewed for falls in the sample of 11. This failure resulted in R2 who was post right below the knee amputation attempting to self-transfer, R2's bed rolled away from him due to a malfunctioning locking mechanism, and with R2 falling to the floor. The impact and trauma from the fall, re-opened the amputation surgical incision site, requiring urgent hospital treatment and surgical revision of the surgical site. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure essential resident equipment was in good working condition for 1 of 1 resident reviewed for physical environment in a sample of 11. This failure resulted in R2 who was post right below the knee amputation attempting to self-transfer, R2's bed rolled away from him due to a malfunctioning locking mechanism, and with R2 falling to the floor. The impact and trauma from the fall, re-opened the amputation surgical incision site, requiring urgent hospital treatment and surgical revision of the surgical site. Findings Include: [...]
Inspectors wroteBased on interview and record review the facility failed to develop and implement a person-centered plan of care for fall prevention for 1 of 3 residents reviewed for falls in a sample of 11. This failure resulted in R2 who was post right below the knee amputation attempting to self-transfer and R2 falling to the floor. The impact and trauma from the fall, re-opened the amputation surgical incision site, requiring urgent hospital treatment and surgical revision of the surgical site. Findings Include: R2's admission Sheet, with admission date of 07/25/25, documented R2 has diagnoses of but not limited to Peripheral vascular disease, Type II Diabetes Mellitus (DM), complete traumatic amputation at knee level, right lower leg, subsequent encounter, need for assistance with personal care, acquired absence of right leg below knee, and difficulty in walking. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to provide monitoring of a resident requiring continues oxygen with a known history of having smoking materials in the room and failed to implement interventions to ensure a safe environment for 1 of 3 residents (R3) reviewed for smoking. This failure resulted in (R3) continuing to smoke inside room while wearing oxygen placing self and others at risk for safety concerns.
Inspectors wroteBased on interview and record review the facility failed to assess and monitor admission weights for 1 of 3 (R3) residents in a sample of 5 reviewed for weight loss.
Inspectors wroteBased on observation, interview, and record review, the facility failed to prevent mental abuse by denying access to visitors who abuse, exploits and harasses the residents residing in the facility. This failure has the potential to affect all 91 residents residing in the facility. This failure resulted in a Immediate Jeopardy when on 6/18/25, the facility failed to prevent a group of men from entering the facility, smoking marijuana, saying/singing obscenities such as sit your old a** down, f*** you n****, and swinging a leather belt around, while shooting a music video which included two residents (R1, R4), without their permission, that was posted on social media, now showing over 67,000 viewers. This failure has caused mental and psychosocial harm, leading to residents feeling unsafe in the facility, which is their home. [...]
Inspectors wroteBased on observation, interview and record review, the facility failed to recognize potential abuse and immediately report an allegation of abuse to the Department. This has the potential to affect all 91 residents in the facility.
Inspectors wroteBased on interview and record review, the facility failed to thoroughly investigate an allegation of abuse. This has the potential to affect all 91 residents in the facility.
Inspectors wroteBased on observation, interview, and record review, the facility failed to protect residents' privacy for 2 of 4 residents (R1, R4) reviewed for privacy/confidentiality in the sample of 8.
Inspectors wroteBased on interview and record review, the facility failed to follow advanced directives for 1 of 4 (R89) residents reviewed for advanced directives in the sample of 67. This failure resulted in an Immediate Jeopardy on [DATE] when R89 was transferred to the hospital with lifesaving measures, against the documented DNR (do not resuscitate) advanced directive status. R89 ultimately expired at the hospital after being subjected to CPR, Mechanical Ventilation and the use of an AED (automated external defibrillator) which subsequently re-started his heart for a period of time. On [DATE] at 2:28 PM V1, Administrator, V2 DON and V3 ADON were notified of the Immediate Jeopardy. [...]
Inspectors wrote3. R240's Electronic Medical Record (EMR) Medical Diagnoses Sheet, documented his code status was Do Not Resuscitate (DNR) with comfort focused measures. The Sheet documented R240 had the following diagnoses: Acute Kidney Failure, Type 2 Diabetes Mellitus, Essential Hypertension, Chronic Kidney Disease stage 2, Congestive Heart Failure, muscle weakness, sepsis, severe sepsis with septic shock, vascular dementia. R240's Physician's Orders (PO), dated 5/13/25, documented R240 was receiving Bactrim DS Oral, tablet 800-160 mg (milligram), Give 1 tablet by mouth two times a day for UTI (urinary tract infection) for 7 days. R240's Progress Note, dated 5/13/25, at 17:17 PM, documented Resident on antibiotic therapy due to UTI. Resident remains afebrile, vital signs WNL (within normal limits), no adverse reactions noted. Will continue to monitor. [...]
Inspectors wrote3. R66's Face Sheet, print date of 5/21/25, documented diagnoses of Alzheimer's Disease with late onset, muscle weakness, difficulty walking, R66's Care Plan, revision dated of 3/6/25, documented left heel 'mushy'. R66's Care Plan intervention, initiated on 3/7/25, documented Left multipodus boot to be worn at all times. R66's MDS, dated [DATE], documented she was not at risk for pressure ulcer and did not have any pressure ulcers at that time. On 5/21/25, at 10:06 AM, R66 was seated in a wheelchair (w/c) at the nurse's station near the bird cage. R66 was wearing blue colored crocs with fur-type lining and pink socks. She was not wearing a pressure relieving boot on her left foot. On 5/21/25, from 10:07 AM until 12:06 PM, R66 remained in the small dining room for activities and then for lunch. [...]
Inspectors wrote6. R31's Diagnoses Report, print date of 5/27/25, documents he has diagnoses of need for assistance with personal care, hemiplegia and hemiparesis following unspecified cerebrovascular disease affecting left non-dominant side, and cerebral infarction. R31's Care Plan, with revisions dated 12/21/21, documented (R31) has an ADL (Activities of Daily Living) self-care deficiency r/t (related to) CVA (stroke with left sided weakness, activity intolerance, confusion and fatigue. The Care Plan, interventions with revision on 8/16/23 documented Toilet Use: x2 extensive assist with toileting. Assist with dressing change and peri care after all toileting and incontinent episodes. The interventions documented Transfer x2 extensive assist with transfers. R31's MDS, dated [DATE], documented he has impairment on one side of lower extremities (hip, knee, ankle, foot). [...]
Inspectors wroteBased on observation, interview, and record review, the Facility failed to provide adequate heating and ensure roof and utility hoppers were leak-free. This has the potential to affect all 90 residents living in the Facility.
Inspectors wroteBased on observation, interview and record review the facility failed to respect a residents privacy and dignity during a social media post for 1 (R46) of 3 residents reviewed for dignity in a sample of 67. Findings Include: R46's Undated Face Sheet, documents R46 was initially admitted to the facility on [DATE] with diagnoses including Parkinson's Disease with Dyskinesia, History of Falling, Hypertension, and Aphasia. R46's Minimum Data Set (MDS) dated [DATE] documents R46 is severely cognitively impaired. R46's Resident Consent to Photograph and Authorization for Use or Disclosure of Protected Health Information dated 4/7/2025 documents an illegible signature for consent. Unknown dated Social Media Post documents, a photo of R46 with V48, Restorative Nurse/QA. [...]
Inspectors wroteBased on observation, interview and record review the facility failed to ensure availability and working order of a personal wheelchair for 1 of 3 (R6) residents reviewed for accommodation of needs in the sample of 67. Findings Include: R6's Occupational therapy Progress Report, dated 2/13/2023 to 2/23/2023 documents patient currently unable to utilize personal tilt and space wheelchair with ROHO due to missing cushion and chair in disrepair. R6's Occupational Therapy Progress Note, dated during certification period of 3/14/2023 through 4/12/2023, documents patient tilt and space chair still in disrepair. Patient has assessment for new chair 3/23/2023. [...]
Inspectors wroteBased on interview and record review the facility failed to completely investigate an allegation of sexual abuse for 1 of 3 residents (R40), reviewed for abuse in the sample of 67. Findings Include: On 5/29/25 at 2:10 PM, R40 was observed in room in wheelchair, with a calm, flat affect, and is alert and oriented to person, place, and time. R40 stated R8 is a friendly guy, and he touched her. When asked where, she pointed to her breasts and abdomen. R40 stated she doesn't recall where it happened or if anyone saw it, but it happened a few weeks ago and she reported it to her nurse, unsure of name. R40 stated she doesn't remember if anything like this has happened before, but it hasn't happened since. R40 stated she isn't afraid of R8. R40 stated she feels safe in the facility. R40's Face Sheet, undated, documents she has the following diagnoses, in part: [...]
Inspectors wroteBased on interview and record review, the Facility failed to provide oxygen therapy as ordered for 1 of 3 residents (R2) reviewed for respiratory care in the sample of 4.
Inspectors wroteBased on observation, interview and record review, the Facility failed to prevent the reoccurance of a pressure ulcer for a resident with a history of wounds and risk factors, as well as initiate a timely and appropriate treatment for 1 of 3 residents (R3) reviewed for pressure ulcers, in the sample of 7.
Inspectors wroteBased on observation, interview and record review, the Facility failed to perform Range of Motion (ROM) exercises to a resident with contractures for 1 of 3 residents (R3) reviewed for Restorative Programs/Physical Therapy, in the sample of 7.
Inspectors wroteBased on interview and record review the facility failed to assess, monitor, and provide timely treatment for R2's knee pain. This failure resulted in when R2 had continued pain and swelling from 11/15/24 until 12/7/24 at which time her femur bone was protruding through her skin. R2 was hospitalized with an open femur fracture requiring surgical intervention which caused pain and suffering, with an increased risk for infection, vascular issues, and subsequently could have resulted in death. The failure to provide ongoing assessment, monitoring, and treatment for R2's ongoing knee pain led to R2's undiagnosed femur fracture to develop into an open fracture. The Immediate Jeopardy began on 11/15/24 when R2's right foot injury was noted, and the facility failed provide ongoing assessment, monitoring, and timely treatment for R2's ongoing symptoms including an increase in swelling and pain. [...]
Inspectors wroteBased on interview and record review the facility failed to provide services per current standards of practice, rising to the level of neglect with R2 sustaining a femur fracture on an unknown date, with the femur bone ultimately penetrating through the skin after 15 days of documented continued pain and extremity abnormality. This failure resulted in R2 being hospitalized with an open femur fracture requiring surgical intervention which caused pain and suffering.
Inspectors wroteBased on interview and record review, facility administration failed to direct and monitor the activities of the nursing department managers to identify nursing concerns/changes in condition. This failure has the potential to affect all 88 residents residing in the facility. Findings Include: R2's Progress Note, dated 11/15/24 at 10:16 AM, documents the following: slight discoloration to the right posterior foot observed, appears to be an injury, green in color and edema noted to the right foot. Origin unknown, no incident reported, facial grimacing observed when palpated. Nurse Practitioner (NP) notified; hospice nurse notified. R2's Progress Note, dated 11/20/24 at 8:48 AM, documents the following: writer was notified that R2's knee was very swollen. MD (Medical Doctor) is already aware of the situation, there was an x-ray performed. [...]
Inspectors wroteBased on interview and record review the facility failed to have a Quality Assessment and Assurance (QAA) meeting to identify concerns within the facility quarterly and with the required members in attendance. This failure has the potential to affect all 88 residents residing in the facility. Findings Include: The QAPI (Quality Assurance Performance Improvement) Sign-In Sheet documents the last QAA meeting was held on 1/25/24 with the MDS (Minimum Data Set)/CPC (Care Plan Coordinator), treatment nurse, restorative nurse, infection control nurse, DON (Director of Nurses) and administrator in attendance. There is no documentation that the medical director attended the meeting. On 12/17/24 at 11:25 AM, V1, Administrator, stated the last QAA meeting was held in January 2024, and they are supposed to be held quarterly. [...]
Inspectors wroteBased on interview and record review the facility failed to ensure nurse aides completed the required 12 hours of education per year. This has the potential to affect all 88 residents residing in the facility.
Inspectors wroteBased on interview and record review, the facility failed to immediately investigate a resident injury of unknown origin for 1 of 4 residents (R2) reviewed for injuries of unknown origin and abuse. This failure resulted in R2 experiencing increased pain and swelling from 11/15/24 until 12/7/24 when R2 was admitted to a regional hospital. R2's leg injury of unknown origin was first documented on 11/15/24 and R2's unknown injury investigation was not initiated until 12/9/24 two days after R2's fracture femur penetrated through her skin. This failure has the potential to affect all 88 residents residing in the facility.
Inspectors wroteBased on interview, record review and observation the facility failed to prevent resident to resident abuse for 3 of 5 residents (R2, R3, R5) reviewed abuse in the sample of 5. Findings Include: 1. R2's MDS dated [DATE] documents R2 is cognitively intact. R2's Electronic Health Record documents R2 has diagnoses of Cerebrovascular Disease, Acquired Absence of right and left leg below the knee, Atrial Fibrillation, Chronic Kidney Disease, and Non compliance with Medications. R3's MDS dated [DATE] documents R3 is moderately cognitively impaired. R3's Electronic Health Record documents R3 has in part the diagnoses of Post Traumatic Stress Disorder, Anxiety Diosrder, Violent Behavior, and Bipolar Disorder. R3's Care Plan dated 3/22/24 documents (R3) has a history of severe abuse, neglect, and confinement. She has a heightened level of fear especially anxiety and mistrust of others Goal: [...]
Inspectors wroteBased on interview, record review, and observation the facility failed to investigate resident to resident abuse for two of five residents (R2, R3) reviewed for abuse in the sample of 5. Findings Include: The facility policy Abuse Prevention Program dated 2/2023 documents this facility affirms the right of our residents to be free from abuse (verbal, mental, sexual, or physical.) Abuse means physical, mental, or sexual assault inflicted upon a resident other than accidental means in a facility. R2's MDS dated [DATE] documents R2 is cognitively intact. R3's MDS dated [DATE] documents R3 is moderately cognitively impaired. R2's Nurse's Note dated 10/5/24 documents Activity worker notified (this) writer that this resident (R2) grabbed the back of a female resident's (R3) chair and pushed it extremely hard causing female resident (R3) to roll into the wall really hard. [...]
Inspectors wroteBased on interview and record review, the facility failed to prevent employee to resident physical abuse by a staff member for 1 of 3 residents (R2) reviewed for abuse in the sample of 4. This failure resulted in R2 sustaining a bloody lip causing him to be upset and having pain.
Inspectors wroteBased on interview and record review, the facility failed to immediately report an allegation of employee physical abuse to the administrator and notify the local law enforcement for 1 of 3 residents (R2) reviewed for reporting of abuse allegations in the sample of 4.
Inspectors wroteBased on Observation, Interview, and Record Review, the facility failed to administer ordered medications resulting in 1of 1 resident missing multiple doses of intravenous (IV) antibiotics in the sample of 9. This failure resulted in R2 missing multiple doses of IV antibiotics for acute infections prolonging IV antibtiotic course.
Inspectors wroteBased on Observation, Interview, and Record Review, the facility failed to administer ordered medications to 1 of 1 resident (R2) in the sample of 9.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide adequate supervision to prevent residents from wandering into other resident's rooms for 1 of 3 resident's (R8) reviewed for wandering in a sample of 16.
Inspectors wroteBased on observation, interview, and record review, the facility failed to monitor blood sugars regularly and administer insulin as ordered for 1 of 11 residents (R2) reviewed for medications in the sample of 16.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure food was served at the proper temperature for 3 of 8 residents (R1, R2, and R6) reviewed for food in the sample of 9.
Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure foods were stored in a manner that prevents foodborne illness. This has the potential to affect all 81 residents living in the Facility.
Inspectors wroteBased on interview, and record review facility failed to provide adequate supervision to prevent an elopement, investigate a fall and follow fall precautions in 4 of 8 residents, (R8, R15, R36, R78) reviewed for accidents/supervision, in a sample of 30.
Inspectors wroteBased on observation, interview and record review, the facility failed to provide appropriate tracheostomy care for 1 of 3 residents (R136) reviewed for respiratory care, in a sample of 30.
Inspectors wroteBased on interview, observation and record review, the facility failed to follow infection control practices to prevent infection in 1 of 6 residents (R136) reviewed for infection control in the sample of 30.
Inspectors wroteBased on interview and record review, the Facility failed to perform a safe and appropriate transfer for 1 of 3 residents (R14) reviewed for falls in the sample of 28. This failure resulted R14 obtaining a gash to head and sent out to hospital.
Inspectors wroteBased upon interview and record review, the facility failed to protect residents from abuse for 6 of 6 residents (R1, R2, R4, R11,R12, R13) reviewed for abuse in the sample of 28.
Inspectors wroteBased on interview and record review the facility failed to administer medications as ordered by the physician resulting in residents receiving scheduled medications outside of the prescribed period for 4 of 4 residents (R2, R3, R4, R5) reviewed for medications in a sample of 28.
Inspectors wroteBased on interview, observation and record review the facility failed to provide the necessary foot treatments to avoid complications in residents that are prone to develop foot problems to 2 of 12 residents (R2, R6) out of a sample of 22.
Inspectors wroteBased on observation, interview and record review, the Facility failed to follow physician orders to maintain acceptable parameters of nutrition in 5 of 6 residents (R16, R18, R19, R27, and R82) reviewed for nutrition in the sample of 31. This failure resulted in continued, significant weight loss for R18 and R82 and worsening of R27's pressure ulcer.
Inspectors wroteBased on observation, interview, and record review, the Facility failed to store, prepare and serve food in accordance with food safety guidelines. This has the potential to affect all 90 residents living in the facility. On 4/25/23 at 12:10 PM there were several broken tiles, a saltshaker and a Styrofoam cup on the floor behind the ice machine. There was approximately ¼ inch of water standing in the bottom of the ice scoop container. On 4/25/23 at 12:17 PM there was a significant amount of dirt and grease on the pipes running behind the stove and on the backside of the equipment. On 4/25/23 at 12:22 PM in the dry storage room there were crumbs scattered across pots and pans on the bottom shelf of a storage rack. On 4/25/23 at 12:24 PM in the standing freezer there was approximately 1 inch of ice crystals on all of the shelves. [...]
Inspectors wroteBased on interview and record review the facility failed to answer call lights in a timely manner for 6 0f 6 residents (R53, R39, R22, R67, R80, R188) in the sample of 31.
Inspectors wroteBased on observation, interview and record review, the facility failed to report 2 allegations of abuse for 1 (R50) of 2 residents sampled for abuse in a sample of 31.
Inspectors wroteBased on observation, interview and record review, the facility failed to investigate two allegations of abuse for 1 of 2 (R50) in a sample of 31.
Inspectors wroteBased on observation, interview, and record review, the facility failed to provide and implement progressive interventions for repeated falls, for 1 (R32) of 3 residents in the sample of 31.
Inspectors wroteBased on observation, interview, and record review the facility failed to discontinue an unnecessary indwelling urinary catheter for one of three residents (R36) reviewed for Urinary Tract Infections (UTI) in the sample of 31.
Inspectors wroteBased on interview, and record review the facility failed to ensure staff are vaccinated for COVID-19, (Human Coronavirus Infection). The facility failed to develop a policy that includes a process for: ensuring staff are vaccinated for COVID-19 and have a contingency plan for staff who are not vaccinated and do not have an exemption or temporary delay. This failure has the potential to affect all 90 residents who reside in the facility.
Inspectors wroteBased on observation and interview, the Facility failed to maintain food temperatures to ensure food is served at palatable temperatures. This has the potential to affect all 86 residents residing in the facility.
Inspectors wroteBased on observation and interview, the facility failed to ensure food was stored and prepared in a manner which prevents potential contamination. This has the potential to affect all 86 residents living in the facility.
Inspectors wroteBased on observation, interview and record review, the facility failed to adminiter medications as ordered. There were 44 opportunities with 3 errors resulting in an 6.82% medication error rate. The errors involved 2 residents (R75, R45) in the sample of 29 out of 7 residents observed during the medication administration.
Inspectors wroteBased on record review and interview, the facility failed to ensure residents are free of significant medication errors for 1 of 5 residents (R22) reviewed for medications in the sample of 29.
11 fire safety citations on file: 3 on April 5, 2024, 5 on April 28, 2023, 3 on March 11, 2022.
| Date | Penalty | Amount or length |
|---|---|---|
| June 10, 2025 | Fine | $448,601 |
| June 10, 2025 | Payment Denial | 132 days from July 3, 2025 |
| October 3, 2024 | Fine | $255,264 |
| October 3, 2024 | Payment Denial | 75 days from October 23, 2024 |
| December 12, 2023 | Fine | $10,242 |
A payment denial means Medicare and Medicaid stopped paying for new admissions for that period.
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | Illinois | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 3.36 | 3.45 | 3.86 |
| Registered nurses | 0.30 | 0.72 | 0.69 |
| All nursing staff on weekends | 2.92 | 3.07 | 3.42 |
| Nurse aides | 2.15 | ||
| Licensed practical nurses | 0.91 | ||
| Nursing staff turnover (share who left in a year) | 48.9% | 44.5% | 45.8% |
| Registered nurse turnover | 72.7% | 41.8% | 42.9% |
| Administrators who left | 2 |
CMS expects 4.08 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 3.54 on weekdays and 2.92 on weekends, 18% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 2.5% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.56 in April to June 2025 to 3.36 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 3.36 | 0.30 | 3.54 | 2.92 | 2.5% | 0 of 90 | 83 |
| Oct to Dec 2025 | 3.18 | 0.33 | 3.27 | 2.98 | 2.1% | 0 of 92 | 85 |
| Jul to Sep 2025 | 3.11 | 0.27 | 3.28 | 2.69 | 5.3% | 2 of 92 | 91 |
| Apr to Jun 2025 | 3.56 | 0.41 | 3.83 | 2.89 | 7.0% | 0 of 91 | 88 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Illinois, Jan to Mar 2026 | 3.26 | 0.65 | 3.40 | 2.92 | 5.4% | 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
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.
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Illinois, all employers | |||
| CNAs (nursing assistants) | $22.10 | $18.95 to $23.26 | 68,640 |
| LPNs and LVNs | $36.06 | $30.57 to $38.25 | 17,440 |
| Registered nurses | $46.15 | $38.47 to $50.94 | 138,910 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
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.
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Illinois | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 14.6 | 13.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.3 | 0.9 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 1.5 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.2 | 3.1 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.7 | 14.3 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 6.3 | 4.8 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 22.4 | 21.7 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 33.9 | 26.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 17.4 | 13.8 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.3 | 2.0 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.3 | 2.2 | 1.8 |
For a stay to recover after a hospital visit, these are the results CMS publishes for La Bella of Cahokia's Medicare short-stay residents. How to read these, and what Medicare pays for.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 16 eligible stays.
11.2% 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. 40 eligible stays.
Not reported
CMS note: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
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. 24 eligible stays.
19.1% 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. 21 residents counted.
0.0% 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. 40 residents counted.
3.5% 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. 40 residents counted.
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. 2 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.
Legal business name: CAHOKIA NURSING AND REHABILITATION CENTER. CMS links this home to Jenmax Group, a group of 7 nursing homes averaging 1 stars overall.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Klein, Benjamin | 5% or greater direct ownership interest | Individual | 7% | 10/21/2011 |
| Klein, Miriam | 5% or greater direct ownership interest | Individual | 7% | 10/21/2011 |
| Milstein, Albert | 5% or greater direct ownership interest | Individual | 26% | 06/01/1994 |
| Wolfe, Sheldon | 5% or greater direct ownership interest | Individual | 24% | 06/01/1994 |
| Suydam, Robin | W-2 managing employee | Individual | 07/13/2005 | |
| Wolfe, Sheldon | W-2 managing employee | Individual | 06/01/1994 | |
| Milstein, Albert | Corporate director | Individual | 07/13/2005 | |
| Wolfe, Sheldon | Corporate director | Individual | 07/13/2005 |
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.
Chosen from this home's own inspection record.
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