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Home / Illinois / Belleville

St. Paul's Senior Community

1021 West E Street, Belleville, IL 62220 · St. Clair County · (618) 233-2095

108 certified beds, about 100 residents a day · For profit - Limited Liability company · Medicare and Medicaid since 2008

Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5

CMS Care Compare ratings, data as of September 1, 2026 · CCN 146122 · See it on Medicare.gov · Compare with other homes

The record in brief

At its most recent standard inspection, on January 17, 2025, inspectors cited 3 health deficiencies (the Illinois average is 12.6, the national average 9.2).

Of 40 health citations since December 2022, 10 were rated as actual harm or immediate jeopardy to residents (3 immediate jeopardy).

CMS lists 6 fines totaling $292,138 in the last three years; the largest was $83,317, and the latest is dated March 12, 2026.

Nurses and nurse aides worked 3.68 hours per resident per day, against 3.45 across Illinois and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.

60.8% of nursing staff left within the year CMS measured (Illinois average 44.5%).

CMS links it to Tutera Senior Living & Health Care, an affiliated group of 25 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 40 health citations on file.

Severity
Isolated
Pattern
Widespread
Immediate jeopardy
3J
0K
0L
Actual harm
7G
0H
0I
Potential for more than minimal harm
24D
3E
2F
Potential for minimal harm
0A
0B
1C
June 18, 2026Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) July 16, 2026
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure food was stored and prepared in a manner which prevents potential contamination for 4 of 6 residents (R10, R11, R13, and R14) reviewed for food safety in the sample of 16. On 6/15/2026 at 11:50 PM, R11 stated the food was not always hot and they have complained about it, but it is still an issue. On 6/15/2026 at 11:54 PM, R13 stated her food is cold. They really need to make sure the food stays warm. This has been going on for a while now. I am not a big fan of pork, and we sure do have a lot of pork on the menu. On 6/15/2026 at 11:55 PM, R14 stated the food is not always hot and they have complained, and it is still not getting better. On 6/15/2026 at 11:58 PM, R10 stated the food is hit and miss, and it is cold more often than it is hot. [...]
March 27, 2026Complaint inspection · 1 citation
  1. 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 · found on a complaint visit · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on observation, interview, and record review, the facility failed to provided timely turning/repositioning and incontinent care to prevent pressure ulcers/injuries from worsening or developing new pressure ulcers/injuries for 1 of 4 residents (R50) reviewed for pressure ulcers in a sample of 47. Findings Include: R50's Face Sheet, documents that she has diagnoses of but not limited to primary osteoarthritis of right and left hand, pressure ulcer of sacral region, stage 4, and peripheral vascular disease. R50's Minimum Data Set (MDS), documents that R50 is cognitively intact with a Brief Interview of Mental Status (BIMS) of 13 out of 15 and she is dependent on staff for all her activities of daily living (ADLs). R50 is always incontinent of bowel and bladder. [...]
March 12, 2026Complaint inspection · 1 citation
  1. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) April 23, 2026
    Inspectors wroteBased on interview, observation and record review, the facility failed to serve food at palatable temperatures for 5 of 7 residents (R1, R6, R7, R8, R9) reviewed for Food and Nutrition Services in a sample of 13.
January 9, 2026Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) February 2, 2026
    Inspectors wroteBased on interview, observation, and record review, the Facility failed to ensure food served was appetizing and at a palatable temperature for 1 of 3 residents (R4) reviewed for food and nutritional services in the sample of 6.
  2. C
    Post nurse staffing information every day.
    F732 · Nursing and Physician Services · No actual harm, potential for minimal harm, widespread · found on a complaint visit · Corrected (the home has a date of correction) February 2, 2026
    Inspectors wroteBased on observation and interview, the Facility failed to post nurse staffing information in a prominent place that was readily accessible to residents and visitors. This has the potential to affect all 99 residents living in the Facility.
November 25, 2025Complaint inspection · 3 citations
  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) December 16, 2025
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure 2 of 4 residents (R3, R5) reviewed for resident rights were treated with dignity and respect by allowing staff to use personal cell phones excessively during work hours in the sample of 5.
  2. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · 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) December 16, 2025
    Inspectors wroteBased on interview, observation and record review, the Facility failed to follow its approved menu for 2 of 4 residents (R2, R3) reviewed for dietary services in the sample of 5.
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) December 16, 2025
    Inspectors wroteBased on interview and record review, the Facility failed to provide meals at palatable temperatures for 1 of 4 residents (R3) reviewed for food and nutritional services in the sample of 5.
September 17, 2025Complaint inspection · 1 citation
  1. D
    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
    F726 · Nursing and Physician Services · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) October 6, 2025
    Inspectors wroteBased on interview and record review, the Facility failed to ensure nurse aids had the skills and competencies to care for 1 of 3 residents with urinary catheters (R2) in the sample of 3.
September 5, 2025Complaint inspection · 2 citations
  1. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) September 25, 2025
    Inspectors wroteBased on interview, observation, and record review, the Facility failed to provide appetizing food at palatable temperatures for 3 of 5 residents (R1, R2, R5) reviewed for food and nutrition services in the sample of 5. Findings Include:1- R1's Face Sheet documents he was admitted to the facility on [DATE] with diagnoses including gastric ulcer, end stage renal disease, and muscle wasting and atrophy. R1's 8/15/25 Diet Order documents liberal renal precautions; no orange juice or bananas; limit potatoes and tomatoes; provide double protein portions three times daily; restrict fluid to 1500 mL (milliliter) in 24 hours. R1's Minimum Data Set (MDS) dated [DATE] documented R1 was cognitively intact. [...]
  2. D
    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
    F806 · 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) September 25, 2025
    Inspectors wroteBased on interview and record review, the Facility failed to ensure always available alternative options were available for 2 of 5 residents (R2, R5) reviewed for food and nutrition services in the sample of 5.1-R2's Face Sheet documents R2 was admitted to the facility on [DATE] with diagnoses including stage 3 sacral pressure ulcer, burns involving 50-59% of body surface, dependence on renal dialysis, and muscle wasting and atrophy. R2's 8/12/25 Diet Order documents renal diet; no orange juice, oranges, bananas, or milk; limit tomatoes and potatoes to one meal per day. R2's MDS dated [DATE] documented R2 was cognitively intact. [...]
April 1, 2025Complaint inspection · 1 citation
  1. D
    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
    F803 · 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) April 4, 2025
    Inspectors wroteBased on interview, and record review the facility failed to provide diets as ordered and failed to follow pre-planned meals for 2 of 4 residents (R3, R4) in a sample of 7. Findings Include: 1. On 3/28/2025 at 9:10 AM, R3 stated he does not always get what he orders from the facility's menu, due to the facility running out of food or not having what is listed on the menu for that meal. R3's Minimum Data Set (MDS) dated [DATE] documents R3 is cognitively intact. R3's Physician Order dated 3/19/2025 documents R3 is on a Consistent Carbohydrate diet with regular texture and liquid consistency. 2. On 3/28/2025 at 11:52 AM, R4 stated she is on a mechanical soft diet and will receive 2 items on her tray but will not always receive 3 or 4 items. R4 stated the facility does not always have available what is listed on the menu. [...]
February 24, 2025Complaint inspection · 1 citation
  1. G
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · Quality of Life and Care · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 19, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure respiratory care needs met current standards of practice for 5 of 6 (R1, R2, R4, R5, R6) reviewed for respiratory care. This failure resulted in R1 experiencing chest pain and tightness, shortness of breath and decreased oxygen saturations after R1 did not receive ordered nebulizer treatments.
February 10, 2025Complaint inspection · 5 citations
  1. G
    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
    F550 · Resident Rights · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to maintain residents' pride and dignity for 3 of 5 residents (R1, R3, R5) reviewed for resident dignity in the sample of 5. This failure resulted in expressed feelings of embarrassment and frustration. The Findings Include: 1. R1's admission Record, dated 2/5/25, documents R1 was admitted to the facility on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease (COPD), Respiratory Failure, Malignant Neoplasm of bronchus or lung, Hypertension (HTN), Morbid Obesity, Diverticulosis, Sleep Apnea, Nicotine Dependence, Lymphedema, Pulmonary HTN, Congestive Heart Disease (CHF), and Peripheral Vascular Disease (PVD). R1's Care Plan, dated 1/24/25, documents R1 has COPD: Interventions: [...]
  2. E
    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, pattern · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide sufficient staff to care and tend to resident needs for 4 of 5 residents (R1, R2, R3, R5) reviewed for sufficient staffing in the sample of 5. The Findings Include: 1. R1's admission Record, dated 2/5/25, documents R1 was admitted to the facility on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease (COPD), Respiratory Failure, Malignant Neoplasm of bronchus or lung, Hypertension (HTN), Morbid Obesity, Diverticulosis, Sleep Apnea, Nicotine Dependence, Lymphedema, Pulmonary HTN, Congestive Heart Disease (CHF), and Peripheral Vascular Disease (PVD). R1's Care Plan, dated 1/24/25, documents R1 has an Activities of Daily Living (ADL) Self Care Performance Deficit. Interventions: Toilet Use: The resident requires (two) staff participation to use toilet, the resident requires assistance (specify: [...]
  3. 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 · found on a complaint visit · Corrected (the home has a date of correction) March 7, 2025
    Inspectors wroteBased on observation, record review and interview the facility failed to provide a safe transfer for 1 of 1 resident (R1) reviewed for resident safety in the sample of 4. The Findings Include: R1's admission Record, dated 2/5/25, documents R1 was admitted to the facility on [DATE] with diagnoses of Chronic Obstructive Pulmonary Disease (COPD), Respiratory Failure, Malignant Neoplasm of bronchus or lung, Hypertension (HTN), Morbid Obesity, Diverticulosis, Sleep Apnea, Nicotine Dependence, Lymphedema, Pulmonary HTN, Congestive Heart Disease (CHF), and Peripheral Vascular Disease (PVD). R1's Care Plan, dated 1/24/25, documents R1 has COPD: Interventions: [...]
  4. 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) March 7, 2025
    Inspectors wroteBased on Interview, observation, and record review, the facility failed to provide timely and complete incontinent care for 2 of 4 residents (R1, R3) reviewed for incontinence care in the sample of 5. The Findings Include: 1. R1's admission Record, dated 2/5/25, documents R1 was admitted to the facility on [DATE] with diagnosis of Chronic Obstructive Pulmonary Disease (COPD), Respiratory Failure, Malignant Neoplasm of bronchus or lung, Hypertension (HTN), Morbid Obesity, Diverticulosis, Sleep Apnea, Nicotine Dependence, Lymphedema, Pulmonary HTN, Congestive Heart Disease (CHF), and Peripheral Vascular Disease (PVD). R1's Care Plan, dated 1/24/25, documents R1 has bladder incontinence. Interventions: [...]
  5. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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) March 7, 2025
    Inspectors wroteBased on Interview, observation, and record review, the facility failed to provide oxygen (O2) to 1 of 3 residents (R2) that is Oxygen dependent, reviewed for residents on oxygen in the sample of 5. The Findings Include: 1. R2's admission Record, dated 2/5/25, documents R2 was admitted to the facility on [DATE] with diagnosis of Chronic Obstructive Pulmonary Disease (COPD), Respiratory failure, Malnutrition, Thrombocytopenia, Hypertension (HTN), Anxiety disorder, Depression, Hyperlipidemia, and Dysphagia. R2's Care Plan, dated 1/24/25, documents R2 has Oxygen Therapy related to acute Respiratory Failure. Interventions: Oxygen Settings: The resident has O2 via nasal prongs/mask at three Liters (L) continuously. Humidified, monitor for signs/symptoms of respiratory distress and report to Medical Doctor (MD) as needed (PRN): [...]
January 17, 2025Standard inspection · 3 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) February 10, 2025
    Inspectors wroteBased on observation, interview, and record review the facility failed to ensure food was stored and prepared in a manner which prevents potential contamination. This has the potential to affect all 103 residents living in the facility. On 01/14/25 at 10:02 AM on the 100 South Hall there are two refrigerators in the kitchen unit, in the first refrigerator there was a non- resident refrigerator and inside was a block of yellow cheese slices approximate 30 slices that was not covered as the plastic wrap had come off and was exposing it to the air the top slice was leathery in texture, and all dried out. There was also a large styrofoam container containing some type of rice with vegetables inside of it that was not labeled or dated. On 1/14/2025 at 10:08 AM on the 100 South Hall in the resident refrigerator there was four cooked eggs in a metal container with no date or label. [...]
  2. F
    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
    F851 · Administration · No actual harm, potential for more than minimal harm, widespread · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteBased on Interview and Record Review the facility failed to submit the required Payroll-Based Journal (PBJ) data for the 4th quarter of 2024. This has the potential to affect all 103 residents in the facility.
  3. 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 · Corrected (the home has a date of correction) February 10, 2025
    Inspectors wroteBased observation, interview, and record review, the facility failed to notify a family representative of a significant illness and test results for one of one resident (R31) reviewed for notification in the sample of 34.
August 29, 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) September 2, 2024
    Inspectors wroteBased on interview and record review the facility failed to protect resident's rights and treat each resident with dignity for 2 of 8 residents (R1 and R7) reviewed for resident rights in a sample of 10.
June 12, 2024Complaint inspection · 2 citations
  1. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to provide complete and timely incontinent care using proper technique; and failed to perform hand hygiene and glove changes for 3 of 4 residents (R6, R7, R8) reviewed for incontinence care in the sample of 10. This failure resulted in R7 obtaining a Urinary Tract Infection, (UTI), and being placed on an Antibiotic.
  2. D
    Provide and implement an infection prevention and control program.
    F880 · Infection Control · No actual harm, potential for more than minimal harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) July 9, 2024
    Inspectors wroteBased on interview, observation, and record review, the facility failed to adhere to infection control practices and policies related to the staff failing to change gloves and perform hand hygiene during resident care for 3 of 4 residents (R6, R7, R8) reviewed for infection control in the sample of 10.
April 18, 2024Complaint inspection · 1 citation
  1. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, 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 proper transfer techniques to prevent falls and injuries for one of 7 residents (R2) reviewed for supervision to prevent falls in the sample of 7. This failure resulted in an Immediate Jeopardy when V8, Certified Nurse's Aide (CNA) transferred R2 incorrectly causing R2 to sustain bilateral femur (thigh) fractures and expiring on 04/14/24. This past non-compliance occurred from 04/11/24 to 04/12/24. The Immediate Jeopardy began on 4/11/24, when V8 attempted to transfer R2 by herself, and R2 falling and sustaining bilateral femur fractures. On 4/17/24, at 2:17 PM, V1, Administrator, V25, Regional Corporation Nurse and V26, Director of Clinical Operations were notified of the Immediate Jeopardy. [...]
March 8, 2024Complaint inspection · 3 citations
  1. G
    Ensure that residents are free from significant medication errors.
    F760 · Pharmacy Service · Actual 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 residents were free from significant medication errors for 1 of 6 residents (R2) reviewed for medication errors in the sample of 13. This failure resulted in R2 having a drop in blood pressure requiring hospitalization, intravenous fluids, and blood pressure support medication. This past non-compliance occurred on 2/26/24.
  2. 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) March 18, 2024
    Inspectors wroteBased on observation, interview and record review, the facility failed to ensure Certified Nursing Assistants (CNAs) provide appropriate catheter care, for 2 of 4 residents reviewed (R8, and R9) reviewed for catheter care in the sample of 13.
  3. D
    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, isolated · found on a complaint visit · Corrected (the home has a date of correction) March 11, 2024
    Inspectors wroteBased on interview, observation, and record review, the Facility failed to provide warm, palatable, appetizing meals for 3 of 4 residents (R2, R6, R8) reviewed for food palatability and temperature in the sample of 13.
December 21, 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) January 2, 2024
    Inspectors wroteBased on interview, observation and record review, the facility failed to implement fall interventions to prevent falls for 3 of 3 residents (R1, R2, R3) reviewed for falls in the sample of 3. This failure resulted in R1 sustaining a laceration to her left eye and R2 sustaining a left hip fracture.
December 5, 2023Standard inspection, Complaint inspection · 6 citations
  1. J
    Provide appropriate treatment and care according to orders, resident’s preferences and goals.
    F684 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to maintain residents' highest practicable physical well-being by assessing and providing timely care and treatment of fractures for 1 of 3 residents (R22) reviewed for quality of care in the sample of 43. This failure resulted in R22 not receiving timely care and treatment for three days after a fall. When R22 was sent to the hospital for treatment, it was identified that he had bilateral femur fractures and a dislocated knee. The Immediate Jeopardy began on 11/23/23 when R22 had a syncope episode during a transfer by V14, Certified Nurse's Aide (CNA) with a sit-to stand lift. The facility did not conduct an assessment after this incident to ensure the safest mode of transfer for R22. Again on 11/24/23, R22 had another syncope episode while being transferred with a sit to stand lift. [...]
  2. J
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    F689 · Quality of Life and Care · Immediate jeopardy to resident health or safety, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteA. Based on interview and record review, the facility failed to assess for and provide safe transfer techniques to prevent falls/injury for 1 of 14 residents (R22) reviewed for safe transfer techniques to prevent injury/falls in the sample of 43. This failure resulted in an Immediate Jeopardy when the facility failed to reassess R22 for the safest mode of transfer after having syncope episodes while being transferred with a sit-to stand lift. R22 sustained severely displaced fracture of the right proximal femur shaft, severely comminuted distal left femoral fracture with displacement of the knee joint. R22 has had two surgeries, a blood transfusion and remains in the Intensive Care Unit (ICU). The Immediate Jeopardy began on 11/23/23 when R22 had a syncope episode during a transfer by V14, Certified Nurse's Aide (CNA) with a sit-to stand lift. [...]
  3. G
    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 · Actual harm, isolated · found on a complaint visit · Corrected (the home has a date of correction) January 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed/neglected to prevent abuse/neglect for 4 of 5 residents (R22, R29, R53, R69) reviewed for abuse/neglect in the sample of 43. This failure resulted in R22 not being assessed timely and provided care and treatment after sustaining a fall that resulted in two fractured femurs and a dislocated knee. This failure also resulted in R53 being abused by an employee, with bruising, bleeding, and pain to her lower leg. Findings Include: 1. R22's Face Sheet, undated, documents R22 has the following diagnoses: Rheumatoid Arthritis, Weakness, Bilateral Osteoarthritis of the Knees and Abnormalities of Gait and Mobility. R22's Minimum Data Set (MDS), dated [DATE], documents R22 is cognitively intact and is dependent with transfers. R22's Care Plan, dated 8/17/23, documents R22 is at risk for falls. [...]
  4. D
    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
    F656 · Resident Assessment and Care Planning · 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, 2024
    Inspectors wroteBased on interview and record review, the facility failed to implement a person-centered care plan for falls for 1 of 29 residents (R39) reviewed for comprehensive care plans in the sample of 43. Findings Include: R39's Face Sheet, undated, documents R39 has the following diagnoses: Repeated Falls, Trans-Ischemic Attack (TIA), Alzheimer's Disease and Vascular Dementia. R39's Minimum Data Set, MDS, dated [DATE], documents R39 is severely cognitively impaired and has a history of falls. R39's Fall Risk Assessment, dated 10/17/23, documents R39 is at high risk for falls. R39 did not have a Care Plan addressing his fall risk or interventions to prevent falls. R39's Progress Note, dated 9/14/23 at 5:09 PM, documents R39 was observed on the floor by the bed. Vital signs were within normal limits (WNL). When asked what happened, R39 stated he was trying to get into bed. [...]
  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 2, 2024
    Inspectors wroteBased on interview and record review, the facility failed to assess, monitor, and treat pressure ulcers for 1of 8 residents (R48) reviewed for pressure ulcers in the sample of 43.
  6. D
    Implement a program that monitors antibiotic use.
    F881 · Infection Control · 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, 2024
    Inspectors wroteBased on interview and record review, the facility failed to ensure that residents were not given unnecessary antibiotics for 1 of 6 residents (R6) reviewed for antibiotic stewardship in the sample of 43. Findings Include: R6's Physician Order Sheet, documents an order, dated 7/27/23, for Macrobid 100 milligrams by mouth one time a day for prophylaxis. R6's Care Plan, dated 10/25/23, documents R6 has reoccurring Urinary Tract Infections and is on an antibiotic prophylactically. On 12/01/23 at 1:03 PM V9, Licensed Practical Nurse/Infection Control Preventionist, stated when a resident is prescribed an antibiotic prophylactically, she will notify the physician that the antibiotic doesn't meet criteria and then the physician will let her know what to do. V9 stated she does not expect residents to be prescribed antibiotics unnecessarily. [...]
October 26, 2023Complaint inspection · 1 citation
  1. D
    Provide safe and appropriate respiratory care for a resident when needed.
    F695 · 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) October 27, 2023
    Inspectors wroteBased on interview and record review, the facility failed to assess, monitor, and document respiratory assessment for 1 of 3 residents (R2) reviewed for respiratory care in the sample 10.
September 19, 2023Complaint inspection · 1 citation
  1. D
    Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
    F582 · 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 20, 2023
    Inspectors wroteBased on interview, and record review, the facility failed to provide residents in writing, of the resident's change in Medicare coverage, for 1 of 1 resident (R7) reviewed for notification of Medicare Coverage in the sample of 8. This failure has the potential to affect all residents receiving Medicare Coverage. Findings Include: 1. R7's admission Record, undated, documents, R7 was admitted to the facility on [DATE]. R7's Electronic Medical Record, documents, R7's Medical Diagnosis include, Arteriosclerotic Heart Disease, (ASHD), Hypertension, (HTN), Spondylosis w/Radiculopathy Lumbar, Irritable Bowel Syndrome, (IBS), Congested Heart Failure, (CHF), Type 2 Diabetes Mellitus, (DM), Hyperlipidemia, Acute Kidney Failure, (AKF), Chronic Kidney Disease, (CKD). [...]
December 7, 2022Standard inspection · 3 citations
  1. G
    Provide appropriate pressure ulcer care and prevent new ulcers from developing.
    F686 · Quality of Life and Care · Actual harm, isolated · Corrected (the home has a date of correction) January 2, 2023
    Inspectors wroteBased on observation, interview, and record review, the facility failed to assess and monitor pressure ulcers, ensure pressure ulcer treatments/services are administered per standards of practice and orders are administered per physician's orders (PO) for 1 of 7 residents (R8) reviewed for pressure ulcers in the sample of 40. This failure resulted in R8's unstageable pressure ulcer to right buttocks/thigh worsening and becoming infected.
  2. D
    Ensure services provided by the nursing facility meet professional standards of quality.
    F658 · Resident Assessment and Care Planning · No actual harm, potential for more than minimal harm, isolated · Corrected (the home has a date of correction) January 2, 2023
    Inspectors wroteBased on interview and record review, the facility failed to provide pressure ulcer care services in accordance with professional standards of care for 1 of 1 resident (R8) reviewed for professional standards of care in the sample of 40.
  3. 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 2, 2023
    Inspectors wroteBased on observation, interview and record review, the Facility failed to implement interventions to prevent falls for 1 of 10 residents (R71) reviewed for falls in the sample of 40.

Fire safety inspections

14 fire safety citations on file: 5 on January 17, 2025, 4 on December 5, 2023, 5 on December 7, 2022.

Every fire safety citation14 citations
  1. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · January 17, 2025 · Corrected (the home has a date of correction)
  2. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · January 17, 2025 · Corrected (the home has a date of correction)
  3. E
    Keep aisles, corridors, and exits free of obstruction in case of emergency.
    K 211 · January 17, 2025 · Corrected (the home has a date of correction)
  4. E
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · January 17, 2025 · Corrected (the home has a date of correction)
  5. E
    Have proper medical gas storage and administration areas.
    K 923 · January 17, 2025 · Corrected (the home has a date of correction)
  6. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 5, 2023 · Corrected (the home has a date of correction)
  7. F
    Have generator or other power source capable of supplying service within 10 seconds.
    K 918 · December 5, 2023 · Corrected (the home has a date of correction)
  8. E
    To conduct inspection, testing and maintenance of fire doors by qualified individuals.
    K 761 · December 5, 2023 · Corrected (the home has a date of correction)
  9. E
    Have proper medical gas storage and administration areas.
    K 923 · December 5, 2023 · Corrected (the home has a date of correction)
  10. F
    Have approved installation, maintenance and testing program for fire alarm systems.
    K 345 · December 7, 2022 · Corrected (the home has a date of correction)
  11. F
    Inspect, test, and maintain automatic sprinkler systems.
    K 353 · December 7, 2022 · Corrected (the home has a date of correction)
  12. F
    Have simulated fire drills held at unexpected times.
    K 712 · December 7, 2022 · Corrected (the home has a date of correction)
  13. E
    Have stairways and smokeproof enclosures used as exits that meet safety requirements.
    K 225 · December 7, 2022 · Corrected (the home has a date of correction)
  14. E
    Have proper medical gas storage and administration areas.
    K 923 · December 7, 2022 · Corrected (the home has a date of correction)

Fines and payment denials

DatePenaltyAmount or length
March 12, 2026Fine $64,480
January 17, 2025Fine $83,317
January 17, 2025Payment Denial 23 days from March 12, 2025
June 12, 2024Fine $54,665
April 18, 2024Fine $16,801
March 8, 2024Fine $12,035
December 5, 2023Fine $60,840

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)3.683.453.86
Registered nurses0.390.720.69
All nursing staff on weekends3.323.073.42
Nurse aides2.18
Licensed practical nurses1.11
Nursing staff turnover (share who left in a year)60.8%44.5%45.8%
Registered nurse turnover71.4%41.8%42.9%
Administrators who left2

CMS expects 4.61 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 3.83 on weekdays and 3.32 on weekends, 13% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 3.1% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.79 in April to June 2025 to 3.68 in January to March 2026.

QuarterAll nursing staffRegistered nursesWeekdaysWeekendsContract staff shareDays with no RN hoursResidents a day
Jan to Mar 20263.680.393.833.32 3.1%0 of 90100
Oct to Dec 20253.780.413.943.37 6.8%0 of 92100
Jul to Sep 20253.880.444.033.49 9.1%0 of 9299
Apr to Jun 20253.790.553.973.34 3.7%0 of 9195
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 St. Paul's Senior Community. 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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Optional questions
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
15.513.413.9
Percentage of long-stay residents with a catheter inserted and left in their bladder
Long Stay residents, 2025Q2-2026Q1
0.20.90.8
Percentage of long-stay residents with a urinary tract infection
Long Stay residents, 2025Q2-2026Q1
1.31.51.6
Percentage of long-stay residents experiencing one or more falls with major injury
Long Stay residents, 2025Q2-2026Q1
6.03.13.2
Percentage of short-stay residents who newly received an antipsychotic medication
Short Stay residents, 2025Q2-2026Q1
2.62.21.6
Percentage of long-stay residents whose ability to walk independently worsened
Long Stay residents, 2025Q2-2026Q1
24.414.314.1
Percentage of long-stay residents with pressure ulcers
Long Stay residents, 2025Q2-2026Q1
8.44.84.6
Percentage of long-stay residents who received an antipsychotic medication
Long Stay residents, 2025Q2-2026Q1
17.321.715.4
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
11.813.812.0
Number of hospitalizations per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.32.01.9
Number of outpatient emergency department visits per 1000 long-stay resident days
Long Stay residents, 20250101-20251231
2.02.21.8

Short-term rehab results

For a stay to recover after a hospital visit, these are the results CMS publishes for St. Paul's Senior Community's Medicare short-stay residents. On returning residents home or to the community, CMS rates it no different from the national rate (46.3% 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

46.3% 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. 291 eligible stays.

Potentially preventable readmissions

10.7% 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. 278 eligible stays.

Infections that led to a hospital stay

7.2% 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. 173 eligible stays.

Self-care and mobility at discharge

51.9% 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. 104 residents counted.

Falls with major injury

1.3% 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. 149 residents counted.

New or worsened pressure ulcers

3.2% 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. 149 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. 17 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: ST PAULS SENIOR COMMUNITY LLC. CMS links this home to Tutera Senior Living & Health Care, a group of 25 nursing homes averaging 2.1 stars overall.

NameRoleTypeShareSince
Ti-Belleville LLC5% or greater direct ownership interestOrganization100%12/01/2019
Merritt, AmyW-2 managing employeeIndividual12/01/2019
Brooks, KileyCorporate officerIndividual12/01/2019
Gannon, JeffCorporate officerIndividual12/01/2019

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 15 problems in this area, most recently on March 27, 2026: "Provide appropriate pressure ulcer care and prevent new ulcers from developing."
  2. Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 10 problems in this area, most recently on June 18, 2026: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
  3. How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 5 problems in this area, most recently on November 25, 2025: "Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights."
  4. How many nurses and aides work each shift, nights and weekends included?Inspectors cited 3 problems in this area, most recently on January 9, 2026: "Post nurse staffing information every day."
  5. How long has the current administrator been here?CMS counts 2 administrators who left in the period it measured.

Other nursing homes nearby

Illinois contacts for a concern about a nursing home

These are the official offices in Illinois. NursingHomeClear cannot take or act on complaints.

Common questions

What is St. Paul's Senior Community's Medicare star rating?
CMS rates St. Paul's Senior Community 1 out of 5 stars overall, with 2 for health inspections, 1 for staffing and 2 for quality measures (CMS data as of September 1, 2026).
How many deficiencies did St. Paul's Senior Community get at its last inspection?
3 health deficiencies at the standard inspection on January 17, 2025. The Illinois average is 12.6.
Has St. Paul's Senior Community been fined?
Yes. CMS lists 6 fines totaling $292,138 in the last three years.
Does St. Paul's Senior Community 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 St. Paul's Senior Community?
CMS lists 4 owners and managers, and links the home to Tutera Senior Living & Health Care. Legal business name: ST PAULS SENIOR COMMUNITY LLC.

Sources

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