Health inspection·December 19, 2025

F 0550 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Based on interview and record review, the facility failed to ensure a resident had privacy during personal activities of daily living for 1 of 4 residents (R2) reviewed for resident rights in the sample of 4. The findings include:On 12/19/25 at 8:44 AM, R2 said about a week and a half ago she was getting ready to get up and V3, Maintenance Director, told V6 and V7, Housekeeping, to do a deep cleaning of her room. R2 said the three of them all said she was getting up, but V3 told them to do it anyways. R2 said they closed the curtains while the CNA (certified nursing assistant), V8, was getting her ready (cleaned and dressed), but she still felt uncomfortable. R2 said V6 said R2 is getting up and asked if they could wait until she was done, but V3 said to do it anyway. R2 said she contacted the Ombudsman and asked him to file a formal complaint.On 12/19/25 at 9:58 AM, V6 said they clean residents' rooms when residents are in there, but they absolutely do not clean while residents are getting personal cares. V6 said about two weeks ago, V3 told her to clean a resident room. V6 said she was training V7 and they were about to clean R2's room. The CNA was getting R2 up and ready for the day. V6 said V3 came down the hall and told them to get started on the deep clean of R2's room. V6 said she prefers to do it later because the CNA was getting R2 ready. V6 said V3 told her he had other places he would like to put V7, so he wanted them to get in there and get the deep cleaning done. V6 said V8 looked at them and closed all the (privacy) curtains in the room. V6 said she didn't feel like it was right, but V3 was forceful about getting the room cleaned then and there, so they proceeded to clean the room even though R2 was getting up for the day.On 12/19/25 at 10:16 AM, V7 said on her first day working in the facility, she, V6, and V3 were talking in the hallway. V7 said she was told to go do a deep clean in a resident room. V7 said she and V6 said they should wait because the resident was being changed. V7 said she was learning and just doing what she was told. V7 said they ended up going into the room and cleaning it while a resident was being changed which they usually don't do while personal cares are going on. V7 said she thinks it would be awkward for the resident because it's disrupting their privacy during a personal moment. V7 said the curtains were all closed, and they proceeded to clean the room. V7 said afterwards she and V6 talked about how they felt it was inappropriate.On 12/19/25 at 10:27 AM, V3 said it is not OK to clean the rooms while residents are getting up for the day. V3 said it would be easier for the housekeeper to give them peace and they could come back in a few minutes. V3 said he tries to respect the residents' rights.On 12/19/25 at 11:04 AM, V8 said she remembers getting R2 up after lunch. She told housekeeping she was getting R2 up. R2 said she told them to wait until she gets up, but the housekeepers said they were told by V3 to do it now. V8 said R2 was very upset about it, but she closed the curtains and proceeded to do her incontinence care, dressing, and transfer all the while housekeeping was cleaning the rest of the room. V8 said the housekeepers don't usually do that; she doesn't know why they couldn't wait. V8 said R2 was upset because she was very uncomfortable. V8 said housekeeping usually would step out and wait for her to finish with her cares.On 12/19/25 at 2:24 PM, V2, (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 4 Event ID: 145222 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145222 B. Wing A. Building (X3) DATE SURVEY COMPLETED 12/19/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE LA Bella of Woodstock 309 McHenry Avenue Woodstock, IL 60098 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)