Health inspection·August 26, 2025

F 0676 Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the Facility failed to ensure residents requiring assistance for transfers were getting assistance and transferred with the mechanical lift for 1 of 3 residents reviewed for transfers in the sample of 11. Findings include: R3's Physician order Sheets (POS) for August 2025 documents a diagnosis of Unspecified osteoarthritis, unspecified site; Chronic venous hypertension (idiopathic) with other complications of unspecified lower extremity; Essential (primary) hypertension; Type 2 diabetes mellitus with hyperglycemia; Morbid (severe) obesity due to excess calories; Body mass index [BMI] 45.0-49.9, adult; Hyperlipidemia, unspecified; Hypothyroidism, unspecified; Other chronic pain; Insomnia; and Overactive bladder. R3's MDS dated [DATE] document R3 was cognately intact for decision making of activities of daily living. R3 uses a motorized wheelchair and is dependent on staff for transfers.R3's Care Plan with a revision date of 6/23/2025 documents. Problem: Resident is limited in (mobility/functional status) and requires the use of (mechanical lift).On 8/20/2025 at 9:33 AM, R3 stated, Several months ago during resident council I complained about the (mechanical lifts) not always working and the machines being dead when they need to use them. I talked with (V1) about them and (V5, Ombudsman). (V1) told me he will get some new batteries. (V5) has been sick but she usually always follows up with stuff. I am not sure what is happening. I usually, like to lay down at 4 PM. Some of the staff know that I like to lay down around and (V6, CNA) she is really good about asking me I want to lay down because she knows me. Over the weekend (V6) told me she could not put me down because the (mechanical lift) was not working. I was really tired, and I wanted to lay down and I had to wait an hour and a half for the battery to charge so she could put me to bed. I was so upset and in tears. This is supposed to be my home and when I am tired, and I need help they should help me back in bed when I need it. It's August now and they are still having problems with the (mechanical lift) and putting me down.On 8/20/2025 at 12:55 PM, V5, Ombudsman stated, Working (mechanical lifts) have been on ongoing issue for the past several months. When staff need the (mechanical lifts) they are not available to lay residents down and or get residents up. (V1) is a new administrator and I believe he started at the end of May as he was at the May Resident Council Meeting. (V1) said in May that he would order new batteries for the lifts. Residents are saying the lifts are not available mostly during the weekends. I personally, observed the (mechanical lift) being dead on 8/5/2025 and no staff used the manual lift and residents were not transferred. Residents and staff are still saying it is an issue that they are not getting transferred because the lifts are not available and/or the staff do not want to use the other lifts.On 8/20/2025 at 11:03 AM, V7, Certified Nursing Assistant (CNA) stated, We are constantly having issues with the (mechanical lifts) working. First, they told us it was a battery issue, and they were getting new batteries, but it is still a problem.On 8/20/2025 at 11:05 AM, V8, CNA stated, We are constantly running around trying to find a working (mechanical lift) because half the time they are not working. This has been Residents Affected - Few (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 2 Event ID: 145241 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 145241 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/26/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Helia Southbelt Healthcare 101 South Belt West Belleville, IL 62220 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)