Health inspection·January 9, 2026

F 0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. 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 provide adequate pest control services for bed bugs when reviewed for physical environment. This failure has the potential to affect all 107 residents residing in the facility.Findings Include:On 1/6/26 at 1:58 PM, room [ROOM NUMBER] was observed, no residents reside in this room. Approximately seven dead bed bugs were noted on a glue board, one live bed bug noted on the mattress by the door.On 1/8/26 at 8:40 AM, room [ROOM NUMBER] was observed, this room does not house any residents, one live bed bug observed on the baseboard and one live bed bug on the mattress sheet. On 1/8/26 at 8:43 AM, room [ROOM NUMBER] was observed, this room does not house any residents, several dead bed bugs observed on the baseboards.On 1/6/26 at 10:14 AM, V6, Maintenance Director, stated the facility has not had any residents with bed bugs for a while. V6 stated the facility sprays for bed bugs every Monday, Wednesday, and Friday. V6 stated the facility does have bait sticky traps out for bed bugs and have found some bugs on the traps but have not had any live bed bug sighting. V6 stated he is unsure if the bed bugs that have been found on the sticky traps are coming from the walls or not. V6 stated no residents have had any bed bugs on them or any resident rooms including curtains and bed linens. V6 stated if a resident's room is found to have bugs, the resident is moved out of that room, and everything is heat treated and washed. V6 stated residents are kept out of that room for at least a month and that room is on a list to be watched. V6 stated if a resident complains about bed bugs, and no bugs are found, that room will be put on the list and sprayed every Monday, Wednesday, and Friday. V6 stated residents will only be moved out of the room if they have active bed bugs in them and all residents will be moved out of the room. On 1/6/26 at 1:50PM, V1, Administrator, stated she has been at the facility since November 2025 and at that time, they were finishing up treatment for bed bugs, she is not aware of any live sightings since then. V1 stated she thinks they found a dead bed bug downstairs on the 500 hall in December and pest control came and sprayed. V1 stated she believed room [ROOM NUMBER] was also treated. On 1/8/26 at 9:00 AM, V13, Pest Control Service Technician, stated the facility has bed bug issues but not as bad has they were. V13 stated bed bugs are hitch hikers and residents/staff can transfer them from one unit to another. Today I treated rooms [ROOM NUMBERS] as a follow up, there was activity in 512 last week because there was dead bed bugs identified in that room. I did not see any active bed bugs today and the tenet said it is getting better. Once an initial visit is conducted, we do two more follow up visits on top of the regular visits to see how the treatment is working. Bed bugs hide under the baseboards. There are two options for treatment of bed bugs, chemical spray or heat treatment, this facility is using the spray treatment. A lot of facilities opt for that treatment because the heat treatment is costly. The chemical treatment requires more treatments, where the heat treatment is a one and done solution. Once the room is sprayed, the bed bug will go through the spray and pick up its spores and transfer it back to the colony so it can take four - seven days for it to be effective and Residents Affected - Many (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: 145290 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 145290 B. Wing A. Building (X3) DATE SURVEY COMPLETED 01/09/2026 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Nexus Pavilion at Belleville 727 North 17th Street Belleville, IL 62226 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)