Health inspection·June 16, 2025

F 0690 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observations, interviews and record reviews the facility failed to provide complete incontinent care to prevent urinary tract infections (UTI) for 1 of 3 residents (R68) reviewed for incontinent care in a sample of 66. Findings include: R68's Face Sheet documented she was admitted to the facility on [DATE] with diagnoses of, in part, hemiplegia, dementia, and schizophrenia. R68's Physician's Order, with start date of 6/1/25 and end date of 6/6/25, documented Amoxicillin-Pot Clavulanate Tablet 875-125 mg (milligrams), give 1 tablet by mouth every 12 hours for UTI for 5 days. R68's Minimum Data Set (MDS) dated [DATE] documented she was severely cognitively impaired. R68's Care Plan dated 4/24/25 documented she has an ADL (activities of daily living) self-care performance deficit, needs and participation may vary r/t (related to) Dementia. R68's Care Plan also documented on 12/20/2023 R68 has urinary incontinence and included an intervention of providing incontinent/peri-care PRN (as needed). On 6/11/25 at 12:45 PM, V23, Certified Nursing Assistant, CNA, wheeled R68 to her room and assisted her to the toilet. R68's incontinent brief was soiled, and she continued to have a bowel movement on the toilet. When R68 was done using the toilet, V23 wiped R68's rectum region but did not wipe her front peri region before putting a new brief on and pulling her pants up. 6/11/25 at 1:50 PM V29, CNA, stated during peri care for a resident that is incontinent and uses the toilet, she always wipes their front region and back never just the back if they have a bowel movement. 6/12/25 at 9:19 AM, V31, CNA stated whenever a female resident has soiled their brief and needs a new one or uses the toilet, she would wipe entire perineal vaginal region and the rectum completely, not just the rectum. 6/12/25 at 9:20 AM, V36, CNA, stated she would completely clean and wipe a female resident's front vaginal region and rectum after being incontinent, at the toilet or in the bed. On 6/12/25 at 11:43 AM, V1, Administrator, stated she expects peri-care to be performed completely. Page 1 of 2 145651 145651 06/16/2025 LA Bella of Alton 3490 Humbert Road Alton, IL 62002

F 0690 Level of Harm - Minimal harm or potential for actual harm The facility's Incontinent Care Policy dated 2/2018 documented for a female resident wash perineal area, wiping from front to back; wash the rectal area thoroughly, wiping from the base of the labia towards and extending over the buttocks . Residents Affected - Few 145651 Page 2 of 2