Health inspection·January 9, 2026

F 0732 Post nurse staffing information every day. Level of Harm - Potential for minimal harm Based 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.Findings include: On 1/8/26 at 8:32 AM, V18, Receptionist, was sitting at the front desk in the lobby of the Facility. She stated nursing assignments are posted back by the employee time clock. There was no visible staffing posted in the front lobby. On 1/8/26 at 8:35 AM, there was no nurse staffing visibly posted on Unit 1-South. V3, Assistant Director of Nursing (ADON), stated daily nurse staffing assignments are not posted in a place where residents and visitors can see. On 1/8/26 at 8:42 AM, there was no nurse staffing visibly posted on Unit 1-North. V7, Nurse Manager, stated nurse staffing is not posted for visitors. If a visitor wants to know which staff are caring for a certain resident the nurse can check their paperwork and let them know. On 1/8/26 at 10:04 AM, there was no nurse staffing visibly posted on Unit 2-North. On 1/8/26 at 10:07 AM, there was no nurse staffing visibly posted on Unit 2-South. V19, Licensed Practical Nurse (LPN), stated she has the nursing assignments written on a paper, but they are not posted for residents or visitors to see. On 1/8/26 at 10:09 AM, there was no nurse staffing visibly posted on Unit 3-South. On 1/8/26 at 10:10 AM, there was no nurse staffing visibly posted on Unit 3-North. On 1/8/26 at 10:00 AM, V2, Director of Nursing (DON), stated the Facility has not been posting staffing information. The Facility does not have a policy regarding nurse posting and they would just follow the regulations. The residents living in the Facility. Residents Affected - Many Page 1 of 2 146122 146122 01/09/2026 St Paul's Senior Community 1021 West E Street Belleville, IL 62220

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based 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.Findings include: 1-R4's Face Sheet documents R4 was admitted to the facility on [DATE] with a diagnosis of paraplegia. R4's Minimum Data Set (MDS) dated [DATE] documented R4 was cognitively intact and was independent with eating. R4's Diet Order dated 3/19/25 documented R4 was on a carbohydrate controlled diet. On 1/6/26 at 10:30 AM, R4 stated the food is always cold and lacks flavor. On 1/6/25 at 12:41 PM, a test tray was conducted using a metal calibrated thermometer after the last resident tray was served. The beef tacos measured 110 Fahrenheit (F), the broccoli measured 107 F, and the rice measured 101 F. The broccoli was mushy and light green in color. The Facility's Resident Council Meeting Minutes dated 11/28/25 document cold food as an issue/concern. The Facility's Resident Council Meeting Minutes dated 12/26/25 document food too spicy as an issue/concern. On 1/8/26 at 1:56 PM, V2, Director of Nursing (DON), stated he expects the Facility to adhere to its policy regarding food temperature and palatability. The Facility's Undated Monitoring Food Temperatures for Meal Service documents, Food temperatures will be monitored daily to prevent food borne illness and ensure foods are served at palatable temperatures. Food temperatures of hot foods on room trays at the point of service are preferred to be at 120 F or greater to promote palatability for the resident. Residents Affected - Few 146122 Page 2 of 2