Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

ST PAUL'S SENIOR COMMUNITY

BELLEVILLE, IL · 108 certified beds · Last Life Safety survey January 17, 2025

CMS Certification Number 146122 · first certified June 2008

Ownership

Operated by TUTERA SENIOR LIVING & HEALTH CARE · For profit - Limited Liability company

  • Ownership changed December 1, 2019 (change of ownership)to ST PAULS SENIOR COMMUNITY LLC from ST. PAUL'S HOME FOR THE AGED
14
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
5
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within IL

14 citations — more than 46% of the 666 certified nursing homes in IL. Compared within IL rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 5 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (December 2025 to February 2026), and past the point by which nine in ten IL facilities have been surveyed. This facility’s last Life Safety survey was January 2025. Facilities in IL are typically surveyed 11–13 months after the last one (median 12), measured over 759 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

5 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Physical environment (health survey)

6 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 14 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in IL, and nationally. Surveyors differ markedly between states, so the IL figure is the meaningful one.

This facility14IL median15National median11
Citations on file over three years, compared
MeasureCitations
This facility14
Median facility in IL15
Median facility nationally11

Survey history

Citations at each Life Safety survey
52022-1242023-1252025-01
Citations at each Life Safety survey
Survey dateCitations
December 7, 20225
December 5, 20234
January 17, 20255

Most-cited tags

Most-cited tags at this facility
K-09233K-03452K-09182K-03532K-07122K-02251K-07611K-02111
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0923Have proper medical gas storage and administration areas.32025-01-17
K-0345Have approved installation, maintenance and testing program for fire alarm systems.22025-01-17
K-0918Have generator or other power source capable of supplying service within 10 seconds.22025-01-17
K-0353Inspect, test, and maintain automatic sprinkler systems.22025-01-17
K-0712Have simulated fire drills held at unexpected times.22023-12-05
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.12022-12-07
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.12023-12-05
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12025-01-17

What the citations cover

Citations by CMS category
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Smoke Deficiencies 4
  • Miscellaneous Deficiencies 3
  • Egress Deficiencies 2
Citations by CMS category
CategoryCitations
Gas, Vacuum, and Electrical Systems Deficiencies5
Smoke Deficiencies4
Miscellaneous Deficiencies3
Egress Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

January 17, 2025 — 5 citations

Citations issued on January 17, 2025
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (February 28, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 28, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (February 28, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 28, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (February 28, 2025)

December 5, 2023 — 4 citations

Citations issued on December 5, 2023
TagWhat the surveyor checksStatus
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 28, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (December 27, 2023)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 20, 2023)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 27, 2023)

December 7, 2022 — 5 citations

Citations issued on December 7, 2022
TagWhat the surveyor checksStatus
K-0225Have stairways and smokeproof enclosures used as exits that meet safety requirements.Deficient, Provider has date of correction (December 16, 2022)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (March 15, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (March 15, 2023)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 30, 2022)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (December 30, 2022)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.