La Bella of Sterling

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Staffing

How full it usually is: this home is certified for 70 beds and averages 39.4 residents a day — about 56% occupied, or roughly 31 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 2.48 hrs/resident/day is below the 3.48-hour benchmark and RN staffing of 0.68 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 1.56 is below the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.23 hrs/resident/day on weekends vs 2.58 on weekdays — 14% thinner on weekends. RN hours go from 0.75 to 0.50 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are more than at the previous inspection — worsening. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

20 citations, most serious first. The 11 most serious are shown; the remaining 9 are one tap away and print in full.

• Actual harm · Gcited before2025-10-03 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the facility failed to provide supervision to a resident (R1) while attending an outdoor activity. This failure resulted in R1 sustaining second degree burns from an outdoor fire.The findings include:R1's electronic face sheet printed on 10/3/25 showed R1 has diagnoses including but not limited to major depressive disorder, anxiety disorder, chronic obstructive pulmonary disease, schizoaffective disorder, and tremor.R1's facility assessment dated [DATE] showed R1 has no cognitive impairment.R1's nursing progress notes dated 9/23/25 showed, During afternoon activities today resident was attending an activity and was roasting marshmallows with her peers and staff. Each staff member had assigned areas to supervise and assist with for the activity. Dietary and business office manager assigned to area with marshmallows and candy. Dietary manager assisted and supervised residents with covered fire pit for entirety of activity. Dietary manager completed assistance with (R1) and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-06-16 · tag F0627 — isolated
  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure a resident was discharged in a safe manner and failed to ensure outside resources and durable medical equipment were in place prior to discharge for one of two residents (R1) reviewed for discharge in the sample of three. The findings include:R1's hospital records shows she was admitted to a psychiatric hospital on April 3, 2025, for acute stabilization and was experiencing acute psychosis and was a danger to herself prior to being admitted to the facility on [DATE].R1's Transfer Discharge Report dated June 11, 2026, shows she was admitted to the facility on [DATE], with diagnoses including bipolar disorder, diabetes mellitus type 2, unspecified psychosis, mild intermittent asthma, anxiety disorder, and major depressive disorder. R1's Face Sheet shows she was discharged from the facility on May 4, 2026.R1's Care Plan dated May 12, 2026, shows, [R1] can have short term memory issues at times in the evenings. She may return…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has plan of correction
• Potential for harm · Fcited before2025-12-17 · tag F0584 — failed to keep a safe, clean, comfortable home — widespread
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to maintain comfortable temperatures in the facility. This failure has the potential to effect all 41 residents residing in the facility.The findings include: The facility provided resident roster shows there were 41 residents residing in the facility on 12/15/2025. On 12/15/25 at 9:28 AM, during initial tour of the building the west hallway, group and activity (TV) room in the west wing, and the nursing station outside of the west hallway were felt to be very cold.On 12/15/25 at 9:48 AM, The main dining area of the facility felt cold, and the back half of it felt even colder. R2 and R4 were sitting in the dining room finishing breakfast and said some areas of the building are cold, including the shower rooms, the dining room and other rooms. On 12/15/25 at 10:26 AM, V3 (Maintenance) said the building is very old and needs new windows. V3 said the building has electric floor heating in certain areas, and in some resident rooms in the west wing, there are electric heat vents in the wall. V3 said it is difficult to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-03-12 · tag F0680 — widespread
  Ensure the activities program is directed by a qualified professional.
  What the surveyor found here — the official record, unedited, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure the facility's activity program was directed by a qualified professional. This failure has the potential to affect all residents residing in the facility. The findings include: The facility's Resident Census and Condition form dated March 10, 2025 shows the facility census was 43. On March 11, 2025 at 12:25 PM, V5 Activity Director/Social Services/CNA-Certified Nursing Assistant said she has been the facility's Activity Director for about two months. V5 said she works every other weekend. V5 said when she's not working, then the residents have activity packets to work on which include crosswords, sudoku puzzles, and coloring pages. On March 11, 2025 at 3:30 PM, V1 (Regional Director of Operations) said that V5 does not have any activity director certifications.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2025-03-12 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to ensure the dishwasher sanitation solution was checked at the recommended level prior to use. This applies to all 43 residents in the facility. The findings include: The CMS 671: Application for Medicare and Medicaid dated 3/10/25 shows the facility census as 43 residents. On 3/11/25 at 8:31 AM V7 (Cook) was asked to check the sanitation level in the dishwasher. V7 found Quaternary Ammonia test strips in the drawer and handed them to V8 (Dietary Aide). V8 then put the strip into the water reservoir on the dishwasher. The strip turned yellow. V7 then noticed that the sanitizing solution bucket was almost empty and proceeded to change it to a full bucket. V7 then used the same strips again and tested the water in the same reservoir of the dishwasher. The strip was even lighter yellow. Surveyor looked at the bucket on sanitizing solution. It read, Hypochlorite. V8 then noticed there was another roll of testing strips on the floor, under the dishwasher. (The strips, the plastic container and the key (chart) were all…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0740 — failed to provide behavioral / mental-health care — pattern
  Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based observation, interview and record review the facility failed to provide behavioral health care services for residents with diagnoses of mental illness. This applies to 4 of 4 residents (R32, R41, R26, R22) reviewed for behavioral services in the sample of 12. The findings include: 1. R32's face sheet shows he is a [AGE] year old male admitted to the facility on [DATE], with diagnoses including major depressive disorder, recurrent, severe with psychotic symptoms, PTSD (post traumatic stress disorder), generalized anxiety, and insomnia. R32's PASRR II (Preadmission Screening and Resident Review) dated 6/16/24 shows he has a diagnosis of schizophrenia, major depressive disorder, and PTSD. R32 has a hard time interacting with others, has unclear thoughts, gets easily upset, has feelings of worthlessness, hopelessness, trouble sleeping, sees and hears things, has nightmares R32 needs help to coordinate his care, needs encouragement and support to remain active and engaged in treatment, requires monitoring from…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0745 — failed to provide medically-related social services — pattern
  Provide medically-related social services to help each resident achieve the highest possible quality of life.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview and record review the facility failed to ensure medically related social services were provided for 4 of 4 residents (R32, R41, R142, R26) reviewed for social services in the sample of 12. The findings include: 1. R32's face sheet shows he is a [AGE] year old male admitted to the facility on [DATE], with diagnoses including major depressive disorder, recurrent, severe with psychotic symptoms, PTSD (Post Traumatic Stress Disorder), generalized anxiety, and insomnia. On 3/10/25 at 9:56 AM, R32 was observed in his room playing video games. He said he has been at the facility for seven months of complete boredom. He came to the facility because he was told there would be a counselor on site, he was lied to on what this place was. He said he goes out for counseling services every two weeks but that's not enough. He said it would help if they had services in the facility, life skills offered and someone to talk to. On 3/12/25 at 1:50 PM, R32 was observed walking up and down the hall. He…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · E2025-03-12 · tag F0883 — failed to offer flu and pneumonia vaccines — pattern
  Develop and implement policies and procedures for flu and pneumonia vaccinations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review the facility failed to ensure the pneumonia vaccine was consented or declined prior to administration. This applies to 4 of 5 residents (R34, R35, R12 and R39) reviewed for immunizations in the sample of 12. The findings include: On 3/11/25 R35 and R34's EMRs (Electronic Medical Records) show that R35 received the PCV 20 vaccine on 12/21/23. No consents were found in R35 and R34's EMR. On 3/11/25 R12 and R39's EMRs show that R12 and R39 both declined the Pneumonia vaccine. No declinations were found in R12 and R39's EMR. On 3/12/25 V1 (Corporate Regional Director of Operations) confirmed that the facility did not have the pneumonia consents or declinations for these 4 residents. The facility policy entitled Pneumococcal Vaccine dated 10/2023 states, The resident/representative retains the right to refuse the immunization. The facility will document in the clinical record the reason for refusal or the medical contraindications of the immunization. and A consent form shall be signed prior to the administration of the immunization and filed in the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-12 · tag F0584 — failed to keep a safe, clean, comfortable home — isolated
  Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview the facility failed to ensure a residents room was maintained in a comfortable homelike environment. This applies to 1 of 12 residents (R33) reviewed for resident rights in the sample of 12. The findings include: On 3/11/25 at 8:45 AM, R33 was observed in her room lying in her bed. A section of the baseboard wall on the left lower side next to the bathroom door was missing approximately one foot fully exposed open hole. On the right lower side next to the bathroom door another section of the wall was missing approximately six inches with wood exposed and several ants observed around the area. R33 said she has notified the staff, but nothing has been done to repair the wall and ants are present year round. On 3/11/25 at 1:41 PM, V10 (Maintenance Supervisor) said the facility has been neglected over the years and it's catching up with lots of repairs needed. He is aware of the R33's room wall near the bathroom needing repair it has been like that for some time, but he is the only maintenance staff and has not had time to repair her wall. The facility…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0679 — failed to provide activities — isolated
  Provide activities to meet all resident's needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure activities that meet residents physical, mental, and psychosocial well being were provided for two of 12 residents (R22, R26) in the sample of 12. The findings include: 1. R22's admission Record shows he was admitted to the facility on [DATE] with diagnoses including bipolar disorder, psychotic features, obesity, alcohol abuse, major depressive disorder, and insomnia. R22's Care Plan written February 28, 2019 shows R22 independently structures his daily activities as evidenced by pursuing independent leisure activities daily and/or attending activities/groups of choice. Remind R22 of all activities available that are of his interest, R22 likes to go on dine outs with staff, donuts and coffee, offer one on one visits/activities as R22 will accept. R22's Minimum Data Set (MDS) dated [DATE] shows he is cognitively intact. R22's MDS shows it is somewhat important to have books, newspapers, and magazines to read and participate in…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-03-12 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review the facility failed to implement, develop, and provide resident centered mental health services for a resident with a diagnosis including PTSD (Post- Traumatic Stress Disorder). This applies to 1 resident (R142) reviewed for behavioral health in the sample of 12. The findings include: R142's face sheet shows R142 is a [AGE] year-old female admitted to the facility on [DATE] with diagnoses including major depressive disorder, schizoaffective disorder, PTSD-chronic, borderline personality disorder and suicidal ideations. R142's PASRR II (Preadmission Screening and Resident Review) dated 1/30/25 shows the facility should provide R142 with rehabilitate services for systemic plans which are designed to change inappropriate behaviors, provision of a structured environment to keep yourself safe and other safe, programs to teach daily living skills to help promote independence, individual, groups and family psychotherapy to decrease mental health symptoms, development…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

The source lists no ownership percentage for any party here — PECOS records a share only for equity interests, not for board or management roles.

What families pay in IL