La Bella of Freeburg
746 Urbanna Drive · Freeburg, IL · 62243 · 6185395856
118 certified beds For profit - Limited Liability company
Why this verdict
- Carries CMS’s abuse warning icon.
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $91,683 in fines in the last 24 months.
- 9 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
CMS abuse warning
CMS flags this facility with its abuse icon: cited for abuse that caused harm in the past year, or potential harm in the past two years.
2 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
3 actual-harm citations in the most recent cycle
Inspectors found deficiencies that caused real harm to residents, beyond potential-harm paperwork findings.
$91,683 in federal fines in the last 24 months
3 fines — CMS fines are reserved for verified, serious non-compliance.
RN staffing in the bottom 10% nationally
0.25 registered-nurse hours per resident per day, vs a 0.58 national median and 0.75 benchmark.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 1 of 5
| Total nurse hours / resident-day | 3.71 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.25 | 0.55–0.75 |
| Weekend hours / resident-day | 3.25 | ≈ weekday level |
| Nursing turnover / year | 53% | median 45% |
| Fines (3-yr window) | 5 · $164,604 |
Inspection citations (27 in the current record)
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Potential for harm · D January 13, 2026 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected January 30, 2026 · Quality of Life and Care
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Actual harm · G October 21, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected November 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G May 30, 2025 · found via complaint
Ensure that residents are fully informed and understand their health status, care and treatments.
Corrected May 23, 2025 · Resident Rights
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Actual harm · G May 30, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 23, 2025 · Quality of Life and Care
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Potential for harm · D May 30, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 23, 2025 · Resident Rights
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Potential for harm · D May 30, 2025 · found via complaint
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 23, 2025 · Resident Rights
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Actual harm · G August 30, 2024
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected September 20, 2024 · Quality of Life and Care
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Actual harm · G August 30, 2024
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected September 20, 2024 · Quality of Life and Care
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Potential for harm · D August 30, 2024
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected September 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D August 30, 2024
Respond appropriately to all alleged violations.
Corrected September 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F August 30, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected September 22, 2024 · Nutrition and Dietary
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Potential for harm · E August 30, 2024
Provide and implement an infection prevention and control program.
Corrected September 20, 2024 · Infection Control
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Actual harm · G December 12, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 12, 2023 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F December 12, 2023 · found via complaint
Respond appropriately to all alleged violations.
Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G September 22, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 31, 2023 · Quality of Life and Care
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Potential for harm · E September 22, 2023
Keep residents' personal and medical records private and confidential.
Corrected October 31, 2023 · Resident Rights
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Potential for harm · D September 22, 2023
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected October 31, 2023 · Quality of Life and Care
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Potential for harm · F September 22, 2023
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected October 31, 2023 · Nutrition and Dietary
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Actual harm · G September 1, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 31, 2023 · Quality of Life and Care
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Actual harm · G July 8, 2022
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected July 28, 2022 · Quality of Life and Care
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Potential for harm · D July 8, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 28, 2022 · Quality of Life and Care
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Potential for harm · E July 8, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected July 28, 2022 · Quality of Life and Care
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Potential for harm · F July 8, 2022
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Corrected July 28, 2022 · Nursing and Physician Services
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Potential for harm · F July 8, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected July 22, 2022 · Nutrition and Dietary
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| November 26, 2025 | Fine | $14,810 |
| October 21, 2025 | Fine | $48,500 |
| August 30, 2024 | Fine | $28,373 |
| December 12, 2023 | Fine | $38,420 |
| December 12, 2023 | Payment Denial | 4 days |
| September 1, 2023 | Fine | $34,501 |
| September 1, 2023 | Payment Denial | 38 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145515 · certified since December 19, 1984. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.