Above average — CMS composite of the measures below.
A standard survey is most likely before around August 2026
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Helia Healthcare Of Benton during CMS and state inspections, most recent first.
A resident was admitted with a Foley catheter placed in the hospital for postoperative urinary retention, with no prior history of urinary issues. The care plan noted the indwelling catheter and need for urology follow-up, but the attending provider’s initial note did not document the catheter, and the urology appointment was not promptly arranged. Over several weeks, family repeatedly reported catheter-related pain and raised concerns about possible UTI and dehydration, and nursing notes described the resident pulling on the catheter, urinary pain, sedimented urine, and an episode of urinary retention with abdominal distention that led to a catheter change under a PRN order without physician notification or urinalysis. Although a nurse documented requesting a UA from the NP, there is no record of any lab orders or results obtained in-house before the resident’s later decline and transfer to the hospital, where he was found to have a UTI and hypernatremia. Staff interviews confirmed delays and confusion regarding catheter management and urology follow-up, and the facility’s own catheter care policy required physician notification for symptoms of bladder fullness or voiding difficulty, which did not occur in this case.
Expired medications, including a narcotic pain medication and a nebulizer solution, were found in the active medication supply for two residents with chronic pain and impaired cognition. Nursing staff confirmed the medications were expired and should have been removed according to facility policy, but they remained accessible in the medication cart and medication room.
A resident's hydrocodone/acetaminophen, a Schedule II controlled medication, was found stored in an unlocked cabinet inside the medication room, contrary to facility policy requiring double-locking of such drugs. Nursing staff were unable to secure the cabinet due to a malfunctioning lock, resulting in improper storage of the controlled substance.
A resident with moderate cognitive impairment and diabetes was admitted without clear documentation of pneumococcal vaccination history. Although consent for vaccination was obtained from the POA, staff did not confirm prior immunizations with the physician or follow CDC guidelines, and there was no evidence that the facility administered the required vaccine. Hospital records showed prior PCV13 doses, but facility records lacked documentation of vaccine type or administration.
A facility failed to follow proper infection control techniques during wound care for a resident with multiple medical conditions, including sepsis and a diabetic ulcer. An RN used contaminated scissors and did not perform hand hygiene between glove changes, violating the facility's infection control policies.
Failure to Assess Indwelling Catheter and Monitor for UTI in Catheterized Resident
Penalty
Summary
The deficiency involves the facility’s failure to ensure that a resident admitted with an indwelling urinary catheter was appropriately assessed for timely catheter removal and monitored for urinary complications, including UTI, in accordance with facility policy and physician expectations. The resident was admitted from a hospital with a Foley catheter placed for postoperative urinary retention, with no documented prior history of urinary retention before that hospitalization. The care plan identified an indwelling catheter related to urinary retention and included an approach for a urology consult and reporting UTI symptoms. However, the physician’s initial progress note did not document the presence of the catheter or urinary retention, and there was no documented assessment for catheter removal as soon as possible after admission. Over the ensuing weeks, there were multiple indications that the catheter was causing discomfort and potential complications, but these did not result in timely diagnostic evaluation. Progress notes document that the resident’s wife reported there was no urinary retention diagnosis and requested discontinuation of the Foley, and that a referral to urology was initiated and later scheduled. Family concerns about catheter-related pain were documented, and nursing staff noted that the resident pulled on the catheter tubing and that he might have transferred germs from his hands to the catheter. A nurse documented sending a message to the NP requesting a urinalysis due to urinary pain, but there is no documentation that an order for a urinalysis was received or that any labs were obtained at the facility prior to the resident’s later hospitalization. The NP later confirmed by phone that the catheter should remain in place until the urology visit, and family was told it could not be removed until then. Additional clinical changes related to urinary function were documented without corresponding physician notification or diagnostic follow-up. On one occasion, the resident complained of inability to urinate, with abdominal distention and significant sediment in the urine; the LPN replaced the Foley catheter under a standing PRN order, noted good urine return, and did not notify the physician despite the facility administrator’s stated expectation that urinary retention and abdominal distention should be reported. Staff interviews confirmed that there was confusion about why the catheter remained in place, that follow-up urology appointments were not addressed promptly after admission, and that the urology appointment was not pursued until several weeks later. The assistant administrator acknowledged that the urology appointment should have been addressed sooner, and the administrator confirmed that no labs were obtained at the facility before the resident was sent to the hospital with altered mental status, where he was found to have a UTI and hypernatremia. The facility’s catheter care policy required notifying a physician or supervisor if a resident indicated bladder fullness or need to void and observing for signs of UTI or urinary retention, but documentation shows these symptoms occurred without corresponding physician notification or timely diagnostic testing. The sequence of events culminated in the resident’s decline and hospitalization. Progress notes shortly before transfer describe a change in behavior, decreased speech, inability to feed self, and abnormal movements, leading to transfer to the ER. The hospital history and physical documented that the family reported the resident had been slowly deteriorating over the prior two weeks, with ER workup significant for a positive urine for UTI, elevated sodium, and elevated lactic acid. Interviews with family and staff further indicated that the catheter had remained in place for an extended period, that family repeatedly raised concerns about pain, possible dehydration, and UTI, and that they requested to speak with the physician but were not given that opportunity. The physician later stated that, in general, he would order a urinalysis if he received a report of pain with a urinary catheter and that residents often arrive from the hospital with catheters despite no prior urinary issues, but in this case there was no documentation of such an order or in-house lab work before the resident’s hospitalization.
Expired Medications Not Removed from Active Supply
Penalty
Summary
The facility failed to remove expired medications from the current medication supply for two residents. For one resident with a history of chronic pain and moderately impaired cognition, an expired card of tramadol HCL 50 mg half tablets was found in the medication cart, with an expiration date that had already passed. The medication had been discontinued, but the expired supply remained accessible in the cart. A registered nurse confirmed the medication was expired and acknowledged it should have been removed when it expired. The facility's process includes checks by the director of nursing and pharmacy representatives, but the expired medication was not identified or removed during these checks. For another resident with arthritis and moderately impaired cognition, expired albuterol nebulizer solution was found in the medication room cabinet among other residents' medications. The expiration date had passed, but the medication was still present in the active supply. A registered nurse confirmed the medication was expired and stated it should have been removed from the medication room. The facility's policy requires immediate removal and destruction of expired medications, but this procedure was not followed in these instances.
Controlled Substance Not Double-Locked as Required
Penalty
Summary
A deficiency was identified when a medication card containing hydrocodone/acetaminophen, a Schedule II controlled substance, prescribed to a resident for chronic pain management, was found stored in an unlocked cabinet within the locked medication room. The resident had a history of spondylosis, polyosteoarthritis, age-related osteoporosis, and chronic pain, and was cognitively intact according to the most recent assessment. The medication was reportedly awaiting destruction at the time of observation. During the investigation, nursing staff were unable to confirm whether the cabinet where the narcotic was stored could be locked. Attempts to lock the cabinet revealed that the lock was nonfunctional, allowing the door to open even when the key was turned. Facility policy requires that Schedule II-V medications be stored in a permanently affixed, double-locked compartment, separate from other medications, which was not followed in this instance.
Failure to Document and Administer Pneumococcal Vaccine per Policy
Penalty
Summary
The facility failed to follow its Pneumococcal Immunization Policy by not ensuring accurate documentation and administration of the pneumococcal vaccine for one resident. The resident, who was moderately cognitively impaired and had diagnoses including type 2 diabetes mellitus and cough, was admitted with unclear vaccination history. The resident's face sheet and continuity of care documents indicated a completed pneumococcal vaccine, but did not specify the type of vaccine administered. Consent for vaccination was obtained from the resident's Power of Attorney, who was unable to recall the resident's prior vaccination history. Staff interviews revealed that vaccination history was typically obtained from the resident, family, or physician, but there was no documentation of communication with the physician regarding the resident's pneumococcal vaccination status. The business office manager attempted to retrieve records from the local hospital, which showed the resident had received PCV13 vaccines on two occasions, but there was no reproducible evidence that the facility itself administered any pneumococcal vaccine. Additionally, the infection prevention nurse was not aware of the specific CDC guidelines or the use of the recommended app for determining vaccine schedules, and could not confirm the resident's vaccination status.
Infection Control Breach During Wound Care
Penalty
Summary
The facility failed to follow proper infection control techniques during wound care for a resident with multiple medical conditions, including sepsis, diabetes, and a diabetic ulcer on the left heel. During an observation, a registered nurse (RN) was seen donning a gown and gloves and entering the resident's room, which had a sign indicating enhanced barrier precautions. The RN placed clean treatment supplies on a bedside table but used contaminated scissors to cut the soiled dressing off the resident's foot. The RN then placed the contaminated scissors on the clean towel next to the clean dressing supplies without cleansing them. Additionally, the RN did not perform hand hygiene between glove changes while treating the wound, further compromising infection control protocols. The RN admitted to not cleaning the scissors after removing the old dressing and failing to perform hand hygiene between glove changes, citing a misplaced alcohol wipe as the reason for not cleaning the scissors initially. The Infection Preventionist confirmed that proper hand hygiene and cleaning of equipment between uses are standard practices that were not followed in this instance. The facility's policies on enhanced barrier precautions and dressing changes were not adhered to, leading to a breach in infection control practices.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Benton
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Benton Rehabilitation And Health Care Center | 1.1 mi | ★★★★★ | 1 | 0 |
| Stonebridge Nursing & Rehab | 1.9 mi | ★★★★★ | 9 | 0 |
| Axiom Healthcare Of West Frankfort | 6.9 mi | ★★★★★ | 27 | 0 |
| Shawnee Senior Living | 13.5 mi | ★★★★★ | 5 | 0 |
| Integrity Hc Of Herrin | 13.5 mi | ★★★★★ | 2 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.