Health inspection·June 12, 2025

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Based on observation, interview, and record review, the facility failed to follow proper sanitation and food handling practices, including not wearing a beard net to protect hair from getting into the food, and not covering food items during transportation. This failure has the potential to affect all 38 residents in the facility. Findings include: On 6/12/25 at 8:10 AM, V4, Cook, was seen working in the kitchen, preparing residents breakfast meal with no beard net on while having a full beard and mustache. On 6/12/25 at 9:25 AM, V5, Cook, was seen in the kitchen with a hat on, has a full beard with no beard net on. After V5 was interviewed, he went and got a hairnet and a beard net and put them on. On 6/12/25 at 9:30 AM, R5 stated she mainly eats in the dining room, the food always has a lid on the plate only, but in her room, there is no lid on her drinks or side dishes. R5 stated she does not see the male cooks wearing anything over their beards. On 6/12/25 at 9:35 AM, R2 stated he eats both in his room and in dining room and the main plate of food has a lid on it when delivered to his room, but nothing else is covered. R2 stated he doesn't remember seeing anyone with a beard net or something covering their beard. On 6/12/25 at 10:10 AM, R3 stated that he eats in his room for dinners and in the dining room for breakfast and lunch. R3 stated that the food delivered to his room is always covered, but not the side dishes or drinks. R3 stated that he does occasionally see the men in the kitchen with beards wear a beard net and usually a hat, but he estimates only about 60% of the time. R3 stated he was an inspector for the United States Department of Agriculture (USDA), and he is well aware of what kitchen requirements are and the expectations of the kitchen staff and he watches for things like that, and this facility needs some improvements. On 6/12/25 at 10:35 AM, R1 stated he is the President of the Resident Council. R1 stated whether he eats in his room or the dining room, the main food always come covered, but the side dishes and drinks are not. R1 stated the kitchen staff don't wear hairnets at all unless the State walks in. R1 stated the guys with the beards (V4, V5) never wear a beard net like they are supposed to. On 6/12/25 at 11:20 AM, V6, Certified Nursing Assistant (CNA)/Shower Aide, stated that she sees the kitchen staff wear hair nets, but not beard nets. V6 stated only the main plate of food has a lid on it, the sides and drinks never do. Page 1 of 2 145518 145518 06/12/2025 Mascoutah Rehab and Nursing 201 South 10th Street Mascoutah, IL 62258

F 0812 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many On 6/12/25 at 11:22 AM, V7, CNA, stated she has not seen the guys in the kitchen with beards wear a beard net. V7 stated the plates delivered to resident rooms are always covered, but the side dishes and cups are not covered. On 6/12/25 at 11:30 AM, lunch trays were being delivered to those residents eating in their rooms. A small two shelf cart that is open to air, has resident meal trays on it, with the main plate of food having a hard cover, while the side dishes and drinks were uncovered. On 6/12/25 at 12:00 PM, R4 was seen in his room after his lunch tray delivered. There was no lid seen on his bowl of corn or any drink. There was a lid covering the main plate only. R4 stated he always eats in his room and there is never a cover over the side dishes or his drinks. On 6/12/25 at 12:05 PM, R1 received his lunch tray in his room with a lid over his main plate only. There was no cover on his bowl of corn or drinks. R1 stated there is never a lid on his side dishes or his drinks. On 6/12/25 at 12:15 PM, V9, CNA, stated they deliver the meal trays to those eating in their rooms on a small cart. V9 stated that only the plate is covered and that the drinks and side dishes are never covered. On 6/12/25 at 12:20 PM, V10, R5's Daughter, stated she visits R5 several times a week and R5 usually eats in the dining room, but sometimes will eat in her room. V10 stated the main plate of food is usually covered but the side dishes and drinks are never covered. V10 stated she does see the kitchen staff with a hairnet on, just not sure of the beard nets. On 6/12/25 at 1:30 PM, V1, Administrator, stated I know we have some kitchen problems, and we are hiring and trying to fix the problems. When advised of food being delivered and transported across the building with no lids or covers, V1 stated I will have them ordered and will take care of it. When advised of the kitchen staff not wearing beard nets, V1 stated I know we ordered them, and they have them in there. I will make sure that they always have one going forward. I would expect the kitchen staff to maintain proper sanitation and food handling practices at all times. The Facility's Transportation of Food Policy, dated 11/5/19, documents Food being transported from the kitchen to other parts of the building must be done in a safe and sanitary manner. 1. All food must be covered during transportation. The Facility's Dress Code Policy, dated 11/5/19, documents Staff members will dress appropriately, according to their job description. 4. Hair restrains to be worn in the kitchen. 5. [NAME] Guards if facial hair is present. The Long-Term Care Facility Application for Medicare and Medicaid, CMS 671, dated 6/12/2025, documents that the facility has 38 residents living in the facility. 145518 Page 2 of 2