Health inspection·March 28, 2025

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview and record review the facility failed to ensure resident rights were respected regarding a social media post for 1 (R2) of 3 residents in a sample of 3. R2's Undated Face Sheet, documents R2 was initially admitted to the facility on [DATE] with diagnoses including pain, generalized anxiety disorder and mild cognitive impairment. R2's Quarterly Minimum Data Set (MDS) dated [DATE] documents resident is alert. On 3/28/2025 at 9:32 AM V1, Administrator stated she recently received an anonymous call on Monday morning 3/24/2025, the call ID was blocked, and the caller reported that (V5), LPN (Licensed Practical Nurse) posted on social media talking about a resident and the anonymous caller sent screen shots of the social media post to V1. She stated no residents or facility name was listed in the post. V1 forwarded the social media screen shots to human resources, and they stated no issues because no residents were named and no facility was named. V5's Social Media Post dated 9/10/2024, documents, Nobody can [NAME] me faster than an elderly nursing home patient with 5 teeth and a receding hair line. I thought you said you was getting them nails fixed Saturday, why they still look the same. I said dangggg I was sick I didn't go. Well when you do go have them wax your eyebrows too. On 3/28/2025 at 9:45 AM V5, LPN stated on 9/10/2024 the social media post was referring to R2 that resides at the facility, and it was a joke between her and the other employees at the facility. V5 stated she didn't feel it was an inappropriate social media post because she didn't document R2's name or the facility he resided at. V5 stated she's not documented social media jokes regarding residents since that one post in 9/2024. V5's Social Media Post, dated 9/10/2024 documents V15, LPN commented, Was that Mr. K? Cause he asked if I smoked crack girl I said W**. On 3/28/2025 at 12:09 PM V15, LPN stated she replied to (V5's) post on social media dated 9/10/2024 because she knew the resident who (V5) was referring to in the post which was (R2), and she thought it was funny. V5's Social Media Post, dated 9/10/2024 documents V16, Social Service Director commented, Can't go out like this. Page 1 of 2 145785 145785 03/28/2025 Nexus at Mascoutah 901 North Tenth Street Mascoutah, IL 62258

F 0557 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few On 3/28/2025 at 12:09 PM V16 stated she recalled (V5) posted a social media post regarding (R2) and how he had 5 teeth and a receding hair line but she didn't comment on that she commented on the post saying you can't go out like this referring to not having your nails and eyebrows done up. V16 didn't have issues with what (V5) posted on social media on 9/10/2024 because she didn't document the resident's name or the facility that he resides at. V16 stated her and (V5) are friends and she knew she was making a joke regarding (R2) who resides at the facility. On 3/28/2025 at 10:20 AM R2 lay in bed with eyes open stated good morning, he was alert and stated nobody better be posting about him on social media because that would hurt his feelings if someone posted he has 5 teeth and a receding hair line, he stated no employee should post his business on social media because the employee described him and he knows the employee was talking about him and he stated that hurt his feelings. R2 stated would you want the fact that you have 5 teeth and a receding hair line posted on social media? He stated people should ask themselves that question prior to posting hurtful comments on social media. On 3/28/2025 at 10:33 AM V1, Administrator stated she asked (V5) what the resident's name was that she was referring to in the social media post and (V5) didn't state the resident's name. V1 stated (V5) is an agency nurse and stated the resident she was referring to in the social media post could reside in any nursing home that she works at not just this nursing home. The Facility's Resident Rights Policy dated 8/1/2022, documents the objective of the accommodation of resident needs and preferences is to create an individualized, home-like environment to maintain and/or achieve independent functioning, dignity, and well-being to the extent possible in accordance with the resident's own needs and preference. The Facility's Undated Social Media Handbook, documents employees are prohibited from posting or comments which are disrespectful or discourteous to our patients. 145785 Page 2 of 2