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. (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 145785 Printed: 05/15/2026 Form Approved OMB No. 0938-0391 Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION (X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER: (X2) MULTIPLE CONSTRUCTION 145785 B. Wing A. Building (X3) DATE SURVEY COMPLETED 03/28/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Nexus at Mascoutah 901 North Tenth Street Mascoutah, IL 62258 For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)