Inspection·July 7, 2025

F 0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Level of Harm - Actual harm Residents Affected - Few **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to provide resident care in a timely manner to promote resident's dignity for 3 of 5 residents (R1, R2, and R5) reviewed for dignity in a sample of 5. This failure resulted in R2 having feelings of frustration due to soiling herself and being left on a bedpan for 29 minutes and reporting pain related to this. Findings include: 1. R2's Face sheet documented she was admitted to the facility on [DATE] with diagnoses of, in part, congenital subaortic stenosis, type two diabetes mellitus, and acquired absence of bilateral legs below the knee. R2's Minimum Data Set (MDS) dated [DATE], documented she was cognitively intact and dependent on staff for toileting hygiene assistance. R2's Care Plan dated 6/27/25 documented she was at risk for skin complications related to immobility. R2's Care Plan dated 6/20/25 documented she has an alteration in comfort advanced disease process, chronic physical or psychological disability circulatory, musculoskeletal, neurological, skin/tissue impairment trauma. R2's Care Plan dated 6/20/25 also documented she required assist with daily care needs related to morbid obesity, bilateral lower extremity amputee. On 7/7/25 at 9:00 AM, R2 stated she has to wait anywhere from 30 minutes to an hour and 20 minutes for her call light to be answered at times. R2 stated it makes her feel frustrated because she ends up sometimes soiling herself instead of using the bed pan because it took the staff too long to respond. R2 stated she should be treated with respect and care. R2 stated she should feel safe and trust that the staff will take care of her appropriately. On 7/7/25 at 11:05 AM, R2 put her call light on to use the bed pan and at 11:06 AM V6, Certified Nurse's Aide, (CNA) responded and placed R2 on a bed pan. At 11:10 AM, R2 pressed her call light and notified V6 she was done using the bed pan. V6 stated she would be back after helping assist with a mechanical lift. On 7/7/25 at 11:25 AM, R2 stated, How long has it been? I thought she would be right back. R2 stated the bed pan was causing her a lot of discomfort and pain. R2 stated she wants to make sure none of the other residents who can't speak up for themselves have to go through this. R2 stated her pain level was a 9 out of 10 on a pain scale being a sharp/shooting pain caused from the bed pan that was not there prior to being placed on it. (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 3 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 07/07/2025 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)