Nexus at Mascoutah

In the surveyor’s words

From the most serious findings on record at Nexus at Mascoutah, in the surveyor’s own words.

• Actual harm, isolatedF600Aug 7, 2026

  Based on interview and record review, the Facility failed to ensure residents were free from abuse for 1 of 3 residents (R1) reviewed for abuse in the sample of 5. This failure resulted in a staff member directing a resident to clean feces from the toilet after the resident had used it, which constitutes emotional abuse and a failure to maintain the resident's dignity, respect, and psychosocial well-being. This past non-compliance occurred from 6/24/26 to 6/25/26. Findings include:R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including dementia, depression, and anxiety. R1's Minimum Data Set (MDS) dated [DATE] documented R1 was severely cognitively impaired, independent with walking, and required partial assistance with toileting. […]

• Actual harm, isolatedF690Aug 25, 2025

  Based on observation, interview, and record review the facility failed to properly clean an indwelling urinary catheter, failed to complete and document indwelling catheter care as ordered, failed to verify an indwelling urinary catheter flush order, failed to monitor intake and output as ordered, and failed to ensure a resident's indwelling was properly positioned and covered for 3 of 3 residents (R1, R2, R5) reviewed for indwelling urinary catheters in the sample of 11. These failures caused R2 to experience increased pain and sepsis secondary to developing a catheter associated urinary tract infection. Findings Include:1. […]

• Actual harm, isolatedF550Jul 7, 2025

  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. […]

• Actual harm, isolatedF600Apr 26, 2024

  Based on interview and record review, the Facility failed to ensure an environment free from abuse for 2 of 4 residents (R1, R2) reviewed for abuse in the sample of 4. This Failure caused R1 to be fearful of R2 and causes her to have trouble sleeping. Findings include: R1's Face Sheet documents, R1 was admitted to the facility on [DATE] with diagnoses, including type 2 diabetes mellitus, chronic obstructive pulmonary disease, congestive heart failure, anxiety, depression, osteoarthritis, and muscle weakness and atrophy. R1's Minimum Data Set, (MDS), dated [DATE] documented, R1 was independent with cognitive skills for daily decision making with short term memory intact. […]

• Actual harm, isolatedF610Jan 12, 2024

  The Facility failed to ensure a bruise of unknown origin was investigated and the appropriate corrective actions were initiated for 1 of 3 residents (R2) reviewed for injuries in the sample of 9. Findings include: R2's Physician Order Sheet for January 2024 documents a diagnosis of: Abnormalities of gait and mobility, lack of coordination, displaced supracondylar fracture without intercondylar extension of lower end of left femur, subsequent encounter for closed fracture with routine healing, abnormal weight gain, cognitive communication deficit, major depression, paraplegia, idiopathic peripheral autonomic neuropathy, anemia, acute infraction of spinal cord, pressure ulcer of sacral region, and altered mental status. […]