La Bella of Mascoutah: Wound Care Failures - IL
The admission came during a complaint inspection conducted on October 28, 2025. The resident at the center of the finding, identified in inspection records as R2, had developed two wound areas that a licensed practical nurse described as connected and caused by friction. The LPN told inspectors on October 24 that she had measured the area the day before. "But I don't think we had been measuring," she said.
That sentence sat at the heart of what inspectors documented.
The Director of Nursing, interviewed the same morning, said she had seen R2's wounds the previous day as well. One area, she said, was roughly the size of a quarter and did not appear open, though she acknowledged it could be classified as a stage 2 wound. A stage 2 pressure injury breaks through the outer layer of skin into the tissue beneath. "I would expect a wound to be measured," the director of nursing told inspectors, "and the resident referred to the wound company that comes in."
Neither had happened in any documented, consistent way.
The director of nursing offered what she understood of R2's wound history: the resident had been referred to a wound care company at the time of admission, that company determined no services were needed at that point, and the facility had been doing treatments on its own since then. What the inspection record does not show is any documentation that wounds were being tracked, staged, or measured with regularity after that initial assessment concluded.
The LPN's account made the gap plain. She measured the wounds on October 23. She did not believe measurements had been taken before that.
Inspectors cited the facility under F0686, which covers the prevention and treatment of pressure ulcers and wounds. The level of harm was rated as minimal harm or potential for actual harm, and the finding was noted to affect few residents.
The citation came with a note about the facility's own written policy, updated in May 2022, which calls for identifying residents at risk for pressure injuries, implementing interventions to prevent wounds, and maintaining a systematic monitoring process for residents with existing skin breakdown. The policy also states the facility's goal of promoting healing of existing pressure ulcers.
What the nurse manager V18 was assigned to do going forward, according to the director of nursing, was handle measurements and treatments herself. That was the plan as of October 24, four days before the inspection closed.
The wound care company that initially assessed R2 had found no services were needed. That assessment was made at admission. What happened in the weeks between that visit and the moment a nurse finally measured the wounds, the inspection record does not fully resolve. What it does show is a resident with at least two wound areas, one potentially open and stageable, going without the kind of systematic tracking the facility's own policy describes as the standard.
The director of nursing said she would send measurements to inspectors. The nurse said she had just started. R2, in the meantime, had wounds that had been there long enough to develop, connect, and reach a size that a senior nursing official described as quarter-sized, without anyone having written down how large they were or how they were changing.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for La Bella of Mascoutah from 2025-10-28 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 6, 2026 · Our methodology
La Bella of Mascoutah in MASCOUTAH, IL was cited for violations during a health inspection on October 28, 2025.
The admission came during a complaint inspection conducted on October 28, 2025.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.