La Bella of Mascoutah: Staffing Shortage Violations - IL
That exchange, recorded by inspectors on December 16, 2025, sits at the center of a complaint inspection at La Bella of Mascoutah, a 33-resident nursing and rehabilitation facility at 201 South 10th Street. What inspectors documented was a facility operating below its own written staffing requirements across multiple shifts over multiple days, during a period when the administrator acknowledged the facility had been losing certified nursing assistants and was actively trying to replace them.
On December 15, the facility ran three CNAs on day shift, two on evening shift, and three on night shift. The following day, December 16, it was four CNAs on day shift, two on evening shift, and three on night shift. On December 18, the numbers were four on days, two on evenings, and three at night.
The evening shift, two CNAs each of those days, is where the gap is sharpest.
The facility's own staffing policy, revised as recently as February 2025, commits the facility to providing sufficient staff with appropriate competencies to assure resident safety and to help each resident attain or maintain the highest practicable physical, mental, and psychosocial well-being. The facility assessment, dated November 1, 2025, documents that the facility requires 15 full-time employees to provide competent resident support and daily care.
The administrator, identified in the inspection report as V1, told inspectors the facility's position: with a census of 33 residents, three CNAs on day shift, three on evening shift, and two on night shift is what they actually need. The CNAs who believed otherwise were, in management's view, wrong.
That standard, by the administrator's own account, was not being met on the evening shifts inspectors reviewed. Two CNAs covered evenings on each of the three days documented, one fewer than the administrator's own stated minimum for that shift.
CNA turnover was offered as the context. The administrator said it had been a problem recently and that recruiting and hiring were underway. The inspection report does not say how long the shortage had been running before the December complaint inspection, or how many residents were affected by specific care gaps during those shifts. The deficiency was cited at a level of minimal harm or potential for actual harm, affecting many residents.
What the record does show is a facility that wrote down what it believed adequate staffing looked like, acknowledged out loud what it believed the minimum headcount should be, and then on the days inspectors reviewed, did not meet that minimum on the shift when residents need help getting ready for bed, when call lights go unanswered longest, when the building is quietest and the staff is fewest.
The CNAs who thought they needed four on evenings were not, according to the facility's own math, asking for anything beyond what the staffing policy promised them.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for La Bella of Mascoutah from 2025-12-19 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: June 19, 2026 · Our methodology
La Bella of Mascoutah in MASCOUTAH, IL was cited for violations during a health inspection on December 19, 2025.
On December 15, the facility ran three CNAs on day shift, two on evening shift, and three on night shift.
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.