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Complaint Investigation

Nexus Pavilion At Belleville

Inspection Date: October 16, 2025
Total Violations 1
Facility ID 145290
Location BELLEVILLE, IL
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Inspection Findings

F-Tag F0600

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Actual Harm

F 0600 Level of Harm - Actual harm Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

V18 stated she (V18) was shocked and confused. V18 stated that Resident R3's story never changed no matter how many times V18 asked her and Resident R3 seemed alert and oriented at the time. V18 stated that all the CNA told her was that she didn't touch Resident R3, she just moved the chair, that she didn't do anything to her. V18 stated that Resident R3 showed V18 a rubber bracelet Resident R3 said was ripped off during the fight and it was ripped. V18 stated

the police showed up. On 10/6/2025 at 2:49 PM V14 stated that Resident R3 was upset that V14 had a chair in the hallway. V14 stated that Resident R3 was yelling at V14. V14 stated that Resident R3 informed V14 that Resident R3 used to be a nurse and that β€˜Bitch you're not sitting down. Whore you're going to work.' V14 stated that she was sitting outside Resident R3's room. V14 stated that she got up and answered a light. V14 stated that when she returned the chair was gone. V14 stated that she went into Resident R3's room to get the chair. V14 stated that she grabbed a hold of

the chair and started to remove the chair from the room. V14 stated that Resident R3 was trying to get to V14. V14 stated that Resident R3 threw water at her. V14 stated that she continued to pull the chair out of the room. V14 stated that Resident R3 fell. V14 stated that she was not sure how Resident R3 fell, she may have slipped in the water on the floor.

V14 stated that Resident R3 fell in slow motion. V14 stated that she didn't hit Resident R3. If anything, she hit herself. V14 stated that she doesn't know how Resident R3 got the black eye. V14 stated that Resident R3 was agitated all day calling her bitches and whores. On 10/6/25 at 3:25 PM, V4, [NAME] President of Clinical Operations, stated that she showed up last night after being notified of the incident right away. V4 stated that Resident R3 might have fallen on

the chair to get the injury to her eye but hasn't finished up the investigation yet. V4 stated that Resident R3 has been cycling lately and she came this weekend to see her room destroyed at one point. V4 stated she thinks the CNA might have argued when she shouldn't have with Resident R3 but V4 still hasn't completed the investigation. V4 stated so far, she understands that the CNA went into Resident R3's room to get the chair and Resident R3 threw water at her.

V4 stated when the CNA pulled the chair, Resident R3 went after it and might have slipped on the water trying to grab the chair. V4 stated Resident R3 told her the CNA punched her.On 10/8/2025 at 1:22 PM V10, LPN, stated that

she was called to the room. V10 stated that Resident R3 was lying on the floor. V10 stated that Resident R3 stated that V14 hit her. V14 stated that Resident R3 complained of pain to her left eye. V14 stated that Resident R3 was alert. V14 stated that she works at the facility from time to time and V14 knew who she was and their last interaction. V14 stated that Resident R3 has behaviors but Resident R3 was alert and oriented. The facility's Abuse policy, dated 9/2017, documents that

This facility affirms the right of our residents to be free from abuse, neglect, exploitation, misappropriation of property or mistreatment. This facility therefore prohibits abuse, neglect, exploitation, misappropriation of property, and mistreatment of residents. In order to do so, the facility has attempted to establish a resident sensitive and resident secure environment. The purpose of this policy is to assure that the facility is doing all that is within its control to prevent occurrences of abuse, neglect, exploitation, misappropriation of property and mistreatment of residents.

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πŸ“‹ Inspection Summary

Nexus Pavilion at Belleville in BELLEVILLE, IL inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

What this means: Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. All deficiencies must be corrected within required timeframes and are subject to follow-up verification.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BELLEVILLE, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Nexus Pavilion at Belleville or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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