La Bella Of Cahokia

asked what the Facility was doing about it. R1 was interviewed about the incident and replied, What is wrong with that?3.) R3's Face Sheet documents R3 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus type two and muscle weakness.R3's Minimum Data Set (MDS) dated [DATE] documented R3 was cognitively intact and required partial assistance with transfer.R3's Care Plan does not address risk of sexual abuse.On 10/10/25 at 1:43 PM, R3 stated shortly after she was admitted here, she was at the nurse's station when R1 grabbed her sweater and offered her ten dollars for a bl** jo*. On 10/10/25 at 2:50 PM, R3 stated she told staff who were working at the time of this allegation but does not recall their names.On 10/10/25 at 3:15 PM, V1 (Administrator) stated the Facility did not have any abuse investigations for R1 and R3. V1 was notified that R3 alleged R1 grabbed her sweater and offered her money for sexual favors shortly after her admission to the Facility.On 10/14/25 at 10:25 AM, V1 stated she did not report the allegation made by R3 about R1 that was reported to her on 10/10/25. On 10/14/25 at 1:47 PM, V1 stated she expects staff to follow its abuse policy.On 10/14/25 at 4:00 PM, V1 stated she does not understand how the incident between R1 and R3 could be considered sexual abuse, because there was no physical touching. R1 was just asking R3 if she would be interested and does not feel that would be upsetting.The Facility's Abuse Prevention Program Policy revised 2/20/25 documents the Facility affirms the right of our residents to be free from abuse (verbal, mental, sexual or physical).

Abuse is defined as physical or mental injury or sexual assault inflicted upon a resident other than by accidental means in the facility.

Sexual abuse includes but is not limited to unwanted intimate touching of any kind especially of breasts or perineal area.

Mental abuse is the use of verbal or nonverbal conduct which causes or has the potential to cause the resident to experience humiliation, intimidation, fear, shame, agitation or degradation. documents Facility staff will report and investigate any allegations of abuse within timeframes required by Federal law.

The Facility will initiate external reports to the Department within 24 hours upon receipt of an allegation or upon the formation of a reasonable suspicion of abuse.

Bottom of Form

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/15/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Autumn Meadows of Cahokia

2 Annable Court Cahokia, IL 62206

SUMMARY STATEMENT OF DEFICIENCIES

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to report an allegation of abuse for 1 of 3 residents (R3) reviewed for abuse in the sample of 6.Findings include:1.) R3's Face Sheet documents R3 was admitted to the facility on [DATE] with diagnoses including diabetes mellitus type two and muscle weakness.R3's Minimum Data Set (MDS) dated [DATE] documented R3 was cognitively intact and required partial assistance with transfer.R3's Care Plan does not address risk of sexual abuse.On 10/10/25 at 1:43 PM, R3 stated shortly after she was admitted to the facility, she was at the nurse's station and R1 grabbed her sweater and offered her ten dollars for a bl** jo*. On 10/10/25 at 2:50 PM, R3 stated she reported this incident to staff working at the time but could not remember their names.On 10/10/25 at 3:15 PM, V1 (Administrator) stated the facility did not have any abuse investigations for R1 and R3. V1 was notified that R3 alleged R1 grabbed her sweater and offered her money for sexual favors shortly after her admission to the facility.On 10/14/25 at 10:25 AM, V1 stated she did not report the allegation made by R3 regarding R1.

On 10/14/25 at 1:47 PM, V1 stated she expects staff to follow its abuse policy. On 10/14/25 at 4:00 PM, V1 stated she did not understand how the incident with R1 and R3 could be considered abuse since there was no physical touching. R1 was just asking R3 if she would be interested.The Facility's Abuse Prevention Program Policy revised 2/2023 documents abuse is defined as physical or mental injury or sexual assault inflicted upon a resident other than by accidental means in the facility.

Mental abuse is the use of verbal or nonverbal conduct which causes or has the potential to cause the resident to experience humiliation, intimidation, fear, shame, agitation or degradation.

Facility staff will report any allegations of abuse within timeframes required by Federal law.

The Facility will initiate external reports to the Department within 24 hours upon receipt of an allegation or upon the formation of a reasonable suspicion of abuse.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/15/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Autumn Meadows of Cahokia

2 Annable Court Cahokia, IL 62206

SUMMARY STATEMENT OF DEFICIENCIES

Respond appropriately to all alleged violations.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and record review, the Facility failed to thoroughly investigate abuse allegations from 1 of 3 residents (R2) reviewed for abuse in the sample of 6.Findings include:1.) R1's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including traumatic brain injury.R1's Minimum Data Set (MDS) dated [DATE] documented R1 was moderately cognitively impaired and ambulated by wheelchair.2.) R2's Face Sheet documents R1 was admitted to the facility on [DATE] with diagnoses including intellectual disabilities.R2's MDS dated [DATE] documented R1 was moderately cognitively impaired and ambulated by wheelchair.On 10/10/25 at 12:35 PM, R2 stated, (R1) touched me down there (pointed to genital area).

The Facility's Initial Report sent to state surveying agency on 10/5/25 at 5:41 PM documents R1 attempted to touch female resident R2 on her private area at the nurse's station.

The Facility's Investigation was provided on 10/10/25 at 12:36 PM.

The investigation did not include any staff or resident interviews.On 10/10/25 at 1:37 PM, V1 (Administrator) provided an additional document that listed residents interviewed by V5 (Social Services Director)on 10/9/25.

Residents listed included R3, R5, and R6.On 10/10/25 at 1:43 PM, R3 stated V5 just interviewed her about the incident between R1 and R2 earlier today.R3's MDS dated [DATE] documented R3 was cognitively intact.On 10/10/25 at 3:10 PM, R5 stated she was not interviewed by V5 about inappropriate or unwanted touching in the Facility. R5's MDS dated [DATE] documented R5 was cognitively intact.On 10/10/25 at 3:11 PM, R6 stated she was not interviewed by V5 about inappropriate or unwanted touching in the Facility.R6's MDS dated [DATE] documented R6 was cognitively intact.On 10/14/25 at 4:00 PM, V1 stated it is a problem if residents are saying they were not interviewed as part of the investigation.The Facility's Final Report documented V4 (Licensed Practical Nurse) reported the incident to V1 (Administrator).On 10/14/25 at 9:14 AM, V4 stated she had no knowledge of R2's allegation toward R1 and did not report this to V1 because she knew nothing about it.On 10/14 25 at 12:52 PM, V1 stated the investigation she provided was complete.On 10/14/25 at 1:47 PM, V1 stated she expects staff to follow its abuse policy.The Facility's Abuse Prevention Program Policy revised 2/2023 documents Facility staff will investigate any allegations of abuse within timeframes required by Federal law.

Facility ID: