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Complaint Investigation

Mascoutah Rehab And Nursing

Inspection Date: October 28, 2025
Total Violations 2
Facility ID 145518
Location MASCOUTAH, IL
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Inspection Findings

F-Tag F0684

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0684 Level of Harm - Minimal harm or potential for actual harm

not have our own van.Facility policy states, It is the policy of this facility to safely transport residents to/from necessary appointments when needed. If the interdisciplinary team (IDT) determines a resident requires assistance, then arrangements must be made to send an appropriate escort to meet that particular need.

Examples of residents requiring assistance are residents who need assistance with AOL's, have impaired decision making, are elopement risk or otherwise deemed unsafe to be out alone.

Residents Affected - Few

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

Event ID:

Facility ID:

If continuation sheet

Printed: 04/13/2026 Form Approved OMB No. 0938-0391

Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:

(X2) MULTIPLE CONSTRUCTION

B. Wing

A. Building

(X3) DATE SURVEY COMPLETED

10/28/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Mascoutah Rehab and Nursing

201 South 10th Street Mascoutah, IL 62258

For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG

SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

F 0686 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few

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

sliding down. We have new orders now and I will send the measurements. On 10/24/2025 at 10:00AM V4, LPN, stated Resident R2 has 2 areas but they aren't really pressure they are kind of connected and are from friction.

I measured the area yesterday, but I don't think we had been measuring. On 10/24/2025 at 11:55AM V2, Director of Nursing, DON, stated I saw Resident R2's wounds yesterday. The area that is quarter size did not appear open. It could be called a stage 2. I would expect a wound to be measured, and the resident referred to the wound company that comes in. From what I understand of Resident R2's wound situation is that Resident R2 was referred to

the wound company when admitted . The wound company found Resident R2 did not need services at that time. The facility did treatments here. Going forward our nurse manager V18 is going to do measurements and treatments. Facility policy updated 5/2/2022 states, To identify factors that place the residents at risk for the development of pressure ulcers. To implement appropriate interventions to prevent the development of clinically avoidable wounds. To promote a systematic approach and monitoring process for the care of residents with existing wounds and for those who are at risk for skin breakdown. To promote healing of existing pressure ulcers.

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📋 Inspection Summary

MASCOUTAH REHAB AND NURSING in MASCOUTAH, 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 MASCOUTAH, 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 MASCOUTAH REHAB AND NURSING or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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