The patient, identified in inspection records only as Resident 11, had been discharged from a hospital on August 15, 2025.
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The inspection, completed August 20, identified the problem as affecting multiple residents.
What happened there on August 4 involved a certified nursing assistant identified in inspection records as CNA #203.
Two days later, on August 20, the stubble was still there, longer now.
The resident, identified in inspection records only as R4, lives at La Bella of Mascoutah.
The citation against California Home for the Aged is the most serious kind short of immediate jeopardy.
When an inspector asked R2 on August 14 whether he ever goes to the bank or whether he wanted to close his bank account, he could not answer appropriately.
Inspectors walked through Teton Healthcare of Cascadia on August 14, 2025, and documented what they found room by room.
The harm level was listed as minimal harm or potential for actual harm, and inspectors noted the problem affected a small number of residents.
That was the response inspectors documented when they asked about the gap.
The inspection centered on the facility's Treatment Administration Records, known as TARs.
The resident, identified in inspection records only as R2, arrived at the ER on June 25, 2025, with altered mental status.