BRIA of Westmont: Incontinence Care Delays Cited - IL
The resident, identified in the inspection report as R3, had been sitting in a soiled brief since approximately 11 a.m. She asked to be changed at 12:30 p.m. The CNA, identified as V4, told her she would have to wait.
V4 did not return until somewhere between 1:10 and 1:20 p.m.
R3 told surveyors something else had happened the day before. Staff came in five minutes before the state surveyor arrived, changed her brief, and put her on the toilet. Then they left her there. R3 said this happens every day, and it makes her mad.
R3's care plan, dated July 2, 2025, documented her ADL deficits related to MS and paraplegia. It called for staff to meet her needs throughout the day, toileting every two hours and as needed. The goal for bowel and bladder care was to keep her clean, dry, and odor free.
V4 acknowledged all of it. She told the surveyor on August 26 that R3 asks to be changed at that time every day, that R3 had already eaten lunch and had been outside, and that it was now time to give care to other residents. She said the trays had to go out on time. She admitted she did not return to R3 for incontinence care until roughly 40 to 50 minutes after R3 had asked, and she acknowledged that was not timely. She said she knew delayed incontinence care could cause skin breakdowns. She said she was the only staff assigned to R3's care but could have asked the nurse to help or flagged another staff member. She didn't. When she finally did return to change R3, she asked another aide to assist her, the same kind of help she had not sought earlier. That aide had been feeding residents.
The Director of Nursing, V2, told the surveyor that residents call her directly to report they have been waiting for incontinence care. She said she was aware that another resident, R1, had also waited 40 to 45 minutes for incontinence care and called that unacceptable. She said her expectation is clear: if a CNA is passing trays and a resident asks for help, the CNA finds the nurse to cover trays or assists the resident. If the nurse is busy, the CNA calls the DON.
The Administrator, V1, said a 40 to 50 minute wait for incontinence care is not appropriate. He said it could cause skin breakdowns, infections, and is a dignity issue.
The facility's own June 2025 Resident Council meeting notes documented the problem from the residents' perspective. Under the nursing and CNA section, residents said they wanted staff to respond to their needs more quickly. The notes recorded a specific complaint: at times, CNAs tell residents "I'm not your CNA."
The facility had two written policies that touched on incontinence and elimination care. Neither one specified when staff should actually provide that care. The ADL policy from June 2025 said assistance should be given "as required." The Incontinence Care policy from October 2024 said incontinence care should keep residents dry, comfortable, and odor free. A third policy, on toileting residents, said staff should assist with toileting "in a timely manner." None of them defined what timely meant.
The inspection cited the violation at a level of minimal harm or potential for actual harm, affecting a few residents.
R3 has paraplegia. She cannot get up and change herself. She cannot walk to find another aide. When the CNA told her to wait, she waited, sitting in a soiled brief for more than two hours, until a staff member noticed the surveyor walking through the door.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bria of Westmont from 2025-08-27 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: August 4, 2026 · Our methodology
BRIA OF WESTMONT in WESTMONT, IL was cited for violations during a health inspection on August 27, 2025.
The resident, identified in the inspection report as R3, had been sitting in a soiled brief since approximately 11 a.m.
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.