Bria of Elmwood Park: Antibiotic Doses Missed for Days - IL
The resident, identified in inspection records only as R3, had a physician's order for Vancomycin, a powerful antibiotic used to treat serious bacterial infections. The order called for the drug to be given every six hours. Instead, on May 17 and into May 18, nurses documented the same code, a "9," in the medication administration record for dose after dose. The "9" meant: see the nurses' notes. The nurses' notes said they were waiting on the pharmacy.
At 1:35 p.m. on May 17, a nurse wrote that she had spoken with the pharmacy and that the medication would arrive with that day's delivery. By 9:31 p.m. that same night, she wrote that she was still waiting. The midnight dose went unrecorded as given. So did the 6 a.m. dose on May 18.
R3 told the inspector what the records confirmed. "Vancomycin, they ran out of it," the resident said. "I finally got it today."
When an inspector sat down with the Director of Nursing on May 21, four days after the medication gaps began, she walked through the administration record line by line. Midnight on the 17th: a 9. Six a.m.: a 9. Noon: a 9. Six p.m.: a 9. Midnight on the 18th: a 9. Six a.m. on the 18th: a 9.
The inspector asked how many doses R3 had not received.
"I'm seeing 6 doses," the Director of Nursing said.
Six doses of an antibiotic ordered every six hours represents 36 hours without the drug.
The facility's own medication administration policy, revised as recently as October 2025, instructs staff to verify that medications are given at the proper time, in the prescribed dose, and by the correct route, and to document the reason on the record if a dose is not given. The documentation was there. The medication was not.
Vancomycin is not a routine drug. It is typically reserved for infections that do not respond to other antibiotics, including certain staph infections and other serious bacterial conditions. Missing doses can allow an infection to persist or worsen. The inspection report classified the violation as causing minimal harm or potential for actual harm, and noted that many residents were affected by the conditions underlying the complaint.
What the report does not say is what infection R3 had, how long R3 had been on the antibiotic before the supply ran out, or what, if anything, happened to R3's condition during those 36 hours. The inspection record ends where the documentation ends.
What it does show is a gap that the facility's own nurses flagged in real time, in writing, at 1:35 in the afternoon and again at 9:31 at night, and that nobody resolved before the next morning's doses came and went ungiven as well.
The inspection was conducted on May 27, 2026, in response to a complaint. Bria of Elmwood Park is located at 7733 West Grand Avenue.
R3 said the medication finally arrived. The record does not say when.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bria of Elmwood Park from 2026-05-27 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 11, 2026 · Our methodology
BRIA OF ELMWOOD PARK in ELMWOOD PARK, IL was cited for violations during a health inspection on May 27, 2026.
The order called for the drug to be given every six hours.
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.