Bria Of Belleville
BRIA OF BELLEVILLE in BELLEVILLE, IL — inspection on October 8, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Federal health inspectors cited BRIA OF BELLEVILLE in BELLEVILLE, IL for a deficiency under regulatory tag F-F0580 during a complaint investigation conducted on 2025-10-08.
Category: Resident Rights Deficiencies
The facility was found deficient in the following area: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 2 deficiencies cited during this inspection of BRIA OF BELLEVILLE.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-19.
ADON. We then called 911. It happened very fast, so I don't know the exact time everything happened. I was focusing on (R2). I don't know what time (V4) came and got me. I don't know what we called EMS or what time EMS got there.On 9/24/2025 at 1:50PM V3, ADON, stated V5, LPN, came to get me for a change in condition in R2. R2 had audible crackling.
She was alert. We put her on 2 liters of Oxygen. We can't go past 4 liters. We called 911 from R2's room because her Oxygen would not stay up.
She had been fine until then. We stayed with R2 the whole time.
She was never left alone. V5 even called 911 from her personal cell phone. It all happened so fast that there was no change of condition to report to the Physician.
EMS put a mask on R2 to help R2 breathe. I don't know the exact time everything took place or what time EMS were called.On 9/24/2025 at 3:00PM V6, Emergency Medical Technician, EMT, stated We were dispatched for a resident having a change in condition.
Staff met us in the hallway. I didn't get the nurse's name, but the nurse said, The resident aspirated and now she isn't acting right.
When we went in the room I saw the resident.
She was unresponsive and very tachypneic in the 130s.
She had vomited and it had pooled on her neck and gown. I had to wipe it away.
The nurse told me all this started at 1:15PM and then everyone left the room. We put R2 on a high flow oxygen mask and loaded her in the ambulance.
She was never responsive, and her lungs were full. I was in the room in the Emergency Department when she passed away.On 9/25/2025 at 11:50AM V2, DON, and V3, ADON, stated This is the time EMS was called for R2 on 9/14/2025. EMS was called at 1:51PM on 9/14/2025.
These times are from V4's cell phone.On 9/30/2025 at 12:02PM V6, EMT, stated EMS was called from facility at 1:53PM and arrived at facility at 2:06PM.On 9/30/2025 at 12:30PM V12, Nurse Practitioner, stated I am Monday through Friday and the change of condition for (R2) occurred on a Sunday. I still would've expected one of the on-call Providers to be notified of a transfer to the hospital. I see there is no note saying telehealth was called until after the R2 was transferred.
They should've called the on-call provider.
When V12 was asked if he would've expected to be notified of R12's change in condition and for 1 hour to have gone by between R2's change of condition and EMS being called V12 stated They should've called the on call provider.Facility policy dated 9/2024 states It is the policy of the facility, except in a medical emergency, to alert the resident, resident's physician and resident's responsible party of a change in condition.
Nursing will notify the resident's physician or nurse practitioner when: There is a significant change in the resident's physical, mental or emotional status.
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