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Complaint Investigation

Bria Of Belleville

May 29, 2026 · Belleville, IL · 150 North 27th Street
Citations 3
CMS Rating 1/5
Beds 140
Provider ID 145668
Healthcare Facility
Bria Of Belleville
Belleville, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

BRIA OF BELLEVILLE in BELLEVILLE, IL — inspection on May 29, 2026.

Found 3 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

FF0656
Resident Assessment and Care Planning Deficiencies

medication and family' they would consider a resident going out and doing a family activity and/or a

are still on the property. R2, R3, R4 and R6 can all come and go and sign themselves out.

The Facility

person-centered care plan for each resident.

The care plan will include a focus, measurable goal, and interventions specific to the residents' medical, nursing, mental, and psychosocial needs.

The comprehensive care plan should drive the care and services provided for the resident and allow for the highest level of physical, mental, and psychosocial function based on the comprehensive MDS assessment.

145668 05/29/2026

Bria of Belleville 150 North 27th Street Belleville, IL 62226

in-service staff and agency on facility elopement policy, on Elopement and Supervision, Rounding and

Medication Administration to licensed staff and licensed agency staff on 5-5-26. In-servicing is

MDS/DON/Designee will review all new admissions within 24 hours after admission for elopement risk 5 days a week for 4 weeks, any residents who trigger as high risk will be place in the elopement binder along with care plan with resident specific interventions.

The DON/MDS/designee will review all elopements at the daily stand-up meeting with the IDT for three months to ensure appropriate elopement interventions are implemented, the resident's care plan has been reviewed and revised, and the individualized service plan The DON/MDS/designee will review 5 resident MARs/TARs weekly for 4 weeks, monthly for the next 3 months for proper documentation and following physician orders.

QAPI meeting was held on 5/6/26 with IDT and MD. A QAPI PIP has been initiated to report on the above monitoring and auditing procedures.

All findings from the PIP will be presented at the monthly QAA meeting.

Monitoring/auditing and reporting will continue for a minimum of three months.

145668 05/29/2026

Bria of Belleville 150 North 27th Street Belleville, IL 62226

services of a licensed pharmacist.

on a bedside table for 1 of 3 residents (R2) reviewed for unattended medicine in the sample of 8.

This

Sheets (POS) dated May 2026 documents a diagnosis of Schizophrenia unspecified; major depression disorder, recurrent moderate; unspecified psychosis not due to substance or known physiological condition, cellulitis of neck, iron deficiency anemia, prediabetic, thrombocytosis; unspecified burn of unspecified degree of multiple sites of head, face and neck, subsequent encounter. R2 was prescribed Ativan 0.25 mg (milligram) (Lorazepam), give 0.25 mg by mouth twice a day for compulsiveness and risperidone oral tablet 1 mg, give 1 tablet by mouth two times a day for schizophrenia. R2's Police Report dated 5/4/2026 at 6:00 PM, document On 05/04/2026 at approximately 10:06 PM, I, (V23, Local Police Officer) responded to (Facility) in reference to a missing person.

Dispatch advised the caller, later identified as (V1, Administrator) stated a resident, later identified as (R2) left the facility yesterday (05/03/2026) at approximately 6:30 PM, hours. I arrived on the scene and made contact with staff, identified as (V26, Agency Licensed Practical Nurse (LPN)). V26 stated the following, not verbatim: This is her first night at (Facility).

She is in control of the wing that (R2) resides in.

She does not know anything about (R2).

She went into (R2's) room and saw his medications sitting bedside from the night before. (V25) guided me to (R2's) room. I did not locate anything of evidentiary value. I photographed the room and later placed the photos into the case file. On 5/27/2026 at 8:57 AM, V26, Agency LPN stated, I went into (R2's) room, and he had pills that were lying on his desk. I believe it was lorazepam and some other pills. We are never supposed to leave medications lying around and are supposed to always watch the resident take their medications. I am not sure why the pills and medications were in his room. On 5/28/2026 at 11:11 AM, V1, Administrator stated, We identified concerns with (R2's) medication being left on his bedside table. No staff should ever leave medication behind and should always pass out the medication only to the resident, and if the resident is not there, the medicine should not leave the cart. On 5/28/2026 at 11:33 AM, V2, Director of Nursing (DON) stated, I would not expect any of the nurses to leave any residents medication on the table.

All staff should administer the medication and watch the resident take their medication and never leave any medication in their rooms.

The Medication Administrator Policy dated 10/2025 documents, Verify that the medication is being administered at the proper time, in the prescribed dose, and by the correct route.

Prior to the survey date, the Facility took the following actions to correct the noncompliance on 5/6/26.

Immediate Actions: 1-Director of Nursing, Assistant Director of Nursing, and/or Designee immediately in-serviced all nurses regarding Medication Administration to include accurate identification of patient/resident prior to medication administration and not leaving medications out.2-Director of Nursing, Assistant Director of Nursing, and/or Designee immediately initiated ongoing audits of medication administration per clinical managers to ensure that nurses are compliant with Medication Administration to be immediately addressed upon identification and/or re-education provided. 3- QAPI meeting was completed to review occurrence, immediate intervention, and plans for ongoing audits to ensure continued compliance.

Ongoing Actions: 1-Education will be provided to new employees prior to being allowed to work in the Facility. 2-Concerns will be addressed immediately and discussed during the monthly QAPI Committee for resolution.

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 BELLEVILLE, 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 BRIA OF BELLEVILLE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.