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Complaint Investigation

Bria Of River Oaks

May 23, 2026 · Burnham, IL · 14500 South Manistee
Citations 1
CMS Rating 1/5
Beds 309
Provider ID 145735
Healthcare Facility
Bria Of River Oaks
Burnham, 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 RIVER OAKS in BURNHAM, IL — inspection on May 23, 2026.

Found 1 citation. 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

FF0880
Infection Control Deficiencies

hygiene/handwashing is performed after glove usage.

This deficiency affects the 1st floor and 2nd

2nd floor isolation bins without appropriate PPE in place.On 5/23/26 at 10:17AM, V8 (Certified Nurse Aide) observed wearing gloves in the hallway, removed gloves and no hand hygiene performed. On 5/23/26 at 10:17AM, V8 said that she is not supposed to wear gloves in the hallway and perform hand hygiene, before and after glove usage. V8 said she did not perform hand hygiene after glove removal.On 5/23/26 at 10:35AM, V2 (Director of Nursing) said that staff is not to wear gloves in the hallway for infection control purposes. V2 said staff should perform hand hygiene before and after glove usage. V2 said that PPE should be stocked in isolation bins and accessible to staff.5/23/26 at 10:45AM, V9 (Infection Prevention Nurse) said that the isolation bins should be supplied with appropriate PPE and available to staff. V9 said that staff is not to wear gloves in the hallway and proper hand hygiene before and after glove usage should be perform for infection control purposes.Facility Policy on Hand Hygiene revised 4/2026General:Proper hand hygiene is necessary for the prevention and the transmission of infectious disease.Responsible Part:All facility StaffGuideline:2.

Hand hygiene is to be done before putting on gloves and after removing gloves.

Facility Policy on Infection Control Program revised 9/2025Guideline:The Infection Control Program establishes guidelines to follow in the prevention and control of contagious, infectious, or communicable diseases.

The objectives of the program are to:-Provide a safe and sanitary environment.-Prevent or control the spread of communicable diseases.-Establish guidelines that adhere to standards of care and CDC guidelines.

Administration and infection control designee assure that infection control guidelines and procedures are implemented and followed.An infection control program.

Training will take place during orientation and annually thereafter. A record of the training is maintained by the facility.

Training will include hand hygiene, standard and transmission-based precautions and the use of personal protective equipment.

Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.

For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.

LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE

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 BURNHAM, 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 RIVER OAKS 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.