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Complaint Investigation

Bria Of Cahokia

August 20, 2025 · Cahokia, IL · 3354 Jerome Lane
Citations 2
CMS Rating 1/5
Beds 133
Provider ID 145613
Healthcare Facility
Bria Of Cahokia
Cahokia, IL  ·  View full profile →
Inspection Summary

BRIA OF CAHOKIA in CAHOKIA, IL — inspection on August 20, 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.

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Inspection Findings

FF0689
Quality of Life and Care Deficiencies
Immediate Jeopardy

jeopardy to resident health or safety

8/20/25.1. R5 returned to the facility and has been on 1:1 supervision since returning.

Facility is looking for alternate placement for R5. 8/13/25 Completed by V1, Administrator/V35 SSD (social services director) RNC (regional nurse consultant) in-serviced V2, Director of Nurses, (DON) and V1, Administrator on elopement policy 8/14/25 completed by V14, RN (registered nurse) RNC V2, DON/Designees to provide in-serving on elopement policy to all staff by 8/20/25 or prior to the start of their next shift.

All residents were reassessed by the clinical leadership team, using the Elopement Risk Assessment Tool completed 8/14/25.

Completed by DON/SSD All residents identified as at risk for elopements have had their care plans reviewed by the V36, MDS (minimum data set) nurses for resident specific interventions.

Completed 8/14/25 The elopement binder was reviewed by the Regional Nurse Consultant, to ensure those residents at risk for elopement, have a face sheet and picture in the binder.

Completed 8/14/25.

Facility has 24 Hour a day Receptionist from 8/13/25 revised by V1, Administrator/Lead Receptionist V1, Administrator/Designee In-Serviced All Receptionist on not leaving the Front Desk unattended 8/13/25. 2.

Actions to Prevent Occurrence/Recurrence: The facility took the following actions to prevent an adverse outcome from reoccurring.

Completion Date: 8/20/25 The DON/designee will in-service staff on facility elopement policy once a month for the next 3 months.

The DON/designee will audit all new admissions and readmissions daily to ensure the Elopement Assessment Tool has been completed and that risk factors, safety measures, and resident specific interventions are reflected on the care plan as well as updated on the individualized service plan. A QAPI (Quality Assurance and Performance Improvement) PIP (performance improvement plan) has been initiated to report on the above monitoring and auditing procedures.

All findings from the PIP will be presented at the monthly QAA (quality assurance and assessment) meeting.

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

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

08/20/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Bria of Cahokia

3354 Jerome Lane Cahokia, IL 62206

SUMMARY STATEMENT OF DEFICIENCIES

Provide medically-related social services to help each resident achieve the highest possible quality of life.

NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on interview and observation the facility failed to assist with financial matters for 1 out of 1 residents (R2) reviewed for social services in the sample of 8.

Findings include:R2's Face Sheet documented he was admitted to the facility on [DATE] with diagnoses of, in part, metabolic encephalopathy, type two diabetes mellitus, artificial left eye, lack of coordination, dementia, and cognitive communication deficit.R2's Minimum Data Set (MDS) dated [DATE] documented he was moderately cognitively impaired and required supervision or touching assistance with transfers and ambulation. R2's Care Plan dated 6/2/25 documented he required assistance with daily care needs related to safety concerns and has impaired vision related to his left eye prosthesis.On 8/14/25 at 11:45 AM, R2 could not answer appropriately when asked if he every goes to the bank or if he wanted to close his bank account out. R2 could not recall going to the bank.On 8/19/25 at 12:15 PM, V1, Administrator, stated R2 had recently gone out to the bank and the teller called us and said she was going to call us into the state. V1 stated R2 was brought to the bank by V15, Medical Records, and V17, Transportation, to get R2's bank statements. V1 stated R2 needed to get his bank statements because of a Medicaid Spend Down issue. V1 stated it was discovered during R2's redetermination that he had too much money in his account for Medicaid to enroll him. V1 stated R2's bank account statements were needed for this process in order for R2 to be eligible for Medicaid. On 8/19/25 at 12:24 PM, V16, Regional Business of Manager, stated the State of Illinois was needing R2's bank account statements for redetermination for Medicaid but he couldn't access his accounts when he went to the bank because he had no identification. V16 stated now we are in the process of getting him proper identification to be able to get his account information. On 8/19/25 at 12:30 PM, V15, Medical Record, stated V16 needed R2 to go to the bank. V15 stated she went to R2's room and explained everything that was going on and what was needed. V15 stated V17 was the one who took R2 to the bank. V15 stated while R2 was at the bank, the bank teller called her and was concerned about what R2 needed. V15 stated she explained everything about Medicaid and redetermination to the teller over the phone, but she had seemed questionable about what was going on and because R2 didn't have identification, she wasn't able to do anything. V15 stated she's not sure how transportation handles taking residents to the bank, but she thinks if he was alert and ambulating then he went in by himself but V15 went in soon after.On 8/19/25 at 12:37 PM, V17, Transportation, stated he took R2 to the bank but wasn't sure why, only that the business office needed him to go. V17 stated he got R2 inside the bank with the teller and then waited in the van until he was flagged down by the teller because R2 couldn't communication or articulate to them what he needed done. V17 stated R2 used his walker to ambulate. V17 stated the bank called V15 for clarification but they were not able to complete anything due to R2 not having proper identification on him. On 8/20/25 at 9:50 AM, V1, Administrator, stated she would have expected R2 to be accompanied by a staff member at the bank with providing assistance and assumed that had taken place.

The facility's Resident Rights Policy dated 8/1/22 documented the facility strives to consistently and fully comply with the various laws and regulations, including but not limited to the treatment, services and needs of residents to attain or maintain residents' highest practicable physical, mental and psychosocial well-being.

The policy continued to document the facility shall safeguard residents' financial affairs.

Facility ID:

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


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