Bria Of Elmwood Park
BRIA OF ELMWOOD PARK in ELMWOOD PARK, IL — inspection on December 1, 2025.
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
he did a reportable for missing snap benefits for her (R4), he (V1) said no. On 12/1/25 at 2:07pm, surveyor inquired about the facility policy for reported theft of funds. V1 (Administrator) stated, If someone reported missing funds, we (staff) would have to do an investigation and report it, to IDPH.
Surveyor inquired if R4's alleged stolen SNAP benefits was investigated. V1 responded, The way it was explained at the time was that she (R4) wasn't a resident when they were missing and when she moved in here (facility) her (R4) benefits would have been canceled. So, no we (facility) did not report it because the way it was explained is that it happened prior to moving in the building.
Surveyor inquired why R4's theft allegation was not reported to IDPH. V1 responded, Again, what was reported to me (V1) is 1) her (R4) benefits would have stopped already when she was admitted here and 2) it was reported that this happened prior to coming here.
Surveyor inquired if V1 spoke with R4 about the stolen SNAP benefits. V1 replied, No, I was going on the information that was brought to me that this was something that happened prior to being a resident here.
Considering reasonable person concept, R4's (2/11/25) progress note, and resident/staff statements the facility was made aware of R4's link card concerns/theft of SNAP benefits - reported roughly 6 weeks after admission (not when she first admitted - as alleged).
The facility abuse prevention policy (reviewed 9/2017) includes misappropriation of resident property: the deliberate misplacement, exploitation, or wrongful temporary, or permanent use of a resident's belongings or money without the resident's consent.
Employees are required to report any incident, allegation or suspicion of potential abuse, neglect, exploitation, mistreatment or misappropriation of resident property they observe, hear about, or suspect to the administrator immediately.
Upon learning of the report, the administrator or a designee shall initiate an incident investigation.
Reports will be documented and a record kept of the documentation.
Any incident or allegation involving abuse, neglect, exploitation, mistreatment or misappropriation of resident property will result in an investigation.
When an allegation of abuse, exploitation, neglect, mistreatment or misappropriation of resident property has been made, the administrator, or designee, shall notify Department of Public Health's regional office immediately by telephone or fax.
The results of the investigation will be forwarded to the Illinois Department of Public Health within seven working days of the reported incident.
The administrator or designee is also responsible for informing the resident or their representative of the results of the investigation and of any corrective action taken.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Bria of Elmwood Park
7733 West Grand Avenue Elmwood Park, IL 60707
SUMMARY STATEMENT OF DEFICIENCIES
documented (R2's change in condition occurred at 10:35pm). On [DATE] at 1:50pm, surveyor inquired about staff requirements for resident change in condition. V2 (Director of Nursing) stated, They (staff) need to do an assessment and notify the doctor.
Surveyor inquired what an assessment entails. V2 responded, A head to toe assessment and vitals.
Surveyor inquired where resident vital signs are documented. V2 replied, In the chart.
Surveyor inquired if V7 charted R2's vital signs on ([DATE]) V2 stated I'm not really sure I do have to go back into the notes to see. V2 subsequently reviewed R2's ([DATE]) progress note and responded, Not in this note, she (V7) didn't have any vital signs in this particular note (except oxygen saturation).
Surveyor inquired how many minutes it usually takes for EMS to arrive to the facility when 911 is called V2 replied It take em a couple of minutes to come here between 5 and 10 minutes they come rolling up.
Surveyor inquired if V7 filled out an SBAR (which provides a structured framework for healthcare professionals to quickly and clearly share critical information about a patient, especially during handoffs) for R2's ([DATE]) change in condition V2 stated I (V2) didn't see one.
Surveyor inquired if an SBAR is supposed to be filled out for resident change in condition V2 responded Yes, it is. On [DATE] at 11:13am, surveyor inquired about facility staff requirements for resident change in condition. V8 (Medical Director) stated, I would expect them (staff) to get vitals and then contact the provider.
Surveyor inquired which vital signs should be obtained for a resident experiencing respiratory distress. V8 responded, The oxygen saturation, heart rate, blood pressure, all of them.
Surveyor inquired if a resident is in respiratory distress which assessments should be conducted V8 replied I would expect them to see if they're alert, diaphoretic, are they struggling using accessory muscles, listen to their lungs to see if they have wheezing, crackles, or no sounds at all.
Surveyor inquired about potential harm to a resident if staff fail to obtain vital signs, fail to conduct a physical assessment and/or fail to report actual changes in condition to EMS and/or healthcare provider. V8 stated, I guess increased mortality and morbidity. R1's Certificate of Death affirms death occurred on [DATE].
The ([DATE]) facility change in resident condition policy states 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 [Physical Assessment, Vital Signs, and SBAR are excluded].
The facility Respiratory Care Monitoring policy (revised 10/2024) states any change in the resident's condition will be identified such as difficulty breathing, changes in color, change in mental status, or other changes that my signal further evaluation is needed. If the change requires immediate intervention (resident is in distress, having difficulty breathing) the assessment will be completed and appropriate interventions implemented.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
12/01/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Bria of Elmwood Park
7733 West Grand Avenue Elmwood Park, IL 60707
SUMMARY STATEMENT OF DEFICIENCIES
first I'm hearing of it. On 12/1/25 at 12:17pm, V11 inspected the (4th floor) North tub/shower door (as requested) and affirmed it did not latch when the door was closed. V11 subsequently inspected the door and stated Somebody flipped this around, this is the wrong way.
Somebody put the throw on wrong. I will have that fixed today. On 12/1/25 at approximately 12:30pm, V11 stated that the facility does not have a policy for maintaining equipment therefore surveyor requested the facility maintenance policy.
The (10/2024) facility preventive maintenance plan states proof of inspections will be record in the electronic system or on paper trackers provided.
Monthly inspections: check door contacts.
Surveyor requested documentation of facility door inspections on 12/1/25 however V11 affirmed that only the fire doors are inspected, documentation was not received.
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 ELMWOOD PARK, 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 ELMWOOD PARK or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.