Bria Of Elmwood Park
BRIA OF ELMWOOD PARK in ELMWOOD PARK, IL — inspection on March 29, 2026.
Found 4 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
This enables the staff to readily and clearly ascertain how to treat the residents in advance of an
treatment will be provided, if any, in the future if they are unable to communicate those desires
treatments are the measures we take to sustain an individual's life and health.
For example, in the event someone suffers a heart attack, we will perform CPR.
Further we will take any other measures ordered by the provider, including IV's, tubes and the administration of medications, antibiotics, artificial hydration and nutrition to maintain life unless there are specific directions from the residents and/or family not to.
145419 03/29/2026
Bria of Elmwood Park 7733 West Grand Avenue Elmwood Park, IL 60707
jeopardizes resident safety through potential overdoses or withdrawal.
Failure to ensure
history: Anoxic brain damage, unspecified severe protein- calorie malnutrition, acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia, pressure ulcer of sacral region stage 4, tracheostomy status, gastrostomy status, personal history of sudden cardiac arrest, etc.
Minimum data Set (MDS) assessment dated [DATE] section C (cognitive patterns) indicated that R11 has severely impaired memory, section GG (functional) of the same assessment indicated that R11 is dependent on staff for all Activities of Daily Living (ADL) care needs.
Care plan initiated 4/01/2025 documented that R11 is on nothing by mouth (NPO) status and is receiving enteral feeding for all nutrition needs.
Interventions include adjust tube feeding as needed, monitor tolerance of feeding, monitor weight, labs, skin and hydration, refer to registered dietitian (RD) as needed.
Per record review, R11 did not have any active G-tube feeding order only water flush and medications, the following order, every shift 2 CalHN 50 ml/hr. continuous total volume 1200 ml is consumed.
May substitute Jevity 1.5 @ 60 ml/hr. x 24 hrs. if not available total volume to infuse 1440 ml was discontinued 3/6/2026.
On 3/26/2026 at 9:30AM V43 (Dietitian) said that the last time she saw R11 was on 3/3/2026 and he was on G-tube feeding, he was also on hydration therapy on 3/4/2026. V43 said that she was blindsided with this decision, no one notified her that resident's feeding was stopped, most of the time she will make recommendations, but she is not aware of the decision, the floor nurse should have notified her of the changes in resident's diet.
On 3/26/2026 at 10:29AM, V2 (DON) said that the hospice staff usually come in and provide care to hospice residents, whatever orders they have should be carried out by the floor nurse and the facility also collaborate with the physicians. V2 said that facility clarifies orders by hospice, the floor nurse that received the feeding orders for R11 should have verified it with the physician, notify dietitian and document the order in resident's record.
On 3/26/2026 at 1:25PM, V7 (LPN) said that he received an order to discontinue feeding. V7 said that he just discontinued the feeding, did not document it on the resident's record, did not write any progress note, did not notify the dietitian or the doctor. V7 stated that he should have documented and notified the doctor and dietitian of the changes.
Job description for registered nurse and licensed practical nurse (undated) stated in part: Under the direction of the physician, is responsible for total nursing care to all residents on assigned unit during assigned shift including responsibility for delegation of duties, resident nursing care, staff performance and adherence by staff members to facility policies and procedures.
Essential duties: 10.
Document nursing care rendered, resident response, and all other pertinent and necessary data as outlined in facility policies and procedures.
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Bria of Elmwood Park 7733 West Grand Avenue Elmwood Park, IL 60707
will be labeled with the resident's name, rate, total volume, date, and time hung . FEEDING PUMP:1.
prescribed rate and start feeding. 3.
Flush the tube with water as ordered. 4.Pump should be cleared
or concerns.
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Bria of Elmwood Park 7733 West Grand Avenue Elmwood Park, IL 60707
medication is being administered at the proper time, in the prescribed dose, and by the correct route.
manner (depending on the situation), and a note should reflect the situation in the resident's medical
Record review of facility policy titled, Resident Rights, dated 9/2024, documents, in part, It is the facility's policy to identify and provide reasonable accommodation for resident needs and preferences except when it would endanger the health or safety of the resident or other residents.
The facility will provide a safe, clean, comfortable, and homelike environment.
Record review of facility staffing records from 3/9/2026-3/25/2026 documents in part 2 licensed nurses per shift worked on the 3rd floor respiratory unit.
Facility Assessment (10/01/2025) documents in part the third floor is a respiratory floor takes care of respiratory patients with complex health needs including ventilators.
Additionally, the staffing plan identifies all units require 2 licensed nurses per unit and per shift.
On 3/24/2026 3:35 PM, V69 (Registered Nurse) affirmed V69 works as needed and is scheduled regularly on the 3rd floor unit. V69 explained, I have to be honest, no there is not enough nurses on the 3rd floor. We really need a third nurse.
These patients are very acute, most are on ventilators and have trachs, g-tubes. It feels like all I can do is pass medication and by the time my shift is over, I have just been passing meds the whole time. I try to answer call lights when I can but it's very hard.
There are residents with a lot of needs, families with a lot of needs. It's not very safe.
The CNAs are pretty on top of things and what they can do within their job, it's just the amount of nursing tasks are very difficult.
On 3/25/2026 at 2:22 PM, V61 (Licensed Practical Nurse) affirmed V61 regularly works on the 3rd floor. V61 explained, the third floor is the heaviest and the residents there require the most amount of care of any unit.
You can ask any nurse; they will tell you unit needs another nurse. It's the amount of things you have to do for the patients.
Most have ventilators, tube feedings, need medications.
They need a lot of care.
When we give them the adequate care they need, we are not able to get things done like processing physician orders or relaying labs in a timely manner. If we can get to it by the end of our shift.
Overnight telehealth is on call to cover and it's just not the same as calling their regular provider for continuity of care.
Then you have a lot of families in unit, and a lot of them require a lot of your time.
Sometimes, they will even be in your face yelling at you.
On 3/25/2026 at 3:26 PM, V8 (Infection Preventionist) affirmed V8 is familiar with the respiratory unit. V8 stated, [NAME], I really do think you need a 3rd nurse up there (in the respiratory unit).
The patients have a lot of needs and can decline very rapidly based on their health.
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.