Bria Of Godfrey
Inspection Findings
F-Tag F0610
F 0610 Level of Harm - Minimal harm or potential for actual harm
aggressively investigate all reports and allegations of abuse, neglect exploitation, misappropriation of property and mistreatment, and making the necessary changes to prevent future occurrences; filing accurate and timely investigative reports. The CMS 671 Form, dated 12/3/2025, documents there were 50 residents living in the facility.
Residents Affected - Many
FORM CMS-2567 (02/99) Previous Versions Obsolete
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Printed: 04/13/2026 Form Approved OMB No. 0938-0391
Department of Health & Human Services Centers for Medicare & Medicaid Services STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
(X1) PROVIDER/SUPPLIER/CLIA IDENTIFICATION NUMBER:
(X2) MULTIPLE CONSTRUCTION
B. Wing
A. Building
(X3) DATE SURVEY COMPLETED
12/19/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Bria of Godfrey
1623 29 West Delmar Godfrey, IL 62035
For information on the nursing home's plan to correct this deficiency, please contact the nursing home or the state survey agency. (X4) ID PREFIX TAG
SUMMARY STATEMENT OF DEFICIENCIES (Each deficiency must be preceded by full regulatory or LSC identifying information)
F-Tag F0684
F 0684 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
residents into the bed and call light placed in reach. Resident seen in ER and treated for Un-witnessed fall, Abnormal CT-Scan, Closed FX (fracture) of multiple ribs on right side, Closed non-displaced Fx of right clavicle, Stercoral colitis, constipation and Acute UTI (urinary tract infection). Resident has new orders for ABT (antibiotics) from ER (emergency room). Discoloration noted to UE (upper extremity). Resident tearful
during assessment and PRN (as needed ) pain medication given for discomfort. On 12/3/2025 at 6:25 AM, V7, Certified Nursing Assistant (CNA), stated she usually works midnights. Resident R2 fell in the dining room. I did not witness it but heard she had fallen but she passed away yesterday. If a resident falls, we are supposed to get help and tell the nurse. The nurse will then tell us what to do. I am not sure why (Resident R2) was moved. On 12/4/2025 at 1:29 PM, V8, Certified Nursing Assistant (CNA), stated, If a resident falls, we are supposed to get help and tell the nurse before moving them because we could make it worse if we moved them and they were injured. On 12/4/2025 at 4:14 PM, V14, Licensed Practical Nurse (LPN) stated, If a resident falls, staff are to yell for help and wait for nursing to assess them. If we think there may be an injury, we notify the doctor and send them out. Staff are never to get any resident up without them being assessed first. If they try and get someone up they could easily injure them. On 12/8/2025 at 1:11 PM, V2, Director of Nursing (DON), stated, I know the previous DON was walked out of the building, but I am not sure what went down.
Today, is my first day. If a resident falls, I would expect staff to yell for help, nursing to assess the resident, and if there are any injuries or possible injuries to notify the physician to send them out to the hospital. I would never expect staff to get them up without assessing them and/or notifying nursing and/or are being monitored by staff. On 12/17/2025 at 3:38 PM, V23, Medical Doctor, stated, If a resident had a fall, I would expect nursing staff to be contacted so they could assess the resident look for possible injury and depending on the nature of the injury that would determine what staff to do next. In this case, (Resident R2) did have
a fracture and injury so this is something staff need to know that there was fall. On 12/19/2025 at 12:10 PM, V24, Infection Control Nurse, stated, I did speak with someone from the hospital. We went back and looked at the cameras, and it was not a medical assistant that found (Resident R2), it was actually a CNA (V25). I am not sure what happened and why no management knew (Resident R2) had fallen until the next day. On 12/19/2025 at 12:10 PM, V25, CNA, stated, I was in the dining room feeding another person. When I looked over, I saw a (geriatric chair) sitting at the table with no resident. I thought it was odd and when I stood up (Resident R2) was under the table. I was trying to get staff attention and there was an agency nurse there and I thought she saw her under the table. The Facility Fall Prevention and Management Policy, with a revision date of 9/2025, documents, This facility is committed to maximizing each resident's physical, mental and psychosocial well-being.While preventing all falls is not possible, the facility will identify and evaluate those residents at risk for falls, plan for preventive strategies, and facilitate as safe an environment as possible. All resident fallsshall be reviewed, and the resident's existing plan of care shall be evaluated and modified as needed.
Evaluate the resident for any injury and notify the physician and emergency contact. Complete a fall incident report in the (Computer) risk management portal.
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BRIA OF GODFREY in GODFREY, IL inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 GODFREY, 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 GODFREY or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.