Bria Of Chicago Heights
BRIA OF CHICAGO HEIGHTS in SOUTH CHICAGO HEIGHT, IL — inspection on November 18, 2025.
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
lowest position per care plan intervention. R3 stated I'm (R3) in bed most of the time because I had a stroke.
Surveyor inquired if R3 can walk R3 responded, No. 3.R4's diagnoses include morbid obesity, muscle weakness, reduced mobility, abnormal posture, hypertension, and altered mental status. R4's (10/2/25) BIMS determined a score of 13 (cognition intact).R4's (10/2/25) functional status affirms resident is dependent on staff for chair/bed to chair transfers.
Toilet transfer and walking were not attempted due to medical condition or safety concerns. R4's (7/14/21) care plan states resident is at high risk for falls due to gait/balance problems, muscle weakness, and psychoactive drug use that may potentiate falls.On 11/17/25 at 12:07pm, R4 was lying in bed. R4 stated I'm (R4) here (in bed) all the time. I'm supposed to get up every Monday, Wednesday, and Friday but I'm not doing it. R4 also affirmed that she's incontinent, doesn't walk, and requires 2 persons assist with transfers.R4's (7/29/25) fall risk assessment determined a score of 9 (at risk) however elimination status was not marked (2 points) and predisposing factors none was selected however R4 is diagnosed with Hypertension (2 points) - therefore the assessment was scored incorrectly.On 11/17/25 at 3:00pm surveyor relayed concerns with R4's (7/29/25) fall risk assessment score.
V2 (DON) affirmed R4 is likely high risk for falls due to diagnoses and inability to walk.
The fall prevention and management policy (revised 10/2018) states the facility will identify and evaluate residents at risk for falls, plan for preventive strategies, and facilitate as safe an environment as possible.
All resident falls shall be reviewed, and the resident's existing plan of care shall be evaluated and modified as needed. A fall risk evaluation will be completed on admission, readmission, and quarterly, significant change and after each fall.
Residents at risk for falls will have fall risk identified on the interim plan of care with interventions implemented to minimize fall risk.
Facility guideline following a fall incident: A fall risk evaluation is completed by the Nurse. A score of 10 or greater indicates the resident is at high risk for falls; a score of less than 10 indicates at risk for fall.
Care plan to be updated with a new intervention based on root cause analysis after each fall occurrence.
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