Bria Of Chicago Heights
Inspection Findings
F-Tag F0689
F 0689 Level of Harm - Actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
lowest position per care plan intervention. Resident R3 stated I'm (Resident R3) in bed most of the time because I had a stroke. Surveyor inquired if Resident R3 can walk Resident R3 responded, No. 3.Resident R4's diagnoses include morbid obesity, muscle weakness, reduced mobility, abnormal posture, hypertension, and altered mental status. Resident R4's (10/2/25) BIMS determined a score of 13 (cognition intact).Resident 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. Resident 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, Resident R4 was lying in bed. Resident R4 stated I'm (Resident R4) here (in bed) all the time. I'm supposed to get up every Monday, Wednesday, and Friday but I'm not doing it. Resident R4 also affirmed that she's incontinent, doesn't walk, and requires 2 persons assist with transfers.Resident 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 Resident R4 is diagnosed with Hypertension (2 points) - therefore the assessment was scored incorrectly.On 11/17/25 at 3:00pm surveyor relayed concerns with Resident R4's (7/29/25) fall risk assessment score.
V2 (DON) affirmed Resident 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.
Event ID:
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If continuation sheet
BRIA OF CHICAGO HEIGHTS in SOUTH CHICAGO HEIGHT, 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 SOUTH CHICAGO HEIGHT, 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 CHICAGO HEIGHTS or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.