Bria Of Westmont
Inspection Findings
F-Tag F0755
F 0755 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
interview and record review, the facility failed to ensure medications for newly admitted residents were available for timely administration. This applies to 1 of 3 residents (Resident R1) reviewed for pharmacy services.The findings include:Resident R1's Face Sheet showed he was admitted to the facility on [DATE REDACTED]. Resident R1's admission nursing progress note was timed at 12:30 PM. On 9/10/2025 at 11:00 AM, V2 DON (Director of Nursing) stated there are two pharmacy deliveries daily, one in the afternoon around 3:00-5:00 PM, and one in the morning between 3:00-6:00 AM.Resident R1's September 2025 Active Physician Orders as of 9/10/2025 showed orders for Carvedilol twice daily for hypertensive heart disease with heart failure, and Entresto twice daily for hypertensive heart disease with heart failure. Resident R1's September Medication Administration Record (MAR) showed both medications were scheduled for administration at 9:00 AM and 5:00 PM.On 9/10/2025 at 11:58 AM, V5 (Pharmacy Technician) stated most of Resident R1's medications were delivered at 4:30 AM on 9/5/2025. V5 stated the only medication that was not delivered was Resident R1's Entresto. Resident R1's September 2025 MAR showed 9 for his 5:00 PM dose of carvedilol on 9/4/2025. The corresponding eMAR Medication Administration progress note from 9/4/2025 at 10:31 PM showed carvedilol. unavailable. The same MAR showed 9 for Resident R1's 5:00 PM of Entresto on September 5, 2025. No corresponding eMAR Medication Administration note was written.On 9/10/2025 at 1:17 PM, V2 (DON) stated if the medication is not available in the stat-safe (emergency prescription medication storage), it can be ordered STAT from the pharmacy. V2 stated staff should check the stat-safe and if they can't get it, they should contact her or the pharmacy. V2 stated if a medication is given late, staff should contact the MD.Resident R1's September 2025 MAR showed Resident R1's 9/4/2025 Entresto dose scheduled for 5:00 PM was administered and the Administration Details report showed it was signed off as administered at 10:20 PM. The facility's 12/2024 Medication Orders policy showed Procedures. D. The prescriber is contacted by nursing for direction when delivery of a medication will be delayed, or the medication is not or will not be available. The policy continues F. 3).
Emergency/STAT Medication Order (Medication NOT Contained in Emergency Medication Supply) a.
Emergency/STAT order is placed with the provider pharmacy and the medication is scheduled to be given as soon as received or within two hours, whichever is sooner.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date
these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE
TITLE
(X6) DATE
FORM CMS-2567 (02/99) Previous Versions Obsolete
Facility ID:
If continuation sheet
Event ID:
BRIA OF WESTMONT in WESTMONT, 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 WESTMONT, 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 WESTMONT or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.