Bria Of Woodriver

F 0659 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

always place the respiratory bag over the resident's mouth.On [DATE REDACTED] at 1:00 PM, V32, LPN, stated she is not comfortable caring for residents with tracheostomies and did not know how to provide respiratory support to a resident with a tracheostomy needing CPR. She has not had any training regarding tracheostomies in the Facility.On [DATE REDACTED] at 3:15 PM, V35, Assistant Director of Nursing (ADON), stated there has not been much staff education regarding tracheostomies, and there has been no formal training

in the Facility.On [DATE REDACTED] at 9:03 AM, V2, Director of Nursing (DON), stated she expects nursing staff to be proficient in providing routine tracheostomy care, including suctioning and cannula changes, and know what to do during emergencies.The Facility's Registered Nurse/Licensed Practical Nurse Job Description, Undated, documents, Under the direction of the physician, is responsible for total nursing care to all residents on assigned unit during the assigned shift including responsibility for delegation of duties, resident nursing care, staff performance and adherence by staff members to facility policies and procedures. Remain current in facility policies, procedures and nursing trends by participating in in-service and continuing education programs.The Facility's Facility Assessment reviewed [DATE REDACTED] documents the Facility provides care for COPD, pneumonia, asthma, chronic lung disease, and respiratory failure.

Specialized Rehabilitation Services include Respiratory. Special Care Needs include tracheostomy care and ventilator care.The Immediate Jeopardy and deficiency practice that began on [DATE REDACTED] was corrected/removed on [DATE REDACTED] after the Facility took the following actions to correct the noncompliance: Tracheostomy in-service was completed on [DATE REDACTED], and all nurses, including agency nurses, were educated prior to the start of their next scheduled shift. The abatement was validated with interviews with V15, V25, V48, V50, V56, and V57.

Event ID:

Facility ID:

If continuation sheet

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

10/03/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bria of Woodriver

393 Edwardsville Road Wood River, IL 62095

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 0678 Level of Harm - Immediate jeopardy to resident health or safety

verified as available in the Facility, CPR audits were initiated, and QAPI Meeting was held. The abatement was validated by review of CPR policy and audits, observation of CPR/tracheostomy equipment and supplies, review of purchase orders for equipment and supplies, and interviews from V2, V6, V10, V13, V24, V25, V34, V39, V42, V44, V45, V47, V49, V51, V52, and V53.

Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

Event ID:

Facility ID:

If continuation sheet

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

10/03/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bria of Woodriver

393 Edwardsville Road Wood River, IL 62095

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 0684 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Few

FORM CMS-2567 (02/99) Previous Versions Obsolete

11:00 AM, V8, CNA, stated Resident R2 was already starting to stiffen up during CPR. On [DATE REDACTED] at 1:48 PM, V19, CNA, stated Resident R2 was already cold when CPR was being performed. On [DATE REDACTED] at 2:09 PM, V20, CNA, stated she helped perform CPR on Resident R2 and he was already cold.On [DATE REDACTED] at 3:50 PM, V33, Medical Director, stated he would expect staff to report any changes in condition to the nurse on duty. On [DATE REDACTED] at 1:40 PM, V2, Director of Nursing (DON) stated if a resident experiences a change in condition, staff should report it to the nurse. If the resident's nurse is not available, they should report it to another nurse that is available. Resident R2's change of condition was not reported to her, and she had no idea why they would not have reported those changes to the nurse on duty.The Facility's Change In Resident Condition Policy reviewed 10/2024 documents, It is the policy of the facility, except in a medical emergency, to alert the resident, resident's physician and resident's responsible party of a change in condition. The policy does not contain documentation pertaining to communication between nurse aids and licensed nurse staff.The Immediate Jeopardy that began on [DATE REDACTED] was corrected/removed on [DATE REDACTED] after the Facility took the following actions to correct the noncompliance: Clinical and agency staff were in-serviced on timely assessments, Notification of Change Policy was reviewed, QAPI meeting was held on [DATE REDACTED], 24 hour reports were reviewed for change in condition. The abatement was validated through review of 24 hour nursing reports and Notification of Change Policy and interviews with V2, V6, V10, V13, V24, V25, V34, V39, V42, V44, V45, V47, V49, V51, V52, and V53.

Event ID:

Facility ID:

If continuation sheet

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

10/03/2025

NAME OF PROVIDER OR SUPPLIER

STREET ADDRESS, CITY, STATE, ZIP CODE

Bria of Woodriver

393 Edwardsville Road Wood River, IL 62095

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 0695 Level of Harm - Immediate jeopardy to resident health or safety Residents Affected - Some

FORM CMS-2567 (02/99) Previous Versions Obsolete

had any education regarding tracheostomy care in the Facility.On [DATE REDACTED] at 12:56 PM, V31, CNA, stated

she has not had any training in the Facility on CPR for residents with tracheostomies and would always place the respiratory bag over a resident's mouth.On [DATE REDACTED] at 1:00 PM, V32, LPN, stated she is not comfortable caring for residents with tracheostomies and does not know how to provide respiratory support to a resident with a tracheostomy needing CPR. She has not had any tracheostomy training in the Facility.On [DATE REDACTED] at 2:00 PM, V16, CNA, stated she wishes CNAs were allowed to suction residents because sometimes nurses are so busy and she thinks it would cut back on sending residents out to the hospital and save a lot of people. On [DATE REDACTED] at 3:15 PM, V35, Assistant Director of Nursing (ADON), stated there has not been much staff education regarding tracheostomies, and there has been no formal training

in the Facility.On [DATE REDACTED] at 9:03 AM, V2, Director of Nursing (DON), stated she expects nursing staff to be proficient in providing routine tracheostomy care, including suctioning and cannula changes, and know what to do during an emergency.The Facility's Tracheostomy Care Policy revised 10/2024 documents, It is the policy of this facility that residents with tracheostomies receive routine care to maintain a patent airway.

Suction as needed. Cleanse stoma site. Document appropriately.The Facility's Facility Assessment reviewed [DATE REDACTED] documents the Facility provides care for COPD, pneumonia, asthma, chronic lung disease, and respiratory failure. Specialized Rehabilitation Services include Respiratory. Special Care Needs include tracheostomy care and ventilator care.The Immediate Jeopardy and deficiency practice that began on [DATE REDACTED] was corrected/removed on [DATE REDACTED] after the Facility took the following actions to correct

the noncompliance: Tracheostomy in-service was completed on [DATE REDACTED], and all nurses, including agency nurses, were educated prior to the start of their next scheduled shift. The abatement was validated with interviews with V15, V25, V48, V50, V56, and V57.

Event ID:

Facility ID:

If continuation sheet