Bria of Chicago Heights

In the surveyor’s words

From the most serious findings on record at Bria of Chicago Heights, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689May 23, 2024

  Based on interviews and records reviews the facility failed to prevent a cognitively impaired resident who requires supervision in the community that has a behavior of wandering from leaving the facility unauthorized without staff knowledge. This affected 1 of 3 (R6) residents reviewed for safety, supervision, and elopement. This failure resulted in R6 leaving through his bedroom window without staff knowledge. The Immediate Jeopardy began on 5/7/24. V1 Administrator was notified on 5/16/24 at 12:04PM of the Immediate Jeopardy. […]

• Actual harm, isolatedF689Nov 18, 2025

  Based upon interview and record review the facility failed to follow policy procedures, failed to ensure that fall risk assessments were accurate, failed to utilize the falling star program for identified high risk residents, failed to ensure that staff are aware of resident fall prevention interventions, failed to implement fall prevention interventions, failed to provide supervision, and/or failed to ensure that responsible staff are aware of root cause of fall - to prevent additional falls for three of three residents (R1, R3, R4) reviewed for falls. These failures resulted in R1 sustaining an unwitnessed fall on 11/10/25 which resulted in facial injuries and anterior wedge compression fracture of L1 vertebral body. […]

• Actual harm, isolatedF600Jun 24, 2025

  Based on interviews and record reviews, the facility failed to prevent a resident injury, and failed to determine the origin of the injury. This affected one of three residents (R1) reviewed for injury of unknown origin. This failure resulted in R1 sustaining left eye swelling and discoloration, discolorations to chest and right leg, scratches to face and chest area, and complaints of chest pain which were identified by the emergency room staff when R1 presented to the hospital for agitation. Findings include: On 6/24/25 at 2:30 PM, V7 (Complainant) stated that R1 presented to the emergency room on 6/22/25 at 1:02 AM with bruising and swelling to left eye, bruising to mid chest area, bruising to right leg, and scratches to face and chest area. […]

• Actual harm, isolatedF600May 30, 2025

  Based on interview and record review the facility failed to prevent a resident to resident physical assault. This affected two of four (R48, R70) residents reviewed for physical abuse. This failure resulted in R48 assaulting R70 in the face with a shoe on 4/8/25. R70 sustained purple discoloration to the right eye lid and petechia above the eyebrow. Findings include: On 5/28/25 at 1:15pm R70 observed alert to person, place, time and situation. R70 stopped surveyor and stated the facility has mixed residents with mental illness with residents that have medical problems. R70 said R48 hit her in the face with a shoe and she sustained a bruise to the eye. R70 said this was last month. R70 showed surveyor a picture on her cellular phone. […]

• Actual harm, isolatedF684May 30, 2025

  A. Based on interviews and records reviewed the facility failed to prevent one dependent resident receiving narcotic medication known to the cause side effect of constipation from developing a large stool burden. This affected one of one resident (R41) reviewed for quality of care and hospitalization s. This failure resulted in R41 being transferred to the hospital and admitted for a diagnosis of Sterocoral Colitis secondary to severe constipation. B. Based on interview and record review, the facility failed to follow physician' s orders for obtaining monthly laboratory draws for seizure medications levels for residents identified with seizure disorders. […]