Bria of Geneva

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jul 11, 2022

  Based on observations, interviews, and record reviews the facility failed to identify a newly admitted resident as an elopement risk and provide supervision and safety for R1. As a result of this failure, R1 was able to elope from the facility after admission from a local hospital for dementia, falls, and memory care. R1 was able to travel to a family member's home from the facility and during this time suffer a fractured clavicle and rib. R1 required emergency room (ER) treatment. This failure resulted in Immediate Jeopardy. The Immediate Jeopardy was noted to begin on April 14, 2022, when R1 left the facility after admission to the facility at 7:04 PM and was readmitted to the local ER (emergency room ) at 8:38 PM. […]

• Actual harm, isolatedF686Jul 23, 2026

  Based on interview and record review, the facility failed to develop and implement interventions to prevent the development of pressure ulcers for one resident. This failure resulted in R38 developing a facility-acquired deep tissue injury (DTI) to the right heel.This applies to 1 of 4 residents (R38) reviewed for pressure ulcers in the sample of 20.Findings include: Review of R38's electronic medical record reads is [AGE] year-old female who was admitted to the facility on [DATE], with diagnoses including, but not limited to, spinal stenosis, fibromyalgia, and diabetes mellitus. […]

• Actual harm, isolatedF689Jul 23, 2026

  Based on record review and interview, the facility failed to monitor a resident who was identified at a high risk for falls and failed to develop and implement interventions for fall prevention, based on the residents needs related to toileting, leg weakness and lack of safety awareness. This failure resulted in a resident with multiple falls, who also sustained injuries to include a frontal sinus (nasal bone) fracture, related to fall incidents on March 27, June 5, July 3, and July 15, 2026.This applies to 1 of 3 residents (R54) reviewed for fall incidents in the sample of 30. […]

• Actual harm, isolatedF686Sep 14, 2023

  Based on observation, interview and record review, the facility failed to implement specific interventions to prevent pressure ulcers from developing to a resident assessed as high risk. This applies to one of three residents (R1) reviewed for pressure ulcers. The findings include: The EMR (Electronic Medical Record) showed that R1, an [AGE] year-old with diagnoses that include but not limited to diabetes mellitus type 2, dementia, hypertension, Alzheimer's disease, cerebral infarction, hyperlipidemia, hyperkalemia, lack of coordination, weakness, kidney failure, metabolic encephalopathy, obesity, psychotic, mood and anxiety disturbance, and cognitive communication deficit. R1 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF812Jul 23, 2026

  Based on observation, interview, and record review, the facility failed to ensure staff personal food items were not stored at resident's kitchen refrigerator, failed to ensure beverages were labeled with the date these were made, and failed to ensure male staff wear appropriate hair restraints in an effort to prevent foodborne illnesses. The (07/20/2026) facility census documented there were 93 residents at the facility.The (undated) list of residents on NPO (nothing per orem/mouth) documented 2 residents on the list.This failure has the potential to affect all 91 residents at the facility. Findings include: On 7/20/2026 at 9:35am with V6 (Dietary Manager) during the initial tour of the facility kitchen, there were two plastic bags in refrigerator #1. […]