A list of the most recent deficiencies for Bria of Palos Hills. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-02-16 | 2024-02-17 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-16 | 2024-02-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-16 | 2024-02-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-21 | 2023-12-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-21 | 2023-12-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-26 | 2023-09-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-16 | 2023-09-26 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-08-21 | 2023-09-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-21 | 2023-09-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-21 | 2023-09-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-21 | 2023-09-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-21 | 2023-09-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-21 | 2023-09-19 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-11-16 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2023-07-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-16 | 2023-07-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-09 | 2023-06-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-09 | 2023-06-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-09 | 2023-06-28 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-09 | 2023-06-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-09 | 2023-06-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-09 | 2023-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-06-28 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-09 | 2023-06-28 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-16 | 2023-03-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-05 | 2023-02-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-11-16 | 2022-12-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-16 | 2022-12-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-16 | 2022-12-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-16 | 2022-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-16 | 2022-12-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-11-16 | 2022-12-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-11-16 | 2022-12-13 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-11-16 | 2022-12-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-11-16 | 2022-12-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-11-16 | 2022-12-13 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-11-16 | 2022-12-13 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-16 | 2022-12-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-16 | 2022-12-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-16 | 2022-12-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-11-16 | 2022-12-12 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-11-16 | 2022-12-07 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-11-16 | 2022-12-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-03 | 2022-11-04 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-11-03 | 2022-11-04 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-11-03 | 2022-11-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-03 | 2022-11-04 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-11-03 | 2022-11-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-11-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-03 | 2022-11-04 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-11-03 | 2022-11-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-03 | 2022-11-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-27 | 2022-10-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-25 | 2022-10-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-27 | 2022-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-27 | 2022-09-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-25 | 2022-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-08-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-20 | 2022-06-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-20 | 2022-06-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-19 | 2022-04-20 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-19 | 2022-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-19 | 2022-04-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-04-19 | 2022-04-20 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-19 | 2022-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-19 | 2022-04-20 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-19 | 2022-04-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-04-19 | 2022-04-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-17 | 2022-02-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-17 | 2022-02-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-17 | 2022-02-18 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-20 | 2022-01-21 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-01-03 | 2022-01-04 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Develop a communication plan. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Establish methods for sharing information. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-20 | 2021-12-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-16 | 2021-12-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2021-12-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-16 | 2021-12-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-16 | 2021-12-17 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-12-16 | 2021-12-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-16 | 2021-12-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-23 | 2021-11-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-23 | 2021-11-23 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-11-10 | 2021-11-12 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-10 | 2021-11-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-10 | 2021-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-29 | 2021-10-30 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-10-06 | 2021-10-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-06 | 2021-10-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-06 | 2021-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-06 | 2021-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-06 | 2021-10-07 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-10-06 | 2021-10-07 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-27 | 2021-10-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-27 | 2021-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-16 | 2021-09-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-16 | 2021-09-17 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-16 | 2021-09-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-31 | 2021-09-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-22 | 2021-07-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-22 | 2021-07-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-02 | 2019-10-18 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-10-02 | 2019-10-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-02 | 2019-10-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-10-02 | 2019-10-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-02 | 2019-10-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-10-02 | 2019-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-02 | 2019-10-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-18 | 2019-09-27 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-09-18 | 2019-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-18 | 2019-09-27 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-09-18 | 2019-09-27 | N |
