Bria of Geneva

Inspectors wroteBased on the interview and record review, the facility failed to ensure a resident was not served a food item to which the resident had an allergy. This applies to 1 of 3 residents (R1) reviewed for food concerns in a sample of 9.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide a portable oxygen tank that was full for a resident. This applies to 1 of 3 residents (R1) reviewed for oxygen in a sample of 3.

Inspectors wroteBased on interview and record review, the facility failed to report an allegation of abuse to the abuse coordinator and Illinois Department of Public Health per facility policy. This applies to 2 of 3 residents (R1, R2) reviewed for abuse in a sample of 3.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide secure wheelchair transportation in facility van/bus for a resident. This applies to 1 resident (R1) reviewed for safe facility van transportation in a sample of 9.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide resident wheelchairs in safe, operating condition. This applies to 2 residents (R1 and R5) reviewed for safe equipment in a sample of 9.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure dietary staff wore beard guards during food handling and failed to ensure food was covered to prevent contamination. This applies to all residents residing in the facility reviewed for food sanitation.

Inspectors wroteBased on observation, interview and record review the facility failed to provide ongoing monitoring and assessments for the use of a resident's wheelchair seatbelt/physical device. This failure applies to 1 of 1 (R12) residents reviewed for physical restraints in the sample of 19.

Inspectors wroteBased on observation, interview and record review the facility failed to provide ADL (Activities of Daily Living) assistance to residents that require staff assistance for toileting/incontinence care for 3 of 19 residents (R12, R64, R53) reviewed for ADLs in the sample of 19.

Inspectors wroteBased on observation, interview and record review the facility failed to provide the necessary treatments for a resident's rash and for residents with leg edema. These failures apply to 3 of 19 residents (R12, R15, R64) reviewed for necessary care and services in the sample of 19.

Inspectors wroteBased on observation, interview and record review the facility failed to implement pressure relieving interventions for a resident at risk for pressure injuries and recently diagnosed with a new sacral injury for 1 of 4 residents (R29) reviewed for pressure injuries in the sample of 19.

Inspectors wroteBased on observation, interview and record review the facility failed to supervise a dementia resident, with a history of wandering behaviors, in a manner to prevent the resident from eloping from the facility. The facility failed to ensure oxygen tanks were safely secured in place. These failures apply to 2 of 19 residents (R29, R16) reviewed for safety and supervision in the sample of 19.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure medications were administered per standards of practice which applies to 1 of 19 residents (R28) reviewed for medication services in a sample of 19.

Inspectors wroteBased on interview and record review the facility failed to provide R22 with informed consent for psychotropic medication for 1 of 5 residents (R22) reviewed for unnecessary medication in the sample of 19.

Inspectors wroteBased on observation, interview and record review, the facility failed to maintain resident rooms in a clean sanitary manner. This applies to 6 of 7 residents (R10, R11, R12, R13, R14 and R15) reviewed for homelike environment in a sample size of 15.

Inspectors wroteBased on observation, interview, and record review, the facility failed to ensure that staff donned appropriate personal protective equipment (PPE) when entering an isolation room. The facility also failed to post isolation signs on doors of residents who had been diagnosed with Covid 19. This applies to 3 of 4 residents (R4, R6, and R9) reviewed for infection control in the sample of 13.

Inspectors wroteBased 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.

Inspectors wroteBased on observation, interview and record review, the facility failed to provide food that is appetizing, tasty and at the appropriate temperature. This applies to 5 of 92 residents (R10, R19, R26, R27, R343 and R344) reviewed for dietary services in a sample of 21.

Inspectors wroteBased on observation, interview and record review, the facility failed to follow contact isolation precautions, follow appropriate hand hygiene and sanitize glucometer after use. This applies to 9 of 9 residents (R5, R19, R20, R63, R71, R72, R77, R78 and R342) in a sample size of 21.

Inspectors wroteBased on observation, interview and record review, the facility failed to ensure medications were administered as ordered by the physician. There were 34 opportunities with 2 errors resulting in a 5.88% error rate. This applies to 1 of 6 residents (R59) reviewed for medication administration in the sample of 21.

Inspectors wroteBased on observation, interview, and record review, the facility failed to provide mechanical soft and double portions diet as ordered by physician. This applies to 1 of 5 residents (R31) reviewed for diet in a sample of 21.

Inspectors wroteBased on observation, interview and record review the facility failed to ensure resident's food was handled in a sanitary manner. This failure has the potential to affect 87 of 88 residents in the facility reviewed for sanitation.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide activities of daily living assistance for dependent residents for 5 of 22 residents (R20, R47, R184, R15, R136) in the sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to off load a non-pressure wound to promote healing, failed to provide wound care to a non-pressure wound as ordered, and failed to address a resident's complaint of nausea for 4 of 22 residents (R57, R184, R15, and R136) reviewed for quality of care in the sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure menus were followed for residents on a pureed diet. This applies to 6 of 6 residents (R81, R57, R29, R21, R56, R75) reviewed for menus in the sample of 22.

Inspectors wroteBased on interview and record review the facility failed to ensure a resident was treated in a dignified manner for 1 of 22 residents (R185) reviewed for dignity in the sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to honor resident choices for 1 of 22 residents (R5) reviewed for choices in the sample of 22.

Inspectors wroteBased on interview and record review the facility failed to provide a private and quiet space for the Resident Council monthly meetings. This applies to 1 of 1 residents (R15) reviewed for Resident Council in a sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to provide incontinence care for 1 of 7 residents (R184) reviewed for incontinence care in the sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure a resident's oxygen was humidified and administered at the prescribed settings for 1 of 5 residents (R51) reviewed for oxygen in the sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure that a resident received her pain medication in a timely manner. This applies to 1 of 22 residents (R67) reviewed for pain in a sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to accurately enter orders into the electronic medical record and failed to administer medication as prescribed for 3 of 22 residents (R57, R74, and R47) reviewed for pharmacy services in the sample of 22.

Inspectors wroteBased on observation, interview, and record review the facility failed to ensure the needle on an insulin pen was primed prior to administration of the medication to ensure the correct dose was being administered. This applies to 1 of 4 residents (R137) reviewed for medications administration in a sample of 22.