Health inspection·August 27, 2025

F 0677 Provide care and assistance to perform activities of daily living for any resident who is unable. Level of Harm - Minimal harm or potential for actual harm Based on observations, interviews, and record reviews, the facility failed to provide ADL (Activities of Daily Living) care to meet the needs of the residents. This applies to 3 of 3 residents (R1 - R3) reviewed for ADLs care in a sample of 3.The findings include: 1. On 08/26/25 at 12:12 pm, R1, who is alert and oriented, said that she has had to wait for 2 to 4 hours for staff to provide incontinence care for her. R1's call light was on at the time of the interview and R1said that she was waiting to go to bed and to have her brief changed. V3 CNA (Certified Nurse's Assistant) came in the room and put R1 in bed and provided incontinence care for R1. R1 said the last time her brief was checked and changed was at 9:30 AM. V3 acknowledged that that was correct. R1's perineal area, her inner thighs, and her buttocks were red when the brief was removed. R1's 8/13/25 Care Plan showed that R1 has a focus on skilled services needed with interventions including ADL care to be provided each shift. R1's care plan also showed that R1 has a focus on R1 being incontinent of both bowel and bladder and she requires assistance with toileting hygiene. 2. On 08/26/25 at 12:33 PM, R2, who is alert and oriented, said that he waits up to 2 hours for the staff to provide incontinence care for him and it makes him sad that he smells stool and urine on himself. R2 said that staff do not believe that the residents are human and that also makes him sad. R2 said that he had been waiting for over an hour for staff to come back and change his brief and put him in his bed. R2 has MS (multiple sclerosis) and is incontinent of bowel and bladder and unable to transfer himself out of his wheelchair. V2 DON (Director of Nursing) and V5 (Director of Rehab) came in and transferred R2 into the bed and provided incontinence care for him. R2's brief was saturated with urine, and he had had a bowel movement as well. R2's 8/22/25 Interim Care Plan showed that R2 has a potential for alteration in skin integrity with interventions including peri care after incontinent episodes. 3. On 08/26/25 at 1:25 PM, R3, who is alert and oriented, said that everyday she has to wait up to an hour for incontinence care. R3 said that everyday she comes in from outside and asks to be changed and the staff tells her she has to wait until after the lunch trays are passed. R3 said that other residents complain to her in the Resident Council meetings that the staff are not providing care timely for them as well. R3 was in the bathroom on the toilet when the State Surveyor came into the room. R3 was yelling I'm done! there were no staff in the room at the time. R3 said that she was put on the toilet about 5 minutes earlier. R3 said that she had been crying because she was left in the soiled brief for so long before V4 changed her and put her on the toilet, and she was afraid that she was going to soil her clothes. V2 (DON) was present at this time and cleaned R3 buttocks and perineal area while she was on the toilet and pulled up her new brief and assisted her off of the toilet and into her wheelchair. R3 said that she had urinated at 11 am and she had told V4 (CNA) that she had urinated then. R1 said that V4 did not change her brief so she went outside for a while. R3 said that she returned to her room at 12:30 pm and told V4 again that she needed to be changed. R3 said that V4 told her that she was passing trays, and she would have to wait until she was done. R3 said that V4 returned at 1:20 Residents Affected - Few (continued on next page) Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided. For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation. LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER REPRESENTATIVE'S SIGNATURE TITLE (X6) DATE FORM CMS-2567 (02/99) Previous Versions Obsolete Facility ID: If continuation sheet Page 1 of 2 Event ID: 145405 Printed: 05/15/2026 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 145405 B. Wing A. Building (X3) DATE SURVEY COMPLETED 08/27/2025 NAME OF PROVIDER OR SUPPLIER STREET ADDRESS, CITY, STATE, ZIP CODE Bria of Westmont 6501 South Cass Westmont, IL 60559 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)