Health inspection·December 10, 2025

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some meeting the patient/resident's needs, turn off the call light. Facility document Incontinence Cand Perineal Care, reviewed 9/2025, shows Perineal care is provided to clean the perineum, prevent infection and odors, and provide comfort. 1. Perineal care is done daily and prn (as needed) for all residents requiring assistance and/or those residents with a foley catheter. 2. Face sheet, dated 12/6/25, shows R5's diagnoses included paraplegia, schizoaffective disorder, conduct disorder, and psychosis. MDS, dated [DATE], shows R5's cognition was intact and R5 required partial/moderate assistance from staff for upper body dressing and was dependent on staff for transfers, toileting, bathing, and lower body dressing. R5's care plan shows R5 transferred utilizing a mechanical lift. On 12/6/25 at 8:10 AM, R5's call light was on, R5 was in bed, and R5 was talking on the phone stating her call light was on for hours and no one was coming to get her out of bed. V8 (LPN) was standing at her medication cart in the hall a few doors from R5's door and R5's call light was on above the door of her room. On 12/6/25 at 8:23 AM, V36 (Transportation) walked into R5's room, turned off R5's call light and walked out of the room. R5 was still lying in her bed. At 8:28 AM, V36 stated she went in to see what R5 needed and turned off the call light before looking for a CNA to tell her R5 wanted to get out of bed. On 12/6/25 at 8:23 AM, R5 stated she originally put her call light on at 5:55 AM because she wanted to get out of bed but the staff turned it off and did not get out of bed. R5 re-activated her call light. On 12/6/25 at 8:26 AM V8 (LPN) was standing at her med cart a few rooms from R5's room and R5's call light was on. On 12/6/25 at 8:32 AM, R5's call light was off and R5 was still in bed. V9 (CNA) walked into R5's room with V10 (CNA) and V9 stated she did not start her shift until 8:00 AM and did not see R5's call light on prior. V9 stated R5 was rude to V9 when she came in her room to ask about her care at approximately 8:00 AM. V10 stated she was assigned to monitor a resident 1:1 during her shift. On 12/6/25 at 8:43 AM, V11 stated R5 was care planned to only have female caregivers. V11 stated he and V12 (CNA) and V13 (CNA) wee the three CNAs who started the shift at 7:00 AM. On 12/6/25 at 8:50 AM, V8 was standing at her med cart in the hallway and stated she was aware R5 was not to have male caregivers. V8 stated she did not look up and see R5's call light and she was not sure which CNA was assigned to R5 from 7:00 AM to 8:00 AM. On 12/6/25 at 8:51 AM, V12 (CNA) stated he was not sure who was assigned to R5's group of residents between 7:00 AM and 8:00 AM. On 12/6/25 at 8:56 AM, R5 was transferred from her bed to her wheelchair. On 12/6/25 at 8:57 AM, R13 stated, People wonder why we have behavior problems. It's because we are waiting for help! On 12/6/25 at 2:10 PM, V5 stated she was frequently left in soiled briefs at the facility. V5 stated if she got changed at 1:30 Pm the next time she got changed would be before going to bed because when she returns to the floor to ask to be changed they have to find help, staff are on break, staff are busy, and no staff come. V5 stated she tells the nurse first and waits but no staff come. V5 stated she and staff have attempted to set a schedule, but the schedule was not followed. On 12/6/25 at 10:52 AM, V24 (Assistant Director of Nursing) stated R5 told her she needed help at approximately 8:10 AM. V24 stated V19 (LPN), V10 (CNA), and V13 (CNA) were all working on the unit and able to assist R5 to transfer out of bed. On 12/6/25 at 11:09 AM, V19 (LPN) stated she was not aware V9 (CNA) was late to arrive for her shift and was not aware the working CNAs needed to cover V9's residents until she arrived. V19 stated she was not ware R5 was requesting help. On 12/6/25 at 12:42 PM, V10 (CNA) stated she arrived at 7:40 AM for her 7:00 AM shift and was told she needed to work 1:1 with one resident. V10 stated she was not informed a CNA was late to their shift or that any residents required assistance until the CNA arrived. V10 stated the night prior R5 was requesting assistance and could not find her assigned CNA. V10 stated the staff could not find the assigned CNA and R5 was upset. On 12/6/25 at 9:29 AM, V13 (CNA) stated she was not aware of any additional residents assigned to her between 7:00 (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145405 If continuation sheet Page 2 of 6 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 12/10/2025 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)

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some AM and 8:00 AM and was only aware of her original resident assignment. V13 stated she was not aware a CNA had not yet started her shift. On 12/6/25 at 11:47 PM, V15 (CNA) stated she was not aware any CNAs were arriving late to work on the floor and was not told to cover any rooms for late CNAs at the beginning of her shift. On 12/6/25 at 9:27 AM, V14 (CNA) stated she was not aware who was assigned to R5 between 7:00 AM and 8:00 AM. On 12/6/25 at 2:50 PM, V21 (RN- Registered Nurse) stated he was not aware a CNA arrived late to her 7:00 AM shift and that R5 did not have an assigned CNA present at the facility. 3. Face sheet, dated 12/6/25, shows R10's diagnoses included weakness, atrial fibrillation, hypotension, syndrome of inappropriate secretion of antidiuretic hormone, chronic pain syndrome, seizures and dementia. MDS, dated [DATE], shows R10 was cognitively intact, was dependent on staff for toileting hygiene, showers/baths, and transfers and R10 was always incontinent of urine and bowel. Review of R10's care plan shows R10 required assistance from two staff with moving in bed, R10 was incontinent of bowl and bladder, requires substantial/maximum assistance for personal hygiene and upper body dressing, total assistance with lower body dressing, and requires a mechanical lift and two staff for transfers. On 12/6/25 at 2:53 PM, R10 stated she waited five hours for incontinence assistance. R10 stated she arrived to her room after bingo at 5:00 PM, asked to have her incontinence brief changed, and the CNA stated she would return to assist R10 but never returned. R10 stated she waited until 10:00 PM with her brief soaked with urine which soaked through her clothing. R10 stated she often waited an hour or more for staff to assist her with changing her incontinence briefs. R10 stated she was often told her CNA was on break or lunch and she needed to wait. R10 stated no other staff helped if her CNA was not available. R10 stated she sat in the hall for over three hours for assistance to get in bed because there was no one to help her. R10 stated she calls V1 (Administrator) to tell her she is in need of help when she does not receive it timely. 4. Face sheet, dated 12/8/25, shows R18's diagnoses included acute kidney failure, weakness, muscle wasting and atrophy, abnormal gait and mobility, polyneuropathy, dorsalgia, spinal stenosis, and urinary incontinence. MDS, dated [DATE], shows R18's cognition was intact, R18 was dependent on staff for toileting hygiene and lower body dressing, was dependent on staff for transfers, and was always incontinent of bowel. Review of R18's care plan shows R18 utilized an indwelling urinary catheter and was incontinent of bowel. The care plan shows R18 required the total assistance of staff for her catheter care and toileting hygiene and was dependent on two staff to assist her with transfers utilizing a mechanical lift. On 12/3/25 2:03 PM, R18 stated during the evening she waited four hours for staff to come and assist her. 5. Face sheet, dated 12/6/25, shows R6's diagnoses included chronic obstructive pulmonary disease, diabetes, basal cell carcinoma, neoplasm of bone, dependance on supplemental oxygen, chronic kidney disease, sleep apnea, and anxiety disorder. MDS, dated [DATE], shows R6 required supervision or touching assistance for toileting, transfers and baths. On 12/6/25 at 9:01 AM, R6 stated staff do not come when she presses her call light. R6 stated she felt like she waited forever for assistance and must wheel down to the nursing station for assistance. 6. Face sheet, dated 12/9/25, shows R12's diagnoses included hemiplegia and hemiparesis, pressure ulcer of sacral region, diabetes, aphasia, contractures of arms and legs, and chronic respiratory failure with hypoxia. MDS, dated [DATE], shows R12's cognition was severely impaired, R12 was totally dependent on staff for toileting hygiene, personal hygiene, oral hygiene, and upper/lower body dressing, and transfers, and R12 was always incontinent of bowel and bladder. Review of R12's care plan showed R12 was incontinent and required staff to check and change her incontinence brief, R12 required two staff for bed mobility, was totally dependent on staff for toileting hygiene and personal hygiene and dressing, and required two staff and a mechanical lift for transfers. Facility concern form, dated 11/3/25, shows family expressed (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145405 If continuation sheet Page 3 of 6 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 12/10/2025 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)

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete concerns regarding R12's ADL and ostomy bag not being emptied of stool. The form shows staff were provided education on proper ADL performance and ostomy care. 7. MDS, dated [DATE], shows R29's cognition was moderately impaired, R29 required supervision or touching assistance for steadying for transfers and toileting hygiene, and was occasionally incontinent of bowel and bladder. Review of R29's care plan shows R29 required staff supervision with toileting transfers and toileting hygiene. Facility concern form, dated 10/6/25, showed R29 needed more assistance and to be checked regularly during the night. The form shows R29 was to be checked minimally every two hours. 8. Resident Council Meeting Minutes, dated 10/27/25, show resident expressed concerns some staff do not make themselves available to help others. The minutes show the residents expressed delays in call light response time. Event ID: Facility ID: 145405 If continuation sheet Page 4 of 6 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 12/10/2025 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)

F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Based on observation, interview and record review, the facility failed to serve coffee per the facility planned/approved menu. This applies to 5 of 9 residents (R6, R10, R14, R16, R17) reviewed or coffee in a sample of 29. The findings include: On 12/6/25 at 12:42 PM, V10 (CNA - Certified Nursing Assistant), stated during meals the coffee cart initially is placed in the second floor dining room. V10 stated by the time the coffee is served to the dining room residents and the residents receive seconds, there is no more coffee for the residents served in the hallway. V10 stated the staff can call food service for coffee if the coffee runs out on the second floor and will receive it. On 12/6/25 at 9:01 AM, R6 stated the prior week there was no coffee served and the facility runs out of coffee often. On 12/6/25 at 9:14 AM, R10 stated it was hard to get coffee at the facility during meals. V10 stated there was not enough coffee at the facility. On 12/6/25 at 9:18 AM, R14 stated, Sometimes we get coffee, sometimes we don't. On 12/6/25 at 9:25 AM, R16 stated she often did not receive coffee or other beverages during her meals. On 12/6/25 at 9:35 AM, R17 had her breakfast meal served but had no coffee. R17 stated, I drink coffee but I didn't get any. It's missing all the time. They sit it outside and it probably runs out. On 12/6/25 during breakfast service on the second floor at 9:37 AM, V16 (Dietary Aide) stated toward the end of the week the facility runs out coffee and the staff go to the store to by coffee. On 12/6/25 at 10:09 AM, V1 (Administrator) stated the facility should not run out of food because she is able to provide her credit card for food purchases if needed. On 12/6/25 at 3:45 PM with V1 (Administrator), V27 (Dietary Aide) stated the facility has run out of coffee for the residents at times. Facility menus, dated 11/2/25 to 12/14/25, showed coffee was to be served at every breakfast meal daily. Event ID: Facility ID: 145405 If continuation sheet Page 5 of 6 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 12/10/2025 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)

F 0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Level of Harm - Minimal harm or potential for actual harm Based on observation, interview and record review, the facility failed to serve palatable coffee during meals. This applies to 9 of 9 residents (R2, R4, R6, R10, R13, and R28) reviewed for coffee in a sample of 29. The findings include: On 12/3/25 at 2:20 PM, R4 and R28 both stated the coffee served at the facility was horrible and looked and tasted like brown water. There was a disposable cup on R4's dresser with translucent, light brown water in the cup. R4 and R28 both stated the liquid was served that morning at breakfast as the facility coffee. Concern form, dated 12/3/25, shows R4 and R28 reported the coffee was not prepared properly. The form shows V1 (Administrator) met with V28 (Food Service Manager) to review the preparation process, the coffee was observed at dinner on 12/3/25, and a food committee was held on 12/4/25. The form also shows dietary staff were retrained on proper preparation of coffee. On 12/6/25 at 8:29 AM with V8 (Licensed Practical Nurse) during breakfast service, coffee being served to residents at breakfast from the coffee cart was sampled. V8 looked at the coffee and stated, That's rough. Dark. Thicker than I have ever seen. Looks like sludge. On 12/6/25 at 8L55 AM, R2 stated the coffee served at the facility smelled rancid, nasty and burnt and she would not drink the coffee served. On 12/6/25 at 9:01 AM, R6 stated in the past week when they were served coffee, the coffee tasted horrible and you could not drink it if it were served. On 12/6/25 at 9:14 AM, R10 stated it was difficult to get coffee served at the facility and when it was served it tasted poor. On 12/6/25 at 8:57 AM, R13 stated the coffee at the facility did not taste good. On 12/6/25 at 9:37 AM after breakfast on the second floor, V17 (Dietary Aide) poured a sample of coffee from a coffee pot in the hallway used to serve coffee to residents. The color of the coffee was very light and translucent. On 12/6/25 with V1 (Administrator) in the kitchen, there were several packages of instant coffee sitting on the counter next to the coffee brewing machine. V27 (Dietary Aide) and V28 (Food Service Director) stated he used the instant coffee sitting on the counter to brew the coffee that morning for breakfast. On 12/6/25 at 10:09 AM, V1 (Administrator) stated after reports of poor coffee on 12/3/25, V1 stated she sampled the coffee and it did not smell or taste good. V1 stated the day prior the facility bought instant coffee and used the instant coffee from the store to brew the coffee. Facility policy Palatability and Nutritive Value, reviewed 3/9/23, shows, Food will be prepared, held, and served in a manner that preserves nutritive value and palatability. Residents Affected - Some FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145405 If continuation sheet Page 6 of 6