Health inspection·January 4, 2026

F 0677 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Some wound care nurse came. R2 said that V3 said she would come back but had not yet returned in over two hours. R2 said that she gets worried because she already has a sore on her bottom, and she knows that sitting in urine for an extended amount of time can lead to more sores or worsening of the sore that she has. R2 said that she had not been checked or changed since 6:00AM when the overnight shift did their last room rounds. R2 said that on weekends she feels hopeless because there is never a manager on duty.On January 03, 2026, at 1:43PM V3 said she saw R2 at the beginning of her shift and she seemed fine. R2 informed V3 that she would need to be cleaned before the wound nurse came in. V3 informed R2 that she would need to obtain assistance to help with her care. V3 said that R2 continued to push her call button while V3 was in neighboring rooms assisting other residents. V3 went in to check and clean R2 with the assistance of V4 at 11:15AM.On January 03, 2026, at 2:35PM V5 confirmed that she saw R2 between 7:30AM and 8:00AM. During this time R2 said she was not ready for wound care at that time because she was waiting for her CNA. V5 completed wound care with R2 at 11:30AM after care had been provided by V3 and V4.On January 3, 2026, at 2:53PM, V2 said that R2 constantly complains about staff and refuses care even though there are staff members there to help her. V2 said R2 has her favorite CNA's and only wants certain staff members to help her, and this is a known behavior. V2 confirmed that staff are to perform rounds every two hours and more frequently as need.Progress notes for December 1, 2025, through January 03, 2026, did not show any reports of behaviors or refusal of care from staff members.3. R3 was admitted [DATE], with multiple diagnoses including osteoarthritis of the knee, mild persistent asthma, type II diabetes with neuropathy, severe protein malnutrition, hypotension, difficulty walking, weakness, back pain, CHF, Renal Disease, falls, alcohol abuse, major depressive disorder, sleep apnea and dementia. R3's MDS dated [DATE], shows R3 is cognitively intact. R3's current care plan dated December 17, 2025, identifies R3 at high risk for falls. R3 requires total assistance from for toileting due to bowel and bladder incontinence. On January 03, 2026, at 3:33pm V8 (Family Member) said that she comes to visit R3 often because of the lack of care provided by the facility. V8 said she has had to supply her own briefs and disposable wipes for R3. V8 said that when she came in to visit R3 she smelled of feces. V8 turned on the call button and it took over an hour before a CNA came into the room to answer the call light. V8 said that she sometimes comes to the facility up to three times daily to ensure that R3 has been fed and changed. V8 said that the weekends are worse because there is no managerial staff present on the weekends. V8 said that she had been in communication with the admission coordinator regarding lack of care and miscommunication in the facility. V8 said she came to insist that R3 be sent to emergency room due to increased confusion and lack of care from staff. A concern form regarding call light response and toileting was completed by V8 on December 22, 2025, and shows a resolution date of December 26, 2025. V8 says the concerns have not been resolved and has only gotten worse. 4. R7 was admitted on [DATE], with multiple diagnoses including idiopathic peripheral autonomic neuropathy, morbid obesity, chronic obstructive pulmonary disease, cardiomyopathies, congestive heart failure, chronic kidney disease, sleep apnea, atrial flutter, cardiac and vascular implant, and pulmonary embolism. A current MDS assessment was not provided for R7 and a current care plan dated December 31, 2025, does not contain a plan of care for ADL'sA Physician's note dated January 1, 2026, shows R7 has severe back pain due to severe spondylosis. R7 is most comfortable lying flat on his back and has decreased mobility and ADL function.A Nurses 's note dated January 1, 2026, 10:25PM shows R7 requires assistance of one staff member to complete ADLS. On January 03, 2025, at 1:23PM R7 said that during the overnight shift he had a large bowel movement and was not completely wiped clean by V11 (CNA). R7 said that he informed V11 that he still felt dirty and asked to be washed. R7 said V11 informed him that the overnight (continued on next page) FORM CMS-2567 (02/99) Previous Versions Obsolete Event ID: Facility ID: 145405 If continuation sheet Page 2 of 3 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 01/04/2026 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 shift does not give showers or wash up residents. R7 said that V11 told him he would have to wait to be cleaned by the next shift and would inform V7 (RN). V6 said she was not made aware by V11 or V7 that R7 would need to be showered. On January 03, 2025, at 4:00PM V6 said that she was not made aware that R7 needed to be cleaned or showered and had not tended to him. Attempts were made to contact V11 without response.On January 03, 2026, at 1:43PM V3 and V4 said that residents are to be rounded on every two hours and as needed. On January 03, 2026, at 2:53PM V2 said she expects the staff to answer call lights as soon as possible. If the assigned CNA is busy, they are to ask another CNA or nurse to respond to the resident. V2 said that residents are to be changed throughout the shift and residents should be rounded on every two hours and sooner if needed. It is the expectation that if a resident is soiled it is to be addressed right away even on the overnight shift. If a resident requested or needed to be washed on the overnight shift it should have occurred. On January 3, 2026, at 5:18PM V1 said residents' concerns are to be addressed right away. V1 said that anyone can answer call lights and tend to residents. V1 said as soon as a call light goes off a staff member should enter the room and address the concern. CNAs are expected to check on residents at the start of shift and at a minimum of every two hours. Event ID: Facility ID: 145405 If continuation sheet Page 3 of 3