Health inspection·February 19, 2026

F 0760 Ensure that residents are free from significant medication errors. Level of Harm - Minimal harm or potential for actual harm **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to ensure that significant medications were administered to residents as indicated by physician orders. This applies to 7 of 7 residents (R8, R9, R10, R11, R12, R13, and R14) who were reviewed for medication administration in a sample of 14.On 02/17/2026 at 3:20 PM, after R8, R9, and R13 complained about receiving their morning medication in the afternoon, this writer asked V18 (Licensed Practical Nurse)-what time she administered medication to residents. V18 said that she was late in administering medications since she came to the facility after 10:00 AM due to some scheduling confusion, and she did not give the scheduled medications until after 11:00 AM and completed around 2:45 PM. V18 said the medications should be given as ordered, within a one-hour window before and after the ordered time.1. On 02/17/2026, at approximately 3:00 PM, R9 said she did not receive any of his insulin, water pill, or inhaler for his breathing conditions. A review of R9's EMR (Electronic Medical Records) showed R8 has diagnoses of diabetes mellitus, asthma, heart disease, and cardiac myopathy. R9's MDS (Minimum Data Set) dated 11/15.2025 showed his cognition was intact.R9's physician's order dated 01/31/2026 showed R9 to receive Humalog Solution 100 UNIT/ML (Insulin Lispro (Human)) 34 units subcutaneously three times a day for diabetes mellitus, 20 units sliding scale with meals subcutaneously with each meal, Insulin Glargine Solution 100 UNIT/ML 70 units subcutaneously every 12 hours for diabetes, order dated 06/13/2025 showed Advair HFA Solution one inhalation two times a day for chronic obstructive pulmonary disease, and the order dated 12/17/2025 showed Furosemide Tablet 40 MG one tablet by mouth two times a day for edema. The Medication Administration Audit report dated 2/17/2026 showed that the 7:30 AM and 9:00 AM ordered scheduled insulin, the 7:30 AM and 11:30 AM ordered sliding scale insulin, and the Advair HFA Solution and furosemide ordered at 9:00 AM, which were administered between 2:36 PM and 2:47 PM.2. On 02/17/2026 at approximately 3:40 PM, R10 was confused and not interviewable. R10's EMR showed R3 had diagnoses of aortic valve insufficiency, hypertensive diseases, bursitis of the left shoulder, facial cellulitis, and anxiety disorder. Physician orders dated 11/02/206 showed Gabapentin Oral Tablet 100 MG twice daily; 12/01/2025, Xanax Oral Tablet 0.25 MG twice daily; 12/07/2025, Amoxicillin-Pot Clavulanate Tablet 875-125 MG twice daily.The Medication Administration Audit report dated 2/17/2026 showed that the medications were ordered for 9:00 AM and administered between 12:37 PM and 1:07 PM.3. On 02/17/2026, at approximately 2:30 PM, R11 said she did not receive her morning medication until the afternoon. A review of R11's EMR showed R8 had diagnoses of hallucinations, anxiety, dementia, and MDS dated [DATE], showing R11's cognition was moderately intact. R11's physician's order dated 09/22/2025 showed Haloperidol Oral Tablet 0.5 MG three times a day, Divalproex Sodium Tablet Delayed Release 250 MG three times a day, and Memantine HCl Oral Tablet 10 MG two times a day.The Medication Administration Audit report dated 2/17/2026 showed that the medications were ordered for 9:00 AM and administered between 11:07 AM and 11:09 AM.4. On 02/18/2026, at approximately 10:00 AM, V26(Licensed Practical Nurse) said R12 was sent to the Residents Affected - Some (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 02/19/2026 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)