Health inspection·September 14, 2024

F 0803 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Many 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. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on observation, interview, and record review, the facility failed to serve an portion of food that meets the needs and preferences of the residents. This failure applies to all 238 residents receiving meals from the facility. Findings include: R1 is a [AGE] year-old female, with a diagnoses history of Psychosis, Auditory Hallucinations, Bipolar Disorder, Post Traumatic Stress Disorder, Schizoaffective Disorder, Recurrent Major Depressive Disorder, Non-Toxic Multi Nodular Goiter, and Abnormal Results of Thyroid Function, who was admitted to the facility 3/22/2023. R3 is a [AGE] year-old female, with a diagnoses history of Dementia, Schizophrenia, COPD, Dysphagia, Extrapyramidal Movement Disorder, and Hypothyroid Disorder, who was admitted to the facility 01/27/2021. On 09/13/2024 at 9:50 AM, V6 (Certified Nursing Assistant) stated, (R1) and (R3) could eat all day. The food portions are too small. (R1) eats pureed meals and they provide a scoop of pureed foods which doesn't seem adequate. The meal portions served are too small. R5 is a [AGE] year-old female with a diagnoses history of Type 2 Diabetes Mellitus, Mild Protein Calorie Malnutrition, and Chronic Kidney Disease, who was admitted to the facility 03/17/2024. On 09/13/2024 at 9:50AM, R5 stated, The food is okay sometimes, but not really enough. R5 opened his breakfast tray that was sitting at the bedside table and said, This is what I get for breakfast. There was one hard-boiled egg, one slice of bread, a half cup of grits, and a small cup of juice in resident's tray. R6 is an [AGE] year-old female, with a diagnoses history of COPD, Heart Failure, Weakness, and Anemia, who was admitted to the facility 03/17/2024. On 9/13/2024 at 10:00AM, R6 was asked about food, and stated, It is okay sometimes, but they don't give you enough. R6 was asked if they can get seconds if the portion was not sufficient, and she stated, No, you can ask, but they never give it to you. Food Committee Meeting Report, dated 07/29/2024, documents residents would like to see more meat for breakfast. Page 1 of 2 145735 145735 09/14/2024 Bria of River Oaks 14500 South Manistee Burnham, IL 60633

F 0803 Resident Council Meeting Reports and Grievances from July - August 2024 document multiple requests for bigger portions. Level of Harm - Minimal harm or potential for actual harm Food Quality and Palatability Policy, received and reviewed 09/13/2024, states: Residents Affected - Many Food is prepared and served in a manner to meet resident's needs. 145735 Page 2 of 2