F 0583
Keep residents' personal and medical records private and confidential.
Level of Harm - Minimal harm
or potential for actual harm
Based on the interview and record review, the facility failed to comply with privacy and confidentiality
requirements when delivering mail to residents. This applies to 1 of 4 residents (R2) reviewed for privacy
and confidentiality with mail delivery in a sample of 4.The findings include:On 9/2/25 at 12:05 PM, R2
stated, The facility received my card through the mail, and I don't know why they left my mail under my
pillow while I was admitted to the hospital. Somebody stole my card and used it in the neighborhood
store.On 9/3/25 at 9:10 am, V6 (Social Service Director) stated, Activity staff are usually responsible for
delivering the mail to residents. If a resident is not present, they are required to give the mail to social
services for secure storage. I cannot explain why, in this instance, the activity staff left the mail under R1's
pillow when she was not present. The correct procedure is to return the mail to me for safekeeping, not to
leave it in the resident's room.On 9/3/25 at 12:20 PM, V9 (Activity Director) stated, I honestly do not
remember the date I delivered R2's mail by placing it under her pillow. Typically, we hand mail directly to
residents. In this case, I was unaware that R2 was out of the facility, which is why I left the mail under her
pillow instead of giving it to social services for secure storage, as is required when a resident is
unavailable.The facility presented undated mail delivery policy document: The facility supports each
resident's right to send mail and to receive mail in a timely manner in accordance with applicable state and
federal regulations.
Residents Affected - Few
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:
145784
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
145784
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
09/04/2025
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Briar Place Nursing
6800 West Joliet
Indian Head Park, IL 60525
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 0602
Protect each resident from the wrongful use of the resident's belongings or money.
Level of Harm - Actual harm
**NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on
observation, interview, and record review, the facility failed to follow its abuse prevention policy by not
protecting a resident from financial exploitation. This failure resulted in mental anguish and helplessness
among 1 of 4 residents (R2) reviewed for theft and abuse in a sample of 4.The findings include:R2 is a
[AGE] year-old female who was admitted on [DATE], and is independent in cognitive skills for daily
decision-making, as per the Minimum Data Set (MDS) dated [DATE].On 9/2/25 at 12:05 PM, R2 stated, I
originally had $1200 in my account, and I ran out $800 out of $1,200. I didn't give my bank card to anyone.
Someone stole my card. The facility received my card through the mail, and I don't know why they left my
mail under my pillow while I was admitted to the hospital. Somebody stole my card and used it in the
neighborhood store. I am worried about my financial security here, and I don't know what to do. I didn't
authorize anybody to buy stuff for me. When I returned from the hospital, I noticed charges on my card that
I did not recognize. I called my bank, and they assisted me in making a report on these fraudulent charges.
It was so stressful for me to call the bank and file a police report.A review of the facility's reportable incident
dated August 15, 2025, showed that on August 22, 2025, police brought a picture of a person leaving a
store where R2's card was used. The person in the picture appeared to be V5 (Certified Nursing
Assistant/CNA), an employee of the facility. The police and facility administrator questioned V5 about taking
the card, which V5 denied having done. As a result, V5 was immediately suspended pending the outcome
of the investigation.A review of the police report with status date 8/20/25 documents that the police
contacted the bank, and the bank confirmed multiple unauthorized transactions and withdrawals on R2's
bank card by V5.On 9/2/25 at 11:45 AM, V6 (Social Service Director) stated, Our investigation found a
significant amount of money missing from R2's credit card. We interviewed V5 (CNA), who claimed that R2
had requested him to purchase items at the store, but R2 reported unrecognized charges. Even if a
resident request such purchases, staff are not authorized to make them. Based on this, V5 was suspended,
though I am not certain about his current termination status.On 9/2/25 at 11:50 AM, V7 (Human Resource
Director) stated, V5 was previously reprimanded for violating the uniform code. In this incident, V5
purchased items at a store using R2's card, allegedly at R2's request, but this was outside his job duties. As
a result, we decided to terminate V5. I have been trying to reach him by phone to complete the termination,
but he has not responded. Originally, he was suspended, and we are now moving to terminate
him.On9/3/25 at 12:20 PM, V9 (Activity Director) stated, Honestly, I don't remember the date I delivered
R2's mail under her pillow. We usually deliver mail to residents' hands. In this specific scenario, I didn't know
that R2 was out of the facility, and that's why I left it under the pillow. If the resident is not there, I should
have given it to social services to securely store.On 9/3/25 at 11:25 AM, V1 (Administrator/Abuse
Coordinator) stated, We provide abuse in-service on a quarterly and as needed. The residents have the
right to be free from abuse.A review of the facility presented an abuse prevention policy dated 01/24
document: Residents have the right to be free from abuse, neglect, exploitation, misappropriation of
property, or mistreatment.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145784
If continuation sheet
Page 2 of 2
