F 0600
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment,
and neglect by anybody.
Based on interviews and record reviews, facility failed to follow their policy to ensure residents are free from
misappropriation of property for 2 (R1, R2) out of 3 residents reviewed for abuse in a sample of 4. Findings
include: On 01/10/2026 at 11:30 AM, surveyor observed R1 in her room. R1 was laying on her bed. R1
stated that people come into her room all the time. R1 stated that a few weeks back R2 came into her room
while she was sleeping, unplugged her phone and took it. R1 stated that she immediately told the nurse,
and the nurse got it back. R1 stated that R2 took facial pictures of himself on her phone.On 01/10/2026 at
11:35 AM, surveyor observed R2 in his room. R2 was laying on his bed. R2 stated that he doesn't go into
people rooms. R2 stated that he doesn't take people's phones. R2 stated that he has never taken R1's
phone. On 01/10/2026 at 12:09 PM, V2 (Director of Nursing) stated that if he sees abuse, we first protect
the victim and then report it to the administrator. V2 stated that physical, financial, emotional, verbal, sexual
and theft are all forms of abuse. V2 stated that abuse in-services are done at least quarterly. V2 stated that
he is familiar with R1. V2 stated that he has never heard of anyone going into R2's room and taking her
things. Surveyor then showed V2 a progress note from V7 (Registered Nurse). R1's progress note by V7
(12/11/2025) documents in part: R1 is alert & responsive, resident complained that a male resident came
into her room and took her phone while she was sleeping. R1 was able to recover her phone from the other
resident and she called the police. DON made aware and the facility security was able to deescalate the
situation. Social worker will follow up. V2 stated that V7 never notified him of any theft by any resident. On
01/10/2025 at 12:28 PM and 12:30 PM, surveyor attempted to call V7 (Registered Nurse). No answer. Left
voicemail with call back number. On 01/10/2026 at 12:50 PM, V1 (Administrator) stated that when it comes
to abuse, his expectation for his staff is to report it to him as the abuse coordinator. V1 stated that physical,
verbal, mental, seclusion, theft, sexual, and neglect are the different types of abuse. V1 stated that he
knows who R1 is. V1 stated that he has not heard of any incidents of anyone taking R1's personal property.
V1 stated that if he did, he would take it as an abuse and follow the abuse policy and start an investigation.
Surveyor showed V1, R1's progress note from V7 on 12/11/2025. V1 stated that, based on that progress
note, that incident is a form of misappropriation of property. V1 stated that he was never notified by V7 or
any staff member of R2 taking R1's phone. V1 stated that he would have reported it to IDPH and started an
investigation. R1's Minimum Data Sheet (MDS) Section C documents in part: R1 has a Brief Interview of
Mental Survey (BIMS) of 15. R1 is cognitively intact. Facility's abuse policy (9/2017) documents in part: This
facility affirms the right of our residents to be free from abuse, neglect, exploitation, misappropriation of
property or mistreatment. Abuse means any physical, mental, or sexual assault inflicted upon a resident
other than by accidental means. Abuse is the willful infliction of injury, unreasonable confinement,
intimidation, or punishment with resulting physical harm, pain or mental anguish to a resident. The term
‘willful' in the definition of ‘abuse' means the individual
(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 4
Event ID:
145864
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
145864
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/12/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Bria of Forest Edge
8001 South Western Avenue
Chicago, IL 60620
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 0600
Level of Harm - Minimal harm
or potential for actual harm
must have acted deliberately, not that the individual must have intended to inflict harm or injury.
Misappropriation of resident property mean the deliberate misplacement, exploitation, or wrongful
temporary or permanent use of resident's belongings or money without the resident's consent.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145864
If continuation sheet
Page 2 of 4
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
145864
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/12/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Bria of Forest Edge
8001 South Western Avenue
Chicago, IL 60620
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 0609
Level of Harm - Minimal harm
or potential for actual harm
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper
authorities.
Based on interview and record review, facility failed to follow their policy to ensure allegation of
misappropriation of resident property was immediately reported within the required time frame to the abuse
coordinator and to the Illinois Department of Public Health for two (R1, R2) out of three residents reviewed
for misappropriation of property in a sample of 4. Findings include:On 01/10/2026 at 11:30 AM, surveyor
observed R1 in her room. R1 was laying on her bed. R1 stated that people come into her room all the time.
R1 stated that a few weeks back R2 came into her room while she was sleeping. unplugged her phone and
took it. R1 stated that she immediately told the nurse, and the nurse got it back. R1 stated that R2 took
facial pictures of himself on her phone.On 01/10/2026 at 11:35 AM, surveyor observed R2 in his room. R2
was laying on his bed. R2 stated that he doesn't go into people rooms. R2 stated that he doesn't take
people's phones. R2 stated that he has never taken R1's phone. On 01/10/2026 at 12:09 PM, V2 (Director
of Nursing) stated that if he sees an abuse, we first protect the victim and then report it to the administrator.
V2 stated that physical, financial, emotional, verbal, sexual and theft are all forms of abuse. V2 stated that
abuse in-services are done at least quarterly. V2 stated that he is familiar with R1. V2 stated that he has
never heard of anyone going into her room and taking her things. Surveyor then showed V2 a progress note
from V7 (Registered Nurse). R1's progress note by V7 (12/11/2025) documents in part: R1 is alert &
responsive, resident complained that a male resident bagged into her room and took her phone while she
was sleeping. R1 was able to recover her phone from the other resident and she called the police. DON
made aware and the facility security was able to deescalate the situation. Social worker will follow up. V2
stated that V7 never notified him of any theft by any resident. On 01/10/2025 at 12:28 PM and 12:30 PM,
surveyor attempted to call V7 (Registered Nurse). No answer. Left voicemail with call back number. On
01/10/2026 at 12:50 PM, V1 (Administrator) stated that when it comes to abuse, his expectation for his staff
is to report it to him as the abuse coordinator. V1 stated that physical, verbal, mental, seclusion, theft,
sexual, and neglect are the different types of abuse. V1 stated that he knows who R1 is. V1 stated that he
has not heard of any incidents of anyone taking R1's personal property. V1 stated that if he did, he would
take it as an abuse and follow the abuse policy and start an investigation. Surveyor showed V1, R1's
progress note from V7 on 12/11/2025. V1 stated that, based on that progress note, that incident is a form of
misappropriation of property. V1 stated that he was never notified by V7 or any staff member of R2 taking
R1's phone. V1 stated that he would have reported it to IDPH and started an investigation.R1's Minimum
Data Sheet (MDS) Section C documents in part: R1 has a Brief Interview of Mental Survey (BIMS) of 15.
R1 is cognitively intact. Facility's abuse policy (9/2017) documents in part: Employees are required to report
any incident, allegation or suspicion of potential abuse, neglect, mistreatment or misappropriation of
resident property they observe, heart about or suspect to the administrator immediately or to an immediate
supervisor who must then immediately report it to the administrator. Reports should be documented, and a
record kept of the documentation. Any allegation of abuse or any incident or accident that results in serious
bodily injury will be reported to the Illinois Department of Public Health immediately but no more than two
hours of the allegation of abuse. Any incident or accident that does not involve abuse and serious bodily
injury shall be reported within 24 hours. The administrator will review the final written report of the
investigation and forward it to the Illinois Department of Public Health within five working days of the
reported incident.
Event ID:
Facility ID:
145864
If continuation sheet
Page 3 of 4
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
145864
B. Wing
A. Building
(X3) DATE SURVEY
COMPLETED
01/12/2026
NAME OF PROVIDER OR SUPPLIER
STREET ADDRESS, CITY, STATE, ZIP CODE
Bria of Forest Edge
8001 South Western Avenue
Chicago, IL 60620
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 0610
Respond appropriately to all alleged violations.
Level of Harm - Minimal harm
or potential for actual harm
Based on interview and record review, facility failed to follow their policy to ensure allegation of
misappropriation of resident property was immediately investigated within the required time frame by the
abuse coordinator for two (R1, R2) out of three residents reviewed for misappropriation of property in a
sample of 4. Findings include: On 01/10/2026 at 11:30 AM, surveyor observed R1 in her room. R1 was
laying on her bed. R1 stated that people come into her room all the time. R1 stated that a few weeks back
R2 came into her room while she was sleeping. unplugged her phone and took it. R1 stated that she
immediately told the nurse, and the nurse got it back. R1 stated that R2 took facial pictures of himself on
her phone.On 01/10/2026 at 11:35 AM, surveyor observed R2 in his room. R2 was laying on his bed. R2
stated that he doesn't go into people rooms. R2 stated that he doesn't take people's phones. R2 stated that
he has never taken R1's phone. On 01/10/2026 at 12:09 PM, V2 (Director of Nursing) stated that if he sees
an abuse, we first protect the victim and then report it to the administrator. V2 stated that physical, financial,
emotional, verbal, sexual and theft are all forms of abuse. V2 stated that abuse in-services are done at least
quarterly. V2 stated that he is familiar with R1. V2 stated that he has never heard of anyone going into her
room and taking her things. Surveyor then showed V2 a progress note from V7 (Registered Nurse). R1's
progress note by V7 (12/11/2025) documents in part: R1 is alert & responsive, resident complained that a
male resident bagged into her room and took her phone while she was sleeping. R1 was able to recover
her phone from the other resident and she called the police. DON made aware and the facility security was
able to deescalate the situation. Social worker will follow up. V2 stated that V7 never notified him of any theft
by any resident. On 01/10/2025 at 12:28 PM and 12:30 PM, surveyor attempted to call V7 (Registered
Nurse). No answer. Left voicemail with call back number. On 01/10/2026 at 12:50 PM, V1 (Administrator)
stated that when it comes to abuse, his expectation for his staff is to report it to him as the abuse
coordinator. V1 stated that physical, verbal, mental, seclusion, theft, sexual, and neglect are the different
types of abuse. V1 stated that he knows who R1 is. V1 stated that he has not heard of any incidents of
anyone taking R1's personal property. V1 stated that if he did, he would take it as an abuse and follow the
abuse policy and start an investigation. Surveyor showed V1, R1's progress note from V7 on 12/11/2025.
V1 stated that, based on that progress note, that incident is a form of misappropriation of property. V1
stated that he was never notified by V7 or any staff member of R2 taking R1's phone. V1 stated that he
would have reported it to IDPH and started an investigation. R1's Minimum Data Sheet (MDS) Section C
documents in part: R1 has a Brief Interview of Mental Survey (BIMS) of 15. R1 is cognitively intact. Facility's
abuse policy (9/2017) documents in part: All incidents will be documented, whether or not abuse, neglect,
exploitation, mistreatment or misappropriation of resident property occurred was alleged or suspected. All
allegation involving misappropriation of resident property will result in an investigation. The appointed
investigator will, at a minimum, attempt to interview the person who reported the incident, and anyone likely
to have direct knowledge of the incident and the resident. Any written statements that have been submitted
with be reviewed, along with any pertinent medical records or other documents. Residents to whom the
accused has regularly provided care, and employees with whom the accused has regularly worked, will be
interviewed.
Residents Affected - Few
FORM CMS-2567 (02/99)
Previous Versions Obsolete
Event ID:
Facility ID:
145864
If continuation sheet
Page 4 of 4