145864
01/12/2026
Bria of Forest Edge
8001 South Western Avenue Chicago, IL 60620
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
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145864
145864
01/12/2026
Bria of Forest Edge
8001 South Western Avenue Chicago, IL 60620
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
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145864
01/12/2026
Bria of Forest Edge
8001 South Western Avenue Chicago, IL 60620
F 0609
Level of Harm - Minimal harm or potential for actual harm
Residents Affected - Few
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.
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145864
01/12/2026
Bria of Forest Edge
8001 South Western Avenue Chicago, IL 60620
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
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