Bria of Forest Edge
Bria of Forest Edge has 328 certified beds. It participates in Medicare and Medicaid. The facility is located on Chicago’s south side just east of the Ashburn neighborhood. Its located on Western Avenue, which is a major north-south street that runs through most of the length of Chicago’s city lines. The ownership of Bria of Forest Edge is a for-profit corporation. The facility is not in a continuing care retirement community. Its overall rating is below average.
The Illinois Department of Health and Human Services in combination with the Centers for Medicare and Medicaid Services regularly inspects Illinois nursing homes on average every 18 months. One of these inspections was completed by a survey done on May 26, 2016. Based on interview and record review, Bria of Forest Edge failed to implement monitoring a resident’s vital signs on the onset and during a resident’s mental status change. On May 24, 2016, a nurse aide stated that the resident was usually very talkative, but was not her usual self on May 15, 2016 at breakfast. The nurse’s aide changed the resident that day before breakfast and the resident was not able to assist with the care as she usually did. The nurse’s aide stated that the resident did not look very good and did not respond verbally. The nurse’s aide stated that she informed a registered nurse but the nurse’s aide did not know what was done.
On May 24, 2016, the nurse supervisor stated that on May 15, 2016 the nurse aide told the nurse that something was wrong with the resident. The nurse stated the resident had low blood pressure and the nurse called the doctor for follow-up physician orders. The nurse aide that the nurse started an IV on the resident to administer fluids and the doctor wanted to monitor the resident’s blood pressure every 10 minutes. No vital signs were records. The nurse aide told the treating nurse to chart vitals. Unfortunately, the resident was unable to verbally state what was wrong and would only look at the staff and moan when her name was called.
On May 15, 2016 when the shift started at 7:00 am, a nurse went into the resident’s room between 10:00 am and 11:00 am and noticed the resident was having difficulty breathing. The vital signs of the resident were taken and the resident had low blood pressure and a fast respiratory rate. An IV was inserted and fluids were administered. Breathing treatments were given and then the physician was called although the nurse did not remember which physician. There was no evidence of additional vital signs recorded in the resident’s medical chart in the daily Medicare charting or on the second and seventh floor nursing unit report books where the resident resided during her facility’s admission prior to the transfer to the hospital. The resident was in respiratory distress with wheezing lung sounds bilaterally when the fire department dispatch records were reviewed. “The resident was nonverbal and opens eyes with pain and withdraws from pain.” The facility failed to follow guidelines for specific medical emergencies and to document the events in the medical chart.
In terms of staffing, Bria of Forest Edge rates average. The total number of licensed nurse staff hours per resident per day at Bria of Forest Edge is 1 hour and 14 minutes compared to 1 hour and 33 minutes and 1 hour 42 minutes for the Illinois and national average, respectively. The Registered Nurse hours per resident per day at Bria of Forest Edge compares very poorly to the Illinois and national averages. The Bria of Forest Edge’s registered nurse hours per resident per day are just 27 minutes. The Illinois average is 57 minutes for registered nurse hours per resident per day. The licensed practical nurse (LPN) hours at Bria of Forest Edge per resident per day are 47 minutes which is higher than the Illinois average of 37 minutes. Bria of Forest Edge’s LPN average of 47 minutes is still below the national average of 51 minutes per resident per day in this category. In terms of physical therapy staff hours per day at Bria of Forest Edge it provides 4 minutes, whereas the Illinois nursing home average is 6 minutes.
In terms of quality measures, Bria of Forest Edge rates average. 14.3% of Bria of Forest Edge’s short-stay residents made improvements in function. This percentage is many times lower than the Illinois average of 60.1% of its short-stay residents who made improvements in function. 10.9% of Bria of Forest Edge’s short-stay residents had an outpatient emergency department room visit. This percentage was lower than the Illinois and national averages in this category. 59.9% of Bria of Forest Edge’s short-stay residents were successfully discharged to the community which compared favorably to the Illinois average of 51.5% and the national average of 55%.
Just 1.5% of Bria of Forest Edge’s long-stay residents experienced one or more falls with major injury. This was much lower than the Illinois and national averages which were listed at 3.3% of its residents who experienced one or more falls with serious injury. 99.3% of Bria of Forest Edge’s residents were assessed and given the appropriate and seasonal influenza vaccine. This percentage was even higher than the Illinois and national averages. The same could be said for Bria of Forest Edge’s long-stay residents who were given the appropriate pneumococcal vaccine which is shown to be nearly perfect at 99.9%. This compared favorably to the Illinois average of 91.9% and the national average of 93.4% in this category.
Bria of Forest Edge has not received any federal fines in the last three years.
In order to file a complaint against an Illinois nursing home, one should go to the Illinois website which is http://www.dph.illinois.gov/topics-services/health-care-regulation/complaints (Illinois Department of Public Health – Nursing Homes in Illinois). In that way an individual can file a complaint if one were concerned about the healthcare, treatment or services that you or another person you know or love is not getting at a nursing home. Some of the reasons for filing a complaint would be abuse, neglect, poor care, not enough staff, unsafe or unsanitary conditions, dietary problems or mistreatment.