8 health deficiencies
Top issue: Quality of Life and Care (3 deficiencies)
26 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Burnham, IL
1-star overall rating with 2-star inspections with abuse icon flag with $270,248 in total fines with 8 recent health deficiencies with 26 fire-safety deficiencies in the latest cycle
14500 South Manistee, Burnham, IL
(708) 862-1260
Overall
1 / 5
CMS overall stars
Health inspections
2 / 5
Survey and complaint cycles
Staffing
1 / 5
RN + nurse staffing
Quality measures
2 / 5
Resident outcomes and process measures
Quick facts
Beds
309
Certified beds
Average residents
252
Average occupied residents
Ownership
For-Profit
Publicly displayed owner type
Chain
Bria Health Services
Operator or chain grouping
Approved since
1992-10-01
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Staffing
RN hours / resident day
0.44
Registered nurse staffing
LPN hours / resident day
0.61
Licensed practical nurse staffing
Aide hours / resident day
1.94
Nurse aide staffing
Weekend hours
2.58
Weekend nurse staffing
RN turnover
33%
Annual RN turnover
Total nurse turnover
30%
Annual nurse turnover
Quality measures
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.0 |
2.0
About the same
|
1.9
0.1 pts worse
|
Long Stay · 20240701-20250630 |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
2.3
1 pts better
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 99.8% |
89.6%
10.2 pts better
|
93.4%
6.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 93.8% |
91.6%
2.2 pts better
|
95.5%
1.7 pts worse
|
Long Stay · 2024Q3-2025Q2 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 1.0% |
3.3%
2.3 pts better
|
3.3%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who have depressive symptoms | 99.2% |
50.3%
48.9 pts worse
|
11.4%
87.8 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who lose too much weight | 3.1% |
6.5%
3.4 pts better
|
5.4%
2.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.4% |
18.5%
11.1 pts better
|
19.6%
12.2 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who received an antipsychotic medication | 38.2% |
22.8%
15.4 pts worse
|
16.7%
21.5 pts worse
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.1%
0.1 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose ability to walk independently worsened | 4.0% |
17.2%
13.2 pts better
|
16.3%
12.3 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents whose need for help with daily activities has increased | 3.4% |
15.0%
11.6 pts better
|
14.9%
11.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0.4% |
1.1%
0.7 pts better
|
1.0%
0.6 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with a urinary tract infection | 0.2% |
1.7%
1.5 pts better
|
1.7%
1.5 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 16.0% |
21.3%
5.3 pts better
|
19.8%
3.8 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of long-stay residents with pressure ulcers | 3.7% |
5.2%
1.5 pts better
|
5.1%
1.4 pts better
|
Long Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 91.2% |
68.8%
22.4 pts better
|
81.7%
9.5 pts better
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who had an outpatient emergency department visit | 15.1% |
14.0%
1.1 pts worse
|
12.0%
3.1 pts worse
|
Short Stay · 20240701-20250630 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 2.9% |
2.3%
0.6 pts worse
|
1.6%
1.3 pts worse
|
Short Stay · 2024Q4-2025Q3 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 89.3% |
63.0%
26.3 pts better
|
79.7%
9.6 pts better
|
Short Stay · 2024Q3-2025Q2 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 36.2% |
26.2%
10 pts worse
|
23.9%
12.3 pts worse
|
Short Stay · 20240701-20250630 |
Survey summary
Top issue: Quality of Life and Care (3 deficiencies)
26 fire-safety deficiencies
Top issue: Smoke (8 deficiencies)
Top issue: Quality of Life and Care (7 deficiencies)
16 fire-safety deficiencies
Top issue: Smoke (9 deficiencies)
Top issue: Quality of Life and Care (6 deficiencies)
38 fire-safety deficiencies
Top issue: Emergency Preparedness (20 deficiencies)
Fire safety
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2024-07-18
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2024-07-18
Fire Safety
Conduct testing and exercise requirements.
Corrected 2024-07-18
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2024-07-18
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2024-07-18
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2024-07-18
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2024-08-01
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2024-07-18
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2024-07-18
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2024-07-18
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2024-07-18
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2024-08-26
Fire Safety
Use approved construction type or materials.
Corrected 2024-07-18
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2024-07-18
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2024-07-18
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2024-07-18
Fire Safety
Have horizontal exits used in accordance with safety requirements.
Corrected 2024-07-18
Fire Safety
Have properly located and lighted "Exit" signs.
Corrected 2024-07-18
Fire Safety
Provide properly protected cooking facilities.
Corrected 2024-08-01
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2024-09-09
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2024-07-18
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2024-07-18
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2024-07-18
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2024-07-18
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2024-07-18
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2023-08-29
Fire Safety
Install corridor and hallway doors that block smoke.
Corrected 2023-08-23
Fire Safety
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Corrected 2023-08-23
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2023-08-23
Fire Safety
Have elevators that firefighters can control in the event of a fire.
Corrected 2023-08-23
Fire Safety
Use approved construction type or materials.
Corrected 2023-08-23
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2023-08-23
Fire Safety
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Corrected 2023-08-23
Fire Safety
Have stairways and smokeproof enclosures used as exits that meet safety requirements.
Corrected 2023-08-23
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2023-08-23
Fire Safety
Properly select, install, inspect, or maintain portable fire extinguishes.
Corrected 2023-08-23
Fire Safety
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
Corrected 2023-08-23
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2023-08-23
Fire Safety
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Corrected 2023-08-23
Fire Safety
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Corrected 2023-08-23
Fire Safety
Address subsistence needs for staff and patients.
Corrected 2022-09-05
Fire Safety
Establish procedures for tracking staff and patients during an emergency.
Corrected 2022-09-05
Fire Safety
Establish policies and procedures including evacuation.
Corrected 2022-09-05
Fire Safety
Establish policies and procedures for sheltering.
Corrected 2022-09-05
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-09-05
Fire Safety
Establish policies and procedures for volunteers.
Corrected 2022-09-05
Fire Safety
Create arrangements with other facilities to receive patients.
Corrected 2022-09-05
Fire Safety
Develop a communication plan.
Corrected 2022-09-05
Fire Safety
List the names and contact information of those in the facility.
Corrected 2022-09-05
Fire Safety
Provide emergency officials' contact information.
Corrected 2022-09-05
Fire Safety
Provide primary/alternate means for communication.
Corrected 2022-09-05
Fire Safety
Establish methods for sharing information.
Corrected 2022-09-05
Fire Safety
Provide a means of sharing information on occupancy/needs.
Corrected 2022-09-05
Fire Safety
Provide family notifications of emergency plan.
Corrected 2022-09-05
Fire Safety
Establish emergency prep training and testing.
Corrected 2022-09-05
Fire Safety
Establish staff and initial training requirements.
Corrected 2022-09-05
Fire Safety
Conduct testing and exercise requirements.
Corrected 2022-09-05
Fire Safety
Develop and maintain an Emergency Preparedness Program (EP).
Corrected 2022-09-05
Fire Safety
Conduct risk assessment and an All-Hazards approach.
Corrected 2022-09-05
Fire Safety
Address patient/client population and determine types of services needed.
Corrected 2022-09-05
Fire Safety
Install a two-hour-resistant firewall separation.
Corrected 2022-09-05
Fire Safety
Have an enclosure around a vertical opening shaft.
Not marked corrected
Fire Safety
Have approved installation, maintenance and testing program for fire alarm systems.
Corrected 2022-09-26
Fire Safety
Inspect, test, and maintain automatic sprinkler systems.
Corrected 2022-10-07
Fire Safety
Install smoke barrier doors that can resist smoke for at least 20 minutes.
Corrected 2022-09-05
Fire Safety
Have properly installed electrical wiring and gas equipment.
Corrected 2022-09-05
Fire Safety
Have generator or other power source capable of supplying service within 10 seconds.
Corrected 2022-09-09
Fire Safety
Use approved construction type or materials.
Corrected 2022-09-05
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-09-05
Fire Safety
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2022-09-05
Fire Safety
Provide properly protected cooking facilities.
Corrected 2022-09-15
Fire Safety
Install an approved automatic sprinkler system.
Corrected 2022-10-07
Fire Safety
Provide a written emergency evacuation plan.
Corrected 2022-09-05
Fire Safety
Provide properly sized and located linen or trash receptacles.
Corrected 2022-09-05
Fire Safety
Have restrictions on the use of portable space heaters.
Corrected 2022-09-05
Fire Safety
Ensure proper usage of power strips and extension cords.
Corrected 2022-09-05
Fire Safety
Have proper medical gas storage and administration areas.
Corrected 2022-09-05
Fire Safety
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Corrected 2022-09-05
Inspection history
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2025-06-25
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2025-06-25
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2025-04-07
Health
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected 2025-04-07
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2025-03-25
Health
Provide safe, appropriate pain management for a resident who requires such services.
Corrected 2025-03-25
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2025-03-15
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-12-04
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-12-04
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2024-10-11
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-10-11
Health
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.
Corrected 2024-09-15
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2024-08-02
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2024-08-02
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2024-07-14
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-22
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2024-06-10
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-06-22
Health
Provide enough food/fluids to maintain a resident's health.
Corrected 2024-06-01
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2024-01-10
Health
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2023-11-04
Health
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected 2023-11-04
Health
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected 2023-08-22
Health
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected 2023-08-22
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-08-22
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-09-11
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2023-09-11
Health
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected 2023-08-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2023-08-22
Health
Respond appropriately to all alleged violations.
Corrected 2023-08-22
Health
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected 2023-04-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-04-15
Health
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-03-04
Health
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2022-08-22
Health
Reasonably accommodate the needs and preferences of each resident.
Corrected 2022-08-22
Health
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2022-08-22
Health
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected 2022-08-22
Health
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected 2022-08-22
Health
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2022-08-22
Health
Provide routine and 24-hour emergency dental care for each resident.
Corrected 2022-08-22
Penalties and ownership
Fine · fine $22,984
Fine
Fine · fine $25,604
Fine
Fine · fine $14,050
Fine
Fine · fine $30,550
Fine
Fine · fine $30,602
Fine
Payment Denial · denial start 2024-06-20 · 2 days
2 day denial
Fine · fine $82,833
Fine
Fine · fine $13,039
Fine
Fine · fine $50,586
Fine
Payment Denial · denial start 2023-09-01 · 10 days
10 day denial
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
Limited Partnership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Individual
Operational/Managerial Control · Individual
5% Or Greater Direct Ownership Interest · Individual
5% Or Greater Direct Ownership Interest · Organization
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