Bria of River Oaks
14500 South Manistee · Burnham, IL · 60633 · 7088621260
309 certified beds For profit - Corporation Chain: Bria Health Services
Why this verdict
- Inspection record is far worse than the national median (deficiency count and severity).
- Federal penalties on record: $93,188 in fines in the last 24 months.
- 12 citations involved actual harm to residents.
- Inspection results have improved across recent cycles.
Red flags
1 immediate-jeopardy citation in prior inspection cycles
Serious past findings — check whether the underlying problems were fixed and stayed fixed.
5 abuse-related citations at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
$93,188 in federal fines in the last 24 months
4 fines — CMS fines are reserved for verified, serious non-compliance.
Total nurse staffing below 3.0 hours per resident-day
2.78 reported hours vs the 3.48 minimum CMS's own staffing study recommends.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 1 of 5 Inspections: 2 of 5 Staffing: 1 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 2.78 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.43 | 0.55–0.75 |
| Weekend hours / resident-day | 2.43 | ≈ weekday level |
| Nursing turnover / year | 35% | median 45% |
| Fines (3-yr window) | 8 · $270,248 |
Inspection citations (37 in the current record)
-
Potential for harm · E June 24, 2025 · found via complaint
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 June 25, 2025 · Resident Rights
-
Potential for harm · E June 24, 2025 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 25, 2025 · Environmental
-
Actual harm · G April 6, 2025 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected April 7, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · D April 6, 2025 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected April 7, 2025 · Resident Assessment and Care Planning
-
Actual harm · G March 24, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 25, 2025 · Quality of Life and Care
-
Actual harm · G March 24, 2025 · found via complaint
Provide safe, appropriate pain management for a resident who requires such services.
Corrected March 25, 2025 · Quality of Life and Care
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Potential for harm · D March 14, 2025 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected March 15, 2025 · Resident Rights
-
Actual harm · G December 3, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected December 4, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · E December 3, 2024 · found via complaint
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 December 4, 2024 · Resident Rights
-
Actual harm · G October 10, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected October 11, 2024 · Quality of Life and Care
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Potential for harm · D October 10, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 11, 2024 · Quality of Life and Care
-
Potential for harm · F September 14, 2024 · found via complaint
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 September 15, 2024 · Nutrition and Dietary
-
Actual harm · G August 1, 2024 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected August 2, 2024 · Quality of Life and Care
-
Potential for harm · E August 1, 2024 · found via complaint
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 August 2, 2024 · Nursing and Physician Services
-
Actual harm · G July 13, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected July 14, 2024 · Quality of Life and Care
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Potential for harm · D June 21, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · F June 9, 2024 · found via complaint
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
Corrected June 10, 2024 · Environmental
-
Actual harm · G May 31, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected June 22, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D May 31, 2024 · found via complaint
Provide enough food/fluids to maintain a resident's health.
Corrected June 1, 2024 · Quality of Life and Care
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Immediate jeopardy · J January 9, 2024 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected January 10, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Actual harm · G November 3, 2023 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected November 4, 2023 · Quality of Life and Care
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Potential for harm · E November 3, 2023 · found via complaint
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected November 4, 2023 · Nutrition and Dietary
-
Actual harm · G August 3, 2023
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected August 22, 2023 · Quality of Life and Care
-
Actual harm · G August 3, 2023 · found via complaint
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected August 22, 2023 · Quality of Life and Care
-
Actual harm · G August 3, 2023 · found via complaint
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected August 22, 2023 · Freedom from Abuse, Neglect, and Exploitation
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| March 14, 2025 | Fine | $22,984 |
| December 3, 2024 | Fine | $25,604 |
| October 10, 2024 | Fine | $14,050 |
| July 13, 2024 | Fine | $30,550 |
| May 31, 2024 | Fine | $30,602 |
| May 31, 2024 | Payment Denial | 2 days |
| January 9, 2024 | Fine | $82,833 |
| November 3, 2023 | Fine | $13,039 |
| August 3, 2023 | Fine | $50,586 |
| August 3, 2023 | Payment Denial | 10 days |
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145735 · certified since October 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.