BRIA OF CAHOKIA in Cahokia, IL has a 1-star overall rating, with 1-star health inspection and staffing ratings and 2-star quality measures. It also has a recent abuse citation, substantial fines in the last 24 months ($272,504), and reported nurse staffing below the federal benchmark (3.25 vs 4.1 hours per resident per day).
Last inspection: April 23, 2026Penalties, last 24 months: $272,504recent abuse citation
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.2501.
Staffing detail
Registered nurses
0.22
Licensed practical nurses
0.90
Nurse aides
2.13
Weekend nursing
2.95
Hours per resident per day.
Total staff turnover: 51%
Registered nurse turnover: 77%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
11.1%10.9%No change
Residents with a fall causing major injury
4%2.7%Improving
Residents with pressure ulcers (bedsores)
2%5.1%Worsening
Residents with a urinary tract infection
1%0%Improving
Residents who lost too much weight
2.1%1.9%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
2.1%1.9%No change
Residents whose ability to walk got worse
0%3%Worsening
Long-stay residents on antianxiety or sleep medication
20.2%19.1%Improving
Short-stay residents newly given an antipsychotic
—3.8%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
7.9%21.3%Worsening
Residents with depressive symptoms
88.6%72.9%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—56%—
Long-stay residents given the pneumonia vaccine
92%100%Improving
Short-stay residents given the seasonal flu vaccine
—15.6%—
Short-stay residents given the pneumonia vaccine
90.2%100%Improving
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
The nursing home failed to protect residents from abuse and neglect by others. Cited July 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: K
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to provide safe, appropriate pain management for a resident who needed it. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal fine of $25,500 was recorded.
PENALTY
A federal fine of $19,120 was recorded.
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
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PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $159,452 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $68,432 was recorded.
PENALTY
A federal payment denial was recorded.
PENALTY
A federal fine of $139,003 was recorded.
Penalties & enforcement
On record with Medicare: 7 fines · $686,807 in total fines · 4 payment denials.
Federal fine
Aug 20, 2025
$25,500
Federal fine
Aug 20, 2025
$19,120
Medicare/Medicaid payment denial
Jan 14, 2025
55 days
Federal fine
Jan 14, 2025
$159,452
Medicare/Medicaid payment denial
Oct 2, 2024
21 days
Federal fine
Oct 2, 2024
$68,432
Medicare/Medicaid payment denial
Jun 11, 2024
59 days
Federal fine
Jun 11, 2024
$139,003
Operator & ownership
Ownership
For profit - Limited Liability company
Chain
Part of BRIA HEALTH SERVICES · 15 homes · 1.2 stars avg
Occupancy
108 residents on an average day (81% of 133 beds)
Resident voice
Resident council
Medicare history
Certified for 37 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.