The nursing home failed to protect residents from abuse and neglect by others. Cited January 2024 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: J
Nursing home report
BRIA OF RIVER OAKS
BURNHAM, IL · Medicare-certified · 309 beds
Needs attention
For-profitChain member
1 of 5 overall
BRIA OF RIVER OAKS in Burnham, IL has a 1-star overall rating, with 1-star staffing, 2-star health inspections, and 3-star quality measures. It reported 2.78 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and had $123,790 in fines in the last 24 months plus a recent federal penalty; recent inspection concerns included abuse/neglect protection, following care orders, and pain management.
Facility ratings
Health inspections
Staffing
2.781 hrs/resident/day
Quality measures
Last inspection: June 24, 2025Penalties, last 24 months: $123,790recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.781.
Staffing detail
- Registered nurses
- 0.43
- Licensed practical nurses
- 0.56
- Nurse aides
- 1.79
- Weekend nursing
- 2.43
Hours per resident per day.
Total staff turnover: 35%
Registered nurse turnover: 33%
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).
Long-stay residents on antipsychotic medication
23.7%34.1%Worsening
Residents with a fall causing major injury
1.2%0%Improving
Residents with pressure ulcers (bedsores)
2.3%2.6%No change
Residents with a urinary tract infection
0.4%0%No change
Residents who lost too much weight
4.3%3.4%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
3.5%2.2%Improving
Residents whose ability to walk got worse
0.9%1.6%Worsening
Long-stay residents on antianxiety or sleep medication
6.8%5%Improving
Short-stay residents newly given an antipsychotic
—5.1%—
Residents with a long-term catheter
0.4%0%No change
Residents with new or worsening incontinence
16.7%14.5%Improving
Residents with depressive symptoms
99.5%98.6%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—93.8%—
Long-stay residents given the pneumonia vaccine
99.6%98.4%Worsening
Short-stay residents given the seasonal flu vaccine
—89.3%—
Short-stay residents given the pneumonia vaccine
92.7%92.8%No change
What the inspectors found
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited March 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 March 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 697 — 42 CFR §483.25(k) — S/S: G
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — 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
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $22,984 was recorded.
- PENALTY
A federal fine of $25,604 was recorded.
- PENALTY
A federal fine of $14,050 was recorded.
- PENALTY
A federal fine of $30,550 was recorded.
- PENALTY
A federal payment denial was recorded.
- PENALTY
A federal fine of $30,602 was recorded.
Penalties & enforcement
On record with Medicare: 8 fines · $270,248 in total fines · 2 payment denials.
- $22,984
Federal fine
Mar 14, 2025
- $25,604
Federal fine
Dec 3, 2024
- $14,050
Federal fine
Oct 10, 2024
- $30,550
Federal fine
Jul 13, 2024
- 2 days
Medicare/Medicaid payment denial
May 31, 2024
- $30,602
Federal fine
May 31, 2024
- $82,833
Federal fine
Jan 9, 2024
- $13,039
Federal fine
Nov 3, 2023
Operator & ownership
- Ownership
- For profit - Corporation
- Chain
- Part of BRIA HEALTH SERVICES · 15 homes · 1.3 stars avg
- Occupancy
- 262.4 residents on an average day (85% of 309 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 33 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.