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Nursing HomeMedicaid Investigative

Bria of River Oaks

Below-average Medicare ratings — review the inspection history and ask the administrator about recent corrections before visiting.

14500 South Manistee, Burnham, IL 60633309 bedsLicensed & Active
1/5
Medicare
Inspection
Quality
Staffing
Google rating
2.3/5

based on 39 Google reviews

5
4
3
2
1
Bria of River Oaks Nursing Home in Burnham, IL — Street View
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5/ 10
high Risk

Quality Concerns Identified

Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.

  • Abuse citation on record
  • Low overall rating (1/5 stars)
  • Low staffing rating (1/5 stars)

Bottom 25% in IL · Below recommended RN staffing · Low staff turnover (stable workforce) · Worst in BRIA HEALTH SERVICES chain · $270,248 in fines · Abuse citation

Source: Medicare data

What this means for your family

This facility has a high volume of concerning reports regarding sanitation and the safety of personal property. While some families have had positive experiences with specific staff members, the recurring patterns of neglect and poor communication suggest that families should exercise extreme caution and consider other options.

Google Reviews

Google Reviews

39 reviews on Google
BRIA of River Oaks faces severe, recurring criticism regarding cleanliness, staff professionalism, and the safety of residents. While a small minority of reviewers report positive experiences with specific nursing staff or transition assistance, the overwhelming majority of feedback highlights issues with theft, neglect, and poor communication. Families should be aware of consistent reports regarding unsanitary conditions and a lack of responsiveness from administrative staff.

Quality Themes

Tap a score for details
Food1.0Staff2.0Clean1.0ActivitiesN/AMeds1.0Memory1.0Comms1.0Value1.0

Strengths

  • Select attentive and compassionate nursing staff
  • Assistance with transition and discharge planning
  • Effective dialysis services

Concerns

  • Unsanitary conditions and strong odors of urine (mentioned by 4 reviewers)
  • Theft of personal belongings (phones, wallets, clothing) (mentioned by 4 reviewers)
  • Poor communication and unresponsive administrative staff (mentioned by 6 reviewers)
  • Neglect of medical needs and hygiene (mentioned by 5 reviewers)
  • Rude or unprofessional staff behavior (mentioned by 5 reviewers)

Rating Trends

Tap a year to see what changed

234'16(3)'18(1)'21(2)'23(5)'25(8)'26(2)

Distribution · 41 analyzed

5
11
4
0
3
1
2
3
1
26

How They Respond to Reviews

51%response rate

This facility responds to some reviews.

Questions for Your Tour

  • 1Given the facility's size of 309 residents, what specific protocols are in place to ensure consistent communication between the administrative team and family members regarding a loved one's care?
  • 2I noticed that cleanliness and odor management are areas you are working to improve; what is your current daily schedule for housekeeping and sanitation in the resident living areas?
  • 3How do you secure personal belongings and valuables to ensure residents' property remains safe and accounted for during their stay?
  • 4With the current staffing levels, how does the facility ensure that residents receive timely assistance with daily hygiene and personal care needs?
  • 5I see that you actively respond to feedback online; how do you use that input to make tangible changes to the dining experience and quality of food provided?
  • 6What is your process for managing complex medical needs and medication administration to ensure there are no gaps in a resident's daily treatment plan?

Personalized based on this facility's data


Key Review Excerpts

Now let's talk about the STRONG ODOR OF URINE that greets you at the door !!! NASSSSTY!!

Visitor/Friend · 2025☆☆☆☆

The residents lie in bodily waste for an unacceptable amount of time. His clothes were stolen and tv was broken. Can't communicate with doctors after repeatedly asking to.

Long-term resident's family · 2021☆☆☆☆

They moved my mother into a room with out cleaning it first! The room still had bodily fluids in a bucket, pee stains all over, old linen, and soiled pants from the last patient

Long-term resident's family · 2022☆☆☆☆
Source: 39 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
0.43hrs
57%
Registered nurses for medical care
Total Nursing
2.78hrs
68%
All nurses + aides combined
Staff Turnover
35%
Lower is better (< 30% = good)
RN Turnover
33%
Lower is better (< 30% = good)

Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 17 measures

Medicare Rating
3/ 5
Better Than Avg

13

measures

Worse Than Avg

3

measures

Mixed Results

1

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility99.1%
Worse than Avg
Here
99.1%
US
12.1%
IL
52.5%
Cook
74.9%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility99.5%
Better than Avg
Here
99.5%
US
93.4%
IL
90.0%
Cook
85.5%
💊

Residents on antipsychotic medication

↓ Lower is better
This Facility28.9%
Worse than Avg
Here
28.9%
US
15.4%
IL
21.8%
Cook
24.1%
💊

Residents on anti-anxiety or sleep medication

↓ Lower is better
This Facility6.3%
Better than Avg
Here
6.3%
US
19.5%
IL
18.3%
Cook
10.4%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility3.0%
Better than Avg
Here
3.0%
US
15.3%
IL
15.9%
Cook
9.2%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility2.7%
Better than Avg
Here
2.7%
US
14.4%
IL
14.2%
Cook
8.9%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility91.9%
Better than Avg
Here
91.9%
US
81.8%
IL
69.0%
Cook
55.3%
💉

Short-stay residents vaccinated for the flu

↑ Higher is better
This Facility89.3%
Better than Avg
Here
89.3%
US
79.7%
IL
63.1%
Cook
55.4%
💊

Short-stay residents newly given antipsychotics

↓ Lower is better
This Facility5.1%
Worse than Avg
Here
5.1%
US
1.6%
IL
2.4%
Cook
2.5%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

3deficiencies
10penalties
Well below state avg (12.0)
31 complaint-triggered
$270,248 in fines

Multiple families have filed complaints about this facility, with repeated issues around abuse protection, treatment failures, and environmental cleanliness persisting across recent surveys. The facility has struggled most with protecting residents from abuse and neglect, providing appropriate medical treatment, and maintaining clean living conditions. While all deficiencies show correction dates, the pattern of recurring problems in critical care areas suggests ongoing challenges with consistent quality and safety standards.

Jun 24, 2025Complaint
2
0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

0921Potential for harm · PatternCorrected

Environmental Deficiencies

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Apr 6, 2025Complaint
4
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

0842Potential for harm · IsolatedCorrected

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Mar 24, 2025Complaint
2
0684Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

0697Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide safe, appropriate pain management for a resident who requires such services.

Mar 14, 2025Complaint
1
0580Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Dec 3, 2024Complaint
2
0600Actual harm · IsolatedCorrected

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

0584Potential for harm · PatternCorrected

Resident Rights Deficiencies

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.

Oct 10, 2024Complaint
2
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

0684Potential for harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Federal Penalties

Fine

Mar 14, 2025

$22,984

Fine

Dec 3, 2024

$25,604

Fine

Oct 10, 2024

$14,050

Fine

Jul 13, 2024

$30,550

Fine

May 31, 2024

$30,602

Payment Denial

May 31, 2024

2-day denial

Fine

Jan 9, 2024

$82,833

Fine

Nov 3, 2023

$13,039

Fine

Aug 3, 2023

$50,586

Payment Denial

Aug 3, 2023

10-day denial

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bria of River Oaks

Organization Type

for profit

Chain Affiliation

Chain Name

Bria Health Services

Chain Size

15 facilities nationwide

Chain avg rating: 1.2/5 · Rank 13 of 15 (Worst)

Ownership & Management

Owners

Berkovits, Fred

Owner

24%

Segal, Dov

Owner

5%

Weiss, Amy

Owner

24%

Weiss, Natan

Owner

24%

Key personnel

Nwagwu Youlo, ChimnoyaManagerOlanrewaju, RosemaryManagerWeinfeld, AvrumManagerWeiss, DanielManagerSegal, DovLimited Partnership Interest
Source: Medicare provider data

Contact

Get in Touch

Contact this facility directly and verify the details that matter most to your family.

References & Resources

EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.

Safer Alternatives Nearby

Based on current clinical data, we identified 6 nearby facilities within 10 miles that may offer a stronger care environment. We encourage families to compare options carefully.

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