Madison County

Bria of Godfrey

Medicare rating
2 out of 5
12
findings of actual harm to a resident
42%
less nursing care than its residents are expected to need, against a research benchmark
$209,961
in federal fines recorded since 2024

Medicare’s overall rating for this home. The inspection part of it is graded on a curve against other Illinois homes, so a star here does not mean what it means in another state.

1623 29 West Delmar, Godfrey, IL 62035 · (618) 466-0443
68 beds · about 50 residents on a typical day · for-profit limited liability company

Staffing

All nursing staff, per resident, per day
3 hours 15 minutes

Residents here are expected to need about 5 hours 35 minutes, given how sick they are. This home reports 42% less. The average Illinois home reports 3 hours 27 minutes.

Registered nurses only
37 minutes

Registered nurses have the most training of the nursing staff on a shift. Residents here are expected to need about 1 hour 28 minutes of their time. This home reports 58% less.

Nursing staff who left in the past year
77%

77% of the nursing staff left within a year. High turnover means the people caring for your family member keep changing. The average Illinois home reports 44%.

Where the benchmark comes from

Staffing is the measure most closely linked to how residents do, and the one families almost never see. How much nursing care a resident needs depends on how sick they are, so we compare this home against the level its own residents are expected to need. The marker on the first two bars shows that level. It is a research benchmark, not a legal limit. The hours shown are the hours the home filed with Medicare, before any adjustment for how sick its residents are.

What inspectors found

Inspectors visit every nursing home and write up what they find. This home has 41 findings on record going back to 2022, 24 of them after someone filed a complaint. Of the 41, 25 are from the last three years.

The 12 serious findings here

Actual harm December 19, 2025 From a complaint

Quality of care

A resident did not get treatment and care that followed their orders, their own preferences and their goals.

The home fixed this on December 20, 2025.

Medicare’s wording

Federal tag F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Actual harm April 22, 2025 From a complaint

Medication errors

The home did not keep a resident free of a significant medication error.

The home fixed this on April 23, 2025.

Medicare’s wording

Federal tag F760Ensure that residents are free from significant medication errors.

Actual harm March 4, 2025 From a complaint

Feeding tube rules broken

The home used a feeding tube without a medical reason, or did not care for the tube properly.

The home fixed this on March 13, 2025.

Medicare’s wording

Federal tag F693Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Actual harm February 28, 2025 From a complaint

Pain

A resident’s pain was not properly treated.

The home fixed this on March 3, 2025.

Medicare’s wording

Federal tag F697Provide safe, appropriate pain management for a resident who requires such services.

Actual harm June 18, 2024 From a complaint

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on July 11, 2024.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm July 20, 2023

No help eating or washing

The home did not give a resident who could not manage alone the help they needed with everyday care such as eating, washing, grooming and mouth care.

The home fixed this on August 11, 2023.

Medicare’s wording

Federal tag F677Provide care and assistance to perform activities of daily living for any resident who is unable.

Actual harm July 20, 2023

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on August 11, 2023.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Actual harm July 20, 2023

Bladder and bowel care

A resident did not get proper help with continence care.

The home fixed this on August 11, 2023.

Medicare’s wording

Federal tag F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Actual harm July 20, 2023

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on August 11, 2023.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm September 29, 2022

Nutrition

A resident did not get enough food or fluids to stay healthy.

The home fixed this on October 14, 2022.

Medicare’s wording

Federal tag F692Provide enough food/fluids to maintain a resident's health.

Actual harm September 29, 2022

Accidents and supervision

The home did not keep the building free of hazards, or did not supervise a resident closely enough to prevent an accident.

The home fixed this on October 14, 2022.

Medicare’s wording

Federal tag F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm September 29, 2022

Bedsores

The home did not prevent or properly treat pressure sores.

The home fixed this on September 30, 2022.

Medicare’s wording

Federal tag F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Everything on record

Immediate jeopardy 0 Has caused, or was likely to cause, serious injury, harm, impairment or death
Actual harm 12 A resident was hurt
Potential for harm 28 Could have caused harm. No one was hurt. The most common kind.
No harm1Rule was broken but no resident was put at risk. Usually paperwork or procedure.

614 of the 666 nursing homes in Illinois have fewer findings of harm or immediate jeopardy on record than this one.

Medicare also blocked payment for new admissions at this home for 15 days, starting September 10, 2025.

What these levels mean

Immediate jeopardy The most serious finding there is. Medicare’s words: noncompliance that has caused, or is likely to cause, serious injury, harm, impairment, or death. About 2 in every 100 findings nationally.

Actual harm A resident was really hurt, not just put at risk. About 3 in every 100 findings.

The letter is Medicare’s own code for how many residents were involved. Immediate jeopardy covers J, K and L. Actual harm covers G, H and I. The later the letter, the more residents were affected.

The plain-English line under each finding describes the rule the inspector cited. It is not an account of what happened. Medicare’s own wording of the rule is printed with it, and the full inspection report is the record of the incident.

What you can do

Numbers only go so far. These are two things most families do not know they can do.

Ask for today’s staffing sheet

Every nursing home must post how many nurses are working each shift, keep 18 months of it, and show it to you on request. Ask for today’s, then last Saturday’s. Weekends are when staffing thins out.

Call the ombudsman before you decide

Every state has a free, confidential long-term care ombudsman. You can ask how many complaints a specific home has had and what they were about. You can find your state’s office through its department of aging.

Where this comes from

Inspection findings, staffing hours, fines and star ratings on this page are published by the Centers for Medicare & Medicaid Services, a federal agency, and are current as of August 1, 2026. We reload after each monthly release, and the footer of every page shows both the release date and the date we loaded it. The federal ID for this home is 145656.

What these numbers do not say

Fines can be appealed and reduced. The amount shown is what CMS had recorded as of this release. Medicare’s penalties file covers a rolling window of the last few years rather than a home’s whole history, so this is what Medicare publishes today and not everything this home has ever been fined. The year beside the figure above is the earliest fine Medicare still lists for it.

The level of care residents here are expected to need, and the gap, are not Medicare figures. We work them out from this home’s own Medicare case-mix score using the published CASE formula (Harrington and others, Journal of the American Geriatrics Society, 2025). It is a research benchmark, not a legal limit.

Inspection findings are recorded by state inspectors on behalf of Medicare. Staffing hours come from payroll records the home files with Medicare, and Medicare audits a sample of them. Star ratings partly reflect quality measures the home reports about itself, which is why we show inspections and staffing separately rather than only the star.