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Inspection visit

Health inspection

BELLA TERRA LOMBARDCMS #1455111 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

This survey cited 1 deficiency. The full statement and the facility’s plan of correction follow, verbatim from the federal record.

145511 02/21/2024 Bella Terra Lombard 2100 South Finley Road Lombard, IL 60148
F 0622 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. **NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY** Based on interview and record review the facility failed to re-assess and allow a resident to return to the facility during an involuntary discharge appeal for 1 of 1 resident in a sample of 8. The findings include: R4's face sheet showed R4 was admitted to the facility on [DATE] without any psychiatric or behavioral diagnoses. R4's Behavioral Note dated 12/13/23 at 8:28 AM showed R4 being verbally and physically aggressive towards staff. R4 pushed a shower bed at the Certified Nursing Assistant (V13) and striking her body twice. On 2/20/24 at 11:20 AM, V1 Administrator stated the facility did not allow R4 to return after being sent to the hospital due to his aggressive behaviors to staff, and to not put the other residents at risk. R4's Hospital records showed R4 was sent to the hospital and admitted to the hospital's behavioral health unit on 12/13/23 with behavioral disturbance as the diagnosis. The Facility's Involuntary Discharge Form dated 12/13/23 showed the notice to resident was on 12/13/23. On 2/21/23 at 9:55 AM, R4 stated the day after he was admitted to the hospital (12/14/23) he received the Involuntary Discharge papers from the facility. R4 stated he would like to be back at the facility. It is where my friends are, and the nurses know me pretty well. On 2/21/23 at 10:00 AM, V22 Hospital Case Manager stated she had emailed the facility about R4's discharge. V22 stated the reply email was from V1 and other staff stating they would not allow R4 back into the facility. V22 stated during R4's hospitalization R4 made it clear he wanted to go back to the facility. V22 stated it was also R4's power of attorney's (POA's) request R4 be returned to the facility. V22 stated multiple attempts to email the facility were made with the same reply of not allowing R4 to be readmitted . V22 stated the hospital deemed R4 to be stable and R4 was discharged to R4's current facility (facility #2). R4's electronic medical record (EMR) showed no progress notes, assessments, documentation for R4 returning to the facility, or why the facility would not be able to meet R4's needs after being sent Page 1 of 2 145511 145511 02/21/2024 Bella Terra Lombard 2100 South Finley Road Lombard, IL 60148
F 0622 to the hospital on [DATE] for evaluation. Level of Harm - Minimal harm or potential for actual harm R4's Facility #2 face sheet showed R4 was admitted on [DATE]. Residents Affected - Few On 2/20/24 at 11:45 AM, V20 Facility #2 Administrator and V21 Facility #2 Social Services stated R4 is still currently a resident of their facility. The Administrative Law Judge Report and Order dated 12/22/23 showed an order for the facility shall admit the resident back into the facility as he is still a resident of the facility. 145511 Page 2 of 2

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Citations

1 citation recorded*CMS

What do CMS severity letters mean?

Serious (G-L). Actual harm to a resident, or immediate jeopardy. Codes G through I indicate actual harm; J through L indicate immediate jeopardy to resident health or safety.

General (A-F). No actual harm found, or harm that is minimal. The facility must still submit a Plan of Correction. Most CMS citations land here.

Each letter combines severity with scope: how many residents the deficiency affected.

  • 0622GeneralS&S Dpotential for harm

    F622 - Transfer and discharge-

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

FAQ · About this visit

Common questions about this visit

What happened during the February 21, 2024 survey of BELLA TERRA LOMBARD?

This was a inspection survey of BELLA TERRA LOMBARD on February 21, 2024. The surveyor cited 1 deficiency, recorded on the federal Form 2567 statement of deficiencies.

Were any deficiencies cited at BELLA TERRA LOMBARD on February 21, 2024?

Yes, 1 deficiency was cited, each with a CMS Scope and Severity grade. The first was: "Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific info..."

What type of survey was this?

This was a inspection survey conducted by state surveyors under federal Centers for Medicare & Medicaid Services (CMS) oversight. Findings are published on CMS Care Compare.

SourceView on CMS Care Compare

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Next steps

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Data from CMS Care Compare public records. Dataset last refreshed . If you believe any information is inaccurate, report it here.