Bella Terra Bloomingdale

In the surveyor’s words

From the most serious findings on record at Bella Terra Bloomingdale, in the surveyor’s own words.

• Actual harm, isolatedF600Jun 11, 2026

  Based on observation, interview, and record review, the facility failed to protect a resident from abuse. This failure resulted in R1 experiencing a broken arm after R2 struck R1 with a plate cover. This applies to 1 of 3 residents (R1) reviewed for abuse in the sample of 5. The findings include:The facility's Abuse Report Initial Form dated May 22, 2025, at 7:45 PM, by V1 (Administrator) showed On May 22, 2026, RN (Registered Nurse), [V8 (RN)], reported to Administrator, [V1], that resident [R1], reported to him that his roommate, [R2], hit him on the arm with the plate lid from his meal tray. Residents were immediately separated and [R2] was placed on one-to-one supervision. Upon assessment, [R1] was noted with a small abrasion to his left wrist, no other injuries noted. […]

• Actual harm, isolatedF689Aug 4, 2025

  Based on interview and record review, the facility failed to safely transfer a resident with a mechanical lift. This failure resulted in R1 sustaining a closed fracture of the distal end of his right femur and requiring surgery.This applies to 1 of 4 residents (R1) reviewed for transfers.The findings include: R1's EMR (Electronic Medical Record) showed R1 admitted to the facility on [DATE] with multiple diagnoses, including hemiplegia and hemiparesis related to cerebral infarction affecting his left side, spinal stenosis, general weakness, decreased mobility, polyneuropathy, and contractures to his lower extremities. R1's care plan with a review date of 6/18/2025 said R1 had a self-care deficit with his activities of daily living and required physical assistance of two-staff members. […]

• Actual harm, isolatedF689Jul 15, 2025

  Based on observation, interview, and record review the facility failed to ensure a resident was transferred in a safe manner for 1 of 3 residents (R1) reviewed for accidents in the sample of 9. This failure resulted in R1 receiving stitches to a left leg laceration. This past noncompliance occurred from 6/3/25 to 6/9/25.The findings include: The facility's initial incident report sent to IDPH (Illinois Department of Public Health) showed R1 sustained a laceration to her left lower extremity on 6/3/25 at approximately 11:15 AM. The report showed R1 was provided first aid and orders were obtained to send R1 to the local hospital emergency department. The report showed R1 left the facility with paramedics at around 1:06 PM the same day. […]

• Actual harm, isolatedF684Jul 15, 2023

  Based on interview and record review, the facility failed to thoroughly assess and consistently monitor pain for a resident (R1) who was cognitively impaired and had verbalized had a recent fall incident. The facility also failed to follow physician order for pain medication administration and failed to notify the physician of severe pain. This failure resulted in R1 waiting more than 24 hours experiencing pain and a delay in treatment for the right hip fracture. This applies to 1 of 3 residents (R1) reviewed for injuries of unknown origin. The findings include: The EHR (Electronic Health Record) shows R1 was admitted to the facility on [DATE] at 2:20 P.M. R1 came from another facility. […]

• Actual harm, isolatedF689Apr 26, 2023

  Based on observation, interview, and record review, the facility failed to safely transfer a resident in a mechanical lift, failed to safely reposition a resident in bed, and failed to safely position a resident in bed to prevent from sliding out of bed for two of 22 residents (R21, R6) reviewed for safety and supervision in the sample of 22. This failure resulted in R21 obtaining an extensive hematoma to her forehead. The findings include: 1. R21's Order Summary report dated 4/25/23 shows R21 was admitted to the facility on [DATE] with diagnoses including hemiplegia, cerebral infarction, diabetes mellitus 2, aphasia, gastrostomy status, dysphagia, major depressive disorder, and contracture. […]