Bella Terra Elmhurst

In the surveyor’s words

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

• Actual harm, isolatedF580Dec 30, 2024

  Based on interview and record review, the facility failed to consult with a resident's physician when the resident had unrelieved acute gastrointestinal symptoms for 24 hours. This failure resulted in a resident calling the emergency paramedics herself for transfer to the hospital, and R6 was hospitalized for treatment of sepsis (a life-threatening complication of an infection) related to acute enterocolitis and aspiration pneumonia. This applies to 1 out of 3 (R6) residents reviewed for change in condition. The findings include: R6's EMR (Electronic Medical Record) showed R6 had multiple diagnoses, including gastro-esophageal reflux disease, irritable bowel syndrome, emphysema, congestive heart failure, and chronic obstructive pulmonary disease. […]

• Actual harm, isolatedF684Dec 30, 2024

  Based on interview and record review, the facility failed to assess and monitor a resident who had no recorded bowel movement for eight consecutive days who was experiencing abdominal discomfort. This failure resulted in R1 having acute rectal bleeding, requiring hospitalization for a blood transfusion and emergency intravenous medication administration to reverse the effects of her blood thinner. R1 also required the insertion of a rectal tube for the management of her fecal impaction. […]

• Actual harm, isolatedF689Mar 6, 2023

  Based on interview and record review the facility failed to safely transfer a resident who was identified as needing two staff assistance. This applies to 1 of 3 residents (R2) reviewed for fall incidents in the sample of 6. This failure resulted in one staff attempting to transfer R2 from bed to wheelchair and in the process R2 buckling her knees requiring the staff to lower R2 on her knees, to the floor. R2 was sent to the hospital and was diagnosed with closed subcapital fracture of the left femur and dislocation of the left knee. The findings include: R2 was admitted to the facility on [DATE]. […]

• Actual harm, isolatedF686Jan 20, 2023

  Based on observation, interview and record review, the facility failed to identify, assess, monitor and treat a pressure ulcer. The facility also failed to implement interventions to provide pressure relief modalities and prevent developing facility acquired pressure ulcer. This failure resulted in R1 developing a facility-acquired stage 3 pressure ulcer to the right buttock and was left untreated for unknown prolonged time. This applies to 1 of 3 residents (R1) reviewed for pressure ulcers in the sample of 4. The findings include: The EMR (Electronic Medical Record) shows R1 was admitted to the facility on [DATE]. R1's most recent hospitalization was on January 12, 2023, for evaluation of low blood pressure. R1 was back to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF888May 5, 2022

  Based on observation, interview, and record review, the facility failed to ensure all staff were fully vaccinated for COVID-19. This has the potential to affect all 87 residents residing in the facility. The findings include: The Resident Census and Conditions of Residents form dated May 02, 2022, showed the facility census as 87 residents. Facility undated Covid-19 Staff Vaccination Status for Providers updated and given on 5/4/22 at 10:20 AM, included 11 staff (V8-V18) were scheduled to receive the Booster dose. The same document showed that V9-V12 and V14-V17 were direct care staff. Vaccination records for V8-V18 showed that they only received the first and second COVID-19 vaccine doses and are currently pending to receive booster dose. […]