Bella Terra Lagrange

In the surveyor’s words

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

• Actual harm, isolatedF600Jan 3, 2023

  Based on interview and record review, the facility failed to protect a resident's right to be from sexual abuse by another resident. This failure resulted in R1 experiencing sexual abuse at the facility when R2 put his hand underneath R1's clothing and touched her breast area. R1's medical diagnosis makes assessing the effects of sexual abuse difficult. A reasonable person would not want to be touched in the breast area without consent. This applies to 1 of 3 residents (R1) reviewed for sexual abuse in the sample of 4. The findings include: On December 28, 2022 at 1:30 PM, R1 was sitting in a high-back wheelchair near the doors of the dining room, and close to the nurse's station. R1 was fully dressed and seated next to another resident. […]

• Actual harm, isolatedF600Nov 5, 2021

  Based on interview and record review, the facility failed to ensure that residents were free from mental abuse and failed to protect vulnerable residents from abuse. These failures affect 1 out of 1 resident (R277) reviewed for abuse in a sample size of 19. This failure resulted in R1 feeling embarrassed and violated about being seen on live video during personal care and felt threatened when the agency aide returned to the facility days later. Findings include: On November 2, 2021 at 12:05 PM, R277 was observed lying in bed in her room. She had a cast on her right arm and dressing on her right leg. R277 said she was in a car accident and both her legs and her right wrist were broken. […]

• Actual harm, isolatedF760Oct 21, 2021

  Based on observation, interview and record review the facility failed to ensure R1 received insulin as ordered by the physician and failed to ensure R4's cardiac medication was administered as ordered by the physician. These failures resulted in R1 sustaining elevated blood sugars and R4 requiring intravenous fluids and experiencing low blood pressure on multiple days. This affects 2 of 4 residents (R1, R4) reviewed for improper nursing and medication administration in the sample of 9. Findings include: 1. The EMR (Electronic Medical Record) shows R1 was admitted to the facility on [DATE]. The EMR continues to show R1 was transferred from the facility to the local hospital on September 5, 2021 and admitted to the hospital with a diagnosis [MEDICAL RECORD OR PHYSICIAN ORDER] . […]

• No harm, potential for more than minimal, widespreadF887Mar 28, 2025

  Based on interview and record review, the facility failed to offer staff the Covid-19 immunization vaccine and have written documentation of it. This applies to all 97 residents in the facility reviewed for immunizations in the sample of 24. The findings include: The CMS (The Centers for Medicare and Medicaid Services) form 671 titled Long-Term Care Facility Application for Medicare and Medicaid dated 3/25/25 shows the facility has a census of 97 residents. On 3/26/25 at 2:02 PM, V3 (LPN-Licensed Practical Nurse/Infection Preventionist) stated, I don't have the documentation that shows where I offered the vaccine to staff. Now, our corporate changed their policy. The Covid vaccines are not free anymore. […]

• No harm, potential for more than minimal, patternF880Jun 26, 2026

  Based on observation, interview, and record review, the facility failed to follow their infection control policies and practices when staff failed to wear personal protective equipment and perform hand washing when entering and exiting a resident room and failed to ensure the posting of correct isolation procedure instruction. This affected one of three residents reviewed (R4) for infection control. This has potential to affect all 27 residents residing on the first-floor unit.Findings includesBased on observation, interview, and record review, the facility failed to follow their infection control policies and practices when staff failed to wear personal protective equipment and perform hand washing when exiting a resident room and failed to ensure the posting of correct isolation… […]