Bella Terra Morton Grove

In the surveyor’s words

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

• Actual harm, isolatedF600Jul 23, 2026

  Based on observation, interview, and record review the facility failed to ensure that a resident was free from physical abuse by staff for one of three residents (R2) reviewed for abuse when a Certified Nursing Assistant (CNA) thrust an unused folded incontinence brief into R2's face and mouth while he was lying in bed, resulting in a distressing moment for the resident, who was made to feel humiliated and afraid for his safety. Findings include:R2 is an eighty-four-year-old resident of the facility with medical diagnosis including but not limited to hemiplegia and hemiparesis following cerebral infarction affecting right non-dominant side; reduced mobility; bladder-neck obstruction; and benign prostatic hyperplasia without lower urinary tract symptoms.On 07/23/2026 at 11:50 AM, video… […]

• Actual harm, isolatedF689Feb 26, 2026

  Based on interview and record review, the facility failed to ensure monitoring and supervision of a bedbound, high fall-risk resident on strict COVID isolation, and failed to consistently implement required fall prevention interventions. This failure affected one (R1) of four residents reviewed for safety and supervision and resulted in R1 not being visually observed or assessed for a period of over two hours and culminated in R1 being found unresponsive on the floor and pronounced deceased in the facility. […]

• Actual harm, isolatedF550Jun 18, 2025

  Based on observation, interviews and record review, the facility failed to ensure that a cognitively and visually impaired resident (R1) of 3 residents reviewed in the sample of 3, was treated with respect and dignity during the provision of care. This failure resulted in physical harm when two Certified Nursing Assistants (CNAs) were observed on video being physically rough with R1, including forcefully pushing the resident's head and torso down on the bed while resident was actively resisting and crying out, threatening the resident to stop screaming, and slapping the resident's face during care. […]

• Actual harm, isolatedF600Jun 18, 2025

  Based on observation, interviews and record review, the facility failed to train/monitor staff on behavior de-escalation, failed to protect a cognitively and visually impaired resident from abuse for 1 (R1) of 3 residents reviewed for abuse in the sample of 3.This failure resulted in physical and emotional harm inflicted on a vulnerable resident when two Certified Nursing Assistants (CNAs) were observed on video footage being physically rough with R1, including forceably pinning the resident's head and torso down on the bed while resident was actively resisting and crying out, threatening the resident to stop screaming, and slapping the resident's face during care. […]

• Actual harm, isolatedF689Oct 30, 2024

  Based on interviews and records reviewed, the facility failed to ensure fall prevention interventions were utilized to include nonskid footwear and other appropriate interventions for 1 resident (R3) and provide assistance to one resident (R2) during transfer from wheelchair to bed. R3 has a cognitive communication disorder, poor safety awareness, and impaired cognition. R2 has a history of alcohol abuse, gait disorder, and neuropathy. These failures affected two of three (R2, R3) residents reviewed for falls. These failures resulted in harm, with R2 sustaining a laceration requiring two sutures to the left eyebrow region, and R3 was admitted to the hospital for Subdural Hematoma and received 7 staples to the left occipital region. The findings include: 1. […]