Bella Terra Schaumburg

In the surveyor’s words

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

• Immediate jeopardy, patternF689Sep 26, 2022

  Based on interview and record review the facility failed to ensure a resident (R1) was transferred, via a mechanical lift, in a safe manner. This failure resulted in R1 falling out of a mechanical lift on August 30, 2022. R1 was emergently sent to a local hospital where she was subsequently admitted to the intensive care unit (ICU) with diagnoses of a scalp laceration and subarachnoid hemorrhage (brain bleed). This failure had the potential to affect all 13 residents (R1, R2, R7-R17), on the third floor of the facility, that required the use of a mechanical lift for transfers. […]

• Immediate jeopardy, isolatedF600Nov 2, 2021

  Based on observation, interview, and record review the facility failed to ensure a resident was free from sexual abuse (R1) and failed to ensure the perpetrator (R2) of the sexual abuse did not have access to other residents (R6). This applies to 2 of 6 residents (R1, R6) reviewed for abuse in the sample of 6. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy began on October 27, 2021 when the facility moved R2 (perpetrator) into a resident room with R6 during an ongoing abuse investigation. The Immediate Jeopardy was identified on October 28, 2021. V1 (Administrator) was informed of the Immediate Jeopardy on November 2, 2021. […]

• Actual harm, isolatedF692Nov 20, 2024

  Based on observation, interview, and record review the facility failed to weigh, assess and monitor a resident with significant weight loss. This failure resulted in R137 losing 21 lbs (pounds) in 14 days without being re-weighed or assessed. The facility also failed to provide physician ordered supplements for a resident with a history of significant weight loss. This applies to 2 of 7 residents (R137 & R118) reviewed for weight loss in the sample of 30. The findings include: 1. R137's face sheet lists her diagnoses to include: senile degeneration of brain, dementia, unspecified psychosis, major depressive disorder, cognitive communication deficit and hallucinations. R137's face sheet also shows she was admitted to the facility on [DATE]. She weighed 145.6 lbs. […]

• Actual harm, isolatedF689Nov 4, 2024

  Based on observation, interview, and record review the facility failed to ensure a resident was safely transferred for 1 of 3 residents (R1) reviewed for safety in the sample of 3. This failure resulted in R1 sustaining a laceration of 11 centimeters (cm) requiring 13 sutures. The findings include: R1's face sheet printed on 11/4/24 showed she was [AGE] years old and diagnosed with dementia, malnutrition, and peripheral venous insufficiency. A facility assessment done on 8/29/24 showed R1 had severe cognitive impairments and was dependent on staff for transfers. R1's Care Plan printed on 11/4/24 showed R1 had a self-care deficit and impaired mobility. Listed under interventions showed R1 was dependent on two staff for transfers. […]

• Actual harm, isolatedF689Oct 25, 2023

  Based on observation, interview, and record review the facility failed to ensure fall interventions were in place for a resident who is a HIGH risk for falls and failed to ensure a resident was safely transferred. This failure resulted in R135 falling on the floor in the dining room sustaining a right femoral neck fracture and requiring surgical intervention. This applies to 1 of 2 residents (R135, R459) reviewed for safety in the sample of 31. The findings include: 1. R135's face sheet shows he is a [AGE] year old male with diagnosis including fracture of the right femur neck, unspecified dementia without behavioral disturbance, unsteadiness on feet, cognitive communication deficit, weakness, monoplegia of upper limb following cerebral infarction affecting right dominant side,… […]