Bella Terra Wheeling

In the surveyor’s words

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

• Actual harm, isolatedF689Jan 13, 2025

  Based on the interview and record review, the facility failed to provide appropriate assistive devices and staff supervision while walking to two cognitively impaired, high-risk falls residents (R1, R2) out of 3 residents reviewed for incidents/accidents. These failures resulted in R1 bumping R1's nose on the hallway countertop and sustained a nasal fracture. Findings Include: R1's clinical records show an initial admitted [DATE] with included diagnoses but not limited to Unspecified Dementia Without Behavioral Disturbance, Unspecified Psychosis, History of Falling, and Altered Mental Status. R1's Minimum Data Set (MDS) dated [DATE] shows R1 has severe cognitive impairment and requires supervision or touching assistance with walking. […]

• Actual harm, isolatedF600Aug 8, 2024

  Based on observations, interviews and record review, the facility failed to ensure a resident's right to be free from physical harm and mental abuse for 1 (R1) of 4 residents reviewed for abuse in the sample of 5. This failure resulted in R1 being verbally and physically assaulted by staff causing bruising and lacerations during an unprovoked altercation. Findings include: R1 is a [AGE] year old female admitted to the facility on [DATE] with diagnosis including but not limited to Dementia; Suicidal Ideations; Anxiety Disorder; Major Depressive Disorder; Atherosclerotic Heart Disease of Native Coronary Artery without Angina Pectoris; Chronic Pain Syndrome; Chronic Obstructive Pulmonary Disease; Hypertension; and Epilepsy. […]

• Actual harm, isolatedF689Aug 8, 2024

  Based on interviews and record review, the facility failed to keep a severely cognitively impaired resident at high risk for falls and with history of falls from a mechanical fall while providing routine ADLs (activities of daily living care) and failed to follow fall prevention protocols for 1 (R2) of 3 residents reviewed for accidents/hazards in the sample of 5. This failure resulted in R2's transfer to the hospital Emergency Department and diagnosis of comminuted displaced intertrochanteric right femur fracture. […]

• Actual harm, isolatedF684Apr 26, 2024

  Based on interviews and record reviews, the facility failed to follow its intravenous therapy policy and accurately assess and monitor resident's signs/symptoms/change of condition, which resulte in delay of care and resulted in MRSA spread causing decline in resident's health, with infection to knee and MRSA pneumonia for one resident's (R422) PICC (peripherally inserted central catheter) out of three reviewed for change in condition in a sample of 37. This failure resulted in R422 developing chills, elevated white blood cell count, and malaise. […]

• Actual harm, isolatedF689Nov 15, 2023

  Based on observation, interview and record review the facility failed to identify supervision needs and implement measures to reduce fall risk for a confused resident at risk for falls, failed to implement plan of care interventions and falls policy to prevent resident's fall and injury. This failure affects 1 (R1) of 3 residents reviewed for accidents/incidents in the sample and resulted in R1 being emergently transferred to the hospital for hip fracture with surgical intervention. […]