Bella Vita Health and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Bella Vita Health and Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF686Nov 6, 2025

  Based on observation, interviews, facility documentation, policy review, and the State Agency complaint tracking system, the facility failed to ensure that one resident (#1) was not neglected by failing to assess and meet their basic needs to prevent the development of a Stage 3 pressure ulcer and Deep Tissue Injury (DTI). The deficient practice could result in the residents' development of pressure ulcers and deep tissue injuries.Findings include:Resident #1 was admitted to the facility on [DATE], with diagnoses that included hypertension, Diabetes Mellitus (DM) Type 2, Schizophrenia, Non-Alzheimer's Dementia, and Cerebrovascular Accident (CVA) with a left-sided weakness.On May 9, 2025, a Braden Scale for Predicting Pressure Sore Risk assessment was completed, and the resident's score was… […]

• No harm, potential for more than minimal, patternF660Mar 19, 2025

  Based on clinical record review, staff and resident/resident representative interviews, the facility failed to ensure that the resident and resident ' s representatives were a part of the discharge/transfer process for 4 of 5 sampled residents (#21, #32, #16 and #14). Findings include: -Regarding Resident #21 Resident #21 was originally admitted on [DATE] with diagnoses that included cerebral palsy, functional quadriplegia, tourettes and dysphagia. Review of the resident ' s care plan dated February 19, 2017 indicated that the resident did not have an active discharge plan and wished to remain in the facility for long term care (LTC). […]

• No harm, potential for more than minimal, patternF695Aug 24, 2023

  Based on clinical record review, resident and staff interviews, and facility documentation and policy review, the facility failed to ensure there was a physician order for the use of oxygen for one resident (#2). The deficient practice could result in resident receiving oxygen not administered appropriately and as recommended by the physician. Findings include: Resident #2 was admitted on [DATE] with diagnoses of chronic respiratory failure with hypoxia, COPD (chronic obstructive pulmonary disease), and dependence on supplemental oxygen. A physician order dated July 13, 2023 revealed to document temperature and oxygen saturation and monitor for symptoms such as shortness of breath or difficulty breathing. […]

• No harm, potential for more than minimal, patternF552Feb 10, 2022

  Based on clinical record reviews, staff interviews, and facility policy, the facility failed to ensure that risks and benefits of [CONDITION(S)] medications were explained to 3 residents (#111, #37, and #548) and/or their representatives prior to receiving the medications. The sample size was 5 residents. The deficient practice could result in residents and/or their representatives not being informed of the risks and benefits of [CONDITION(S)] medications. Findings include: -Resident #111 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . The resident's mood care plan, dated January 16, 2022, revealed that the resident had potential for a mood problem related to [CONDITION(S)], anxiety, and depression. […]

• No harm, potential for more than minimal, patternF645Feb 10, 2022

  Based on clinical record reviews, staff interviews, facility documentation, and facility policy, the facility failed to ensure Preadmission Screening and Resident Review (PASRR) documentation was complete, accurate, and available for three residents (#12, #100, and #3). The sample size was 4 residents. The deficient practice could result in residents not receiving specialized services that they require. Findings include: -Resident #12 was admitted to the facility on [DATE] with diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of PASRR documentation revealed that a level 1 PASRR was completed prior to admission on November 2, 2022 at an acute care hospital. […]