La Bella of Danville

In the surveyor’s words

From the most serious findings on record at La Bella of Danville, in the surveyor’s own words.

• Immediate jeopardy, isolatedF760Apr 2, 2026

  Based on interview and record review the facility failed to accurately transcribe an opioid analgesic medication order and failed to ensure nursing staff questioned and verified a large dose of a high-risk medication (Morphine 500 mg) before administration. This failure resulted in R5 experiencing drowsiness, respiratory depression, and memory loss. R5 was treated with Narcan (opioid antagonist) and later sent to the emergency room. These failures affected one of three residents (R5) reviewed for Pharmaceutical Services on the sample list of ten. The Immediate Jeopardy began on 3/10/26 when R5 was given an overdose of Morphine Sulfate (500 milligrams). V1 Administrator was notified of the Immediate Jeopardy on 3/31/26 at 2:50 PM. […]

• Immediate jeopardy, isolatedF600Feb 20, 2026

  Based on observation, interview, and record review, the facility failed to protect residents' right to be free from sexual abuse and assault perpetrated by another resident (R5) with known sexual behaviors. This failure affects two residents (R4 and R6) on the sample list of fourteen. This failure resulted in immediate jeopardy. The immediate jeopardy began on 2/2/26 at approximately 10:30 am when R5 made sexual contact with R4 and R6. V1, Facility Administrator, was notified of the immediate jeopardy on 2/13/26 at 11:15 am. The surveyor confirmed by interview and record review, the Immediate Jeopardy was removed on 2/16/26, but noncompliance remains at Level Two because additional time is needed to evaluate the implementation and effectiveness of the in-service training. […]

• Immediate jeopardy, isolatedF610Feb 20, 2026

  Based on interview, and record review, the facility failed to separate a resident (R5) from contact with other residents after an allegation of sexual abuse to prevent further sexual abuse and assault. This failure affects one resident (R6) out of six reviewed for sexual abuse on the sample list of fourteen. This failure resulted in immediate jeopardy. The immediate jeopardy began on 2/2/26 at approximately 10:30 am when R5 was left unsupervised after an allegation of sexual abuse towards R4, and sexually assaulted R6 while unsupervised. […]

• Immediate jeopardy, isolatedF689Jan 23, 2025

  Based on observation, interview, and record review the facility failed to provide adequate supervision for a cognitively impaired resident, known to exit seek, and with a prior elopement history, to prevent an elopement. The facility also failed to complete a full body post-elopement assessment to determine injury, failed to develop an elopement care plan with interventions in a timely manner, and failed to ensure functional exit door alarms. These failures resulted in R1, a severely cognitively impaired resident at risk of falls and receiving anticoagulation therapy, exiting the facility without staff knowledge or supervision, walking approximately 0.4 miles in extreme cold weather down a busy street. R1's likely path included steep ditches and large rocks. […]

• Immediate jeopardy, isolatedF689Jan 19, 2024

  Based on interview and record review the facility failed to properly monitor a door alarm and failed to ensure a resident did not exit the facility unnoticed (elopement). This failure resulted in R4 leaving the facility alone and unsupervised for over 1 hour and 16 minutes. This failure affects one (R4) of three residents reviewed for elopement in the sample of 5. R4 had potential for serious injury and/or death due to the inclement winter weather and residents' poor safety awareness of walking in the street. R4's hands and face were exposed to dangerously cold temperatures increasing potential of frostbite. These failures resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 1/15/24 at 6:41pm when R4 left the facility unnoticed by staff. […]