La Bella of Rochelle

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jul 2, 2024

  Based on observation, interview and record review, the facility failed to ensure a resident at high risk for elopement did not leave the facility unsupervised for 1 of 3 residents (R1) reviewed for elopement in the sample of 14. This failure resulted in an Immediate Jeopardy. The facility failed to ensure resident safety by timely and accurate documentation of resident monitoring for 14 of 14 residents (R1-14) reviewed for frequent monitoring (15-minute checks) in the sample of 14. The findings include: The Immediate Jeopardy began on 6/18/24 at 11:41 AM when R1 was not visually located in the facility. V1 (Administrator) was notified of the Immediate Jeopardy on 6/28/24 at 8:46 AM. […]

• Immediate jeopardy, isolatedF626Sep 7, 2023

  Based on interview and record review the facility failed to permit a resident to return to the facility after an acute hospitalization for 1 of 3 residents (R1) reviewed for discharge. The findings include: R1's electronic health record documents R1 had been residing at the facility since 7/28/2014. R1's 8/9/23 nursing note entered at 2:01 PM documents, Resident called [Mental Health Suicide Crisis Line] and stated she wanted to self-harm herself. Nurse did not know this until cops came in and stated that a resident had called. Resident did not show any self-harming signs or symptoms or nor did she state any discomfort or distress. Shortly, ambulance came as well, and she was transported via ambulance at around 7 PM. Vitals were all within normal range. […]

• Immediate jeopardy, isolatedF695Sep 7, 2023

  Based on interview and record review the facility failed to provide consistent ongoing monitoring of oxygen saturation for a resident with a history of respiratory failure for 1 of 3 residents (R3) reviewed for respiratory care. This failure resulted in R3 experiencing respiratory distress requiring hospitalization and mechanical ventilation for breathing on 8/19/23 and on 8/31/23. The findings include: R3's face sheet showed she was admitted to the facility on [DATE] with diagnoses to include acute on chronic respiratory failure with hypercapnia, acute on chronic diastolic congestive heart failure, essential hypertension, obstructive sleep apnea, acute on chronic respiratory failure with hypoxia, bipolar disorder, hyperlipidemia, asthma, morbid obesity, and schizophrenia. […]

• Immediate jeopardy, isolatedF689Mar 17, 2022

  Based on observation, interview, and record review the facility failed to supervise a resident with a history of elopement, and the facility failed to provide 1:1 monitoring for a resident. This failure resulted in R1 leaving the facility out of window on [DATE]. R1 was found approximately 3 hours later, by the side of the road, 9 miles from the facility with signs and symptoms of hypothermia. The immediate jeopardy began on [DATE]. V1 was notified of the Immediate Jeopardy on [DATE], at 9:00 AM related to R1's risk for R1's safety while R1 was gone. While the Immediate Jeopardy was removed on [DATE], the facility remains out of compliance at a severity level 2 due to the need to evaluate the effectiveness of staff monitoring of residents at risk for elopement. […]

• Immediate jeopardy, isolatedF689Sep 16, 2021

  Based on observation, interview, and record review the facility failed to supervise a cognitively impaired resident while outside the facility for 1 of 3 residents (R1) reviewed for supervision in the sample of 11. After R1 was left outside of the facility, in the sun, unsupervised, R1 was found unresponsive, red in the face, with a body temperature of 102 degrees Fahrenheit requiring 911 to be called. This failure resulted in an Immediate Jeopardy. The Immediate Jeopardy began on 9/10/21 when R1 was found outside unattended and unresponsive. The Immediate Jeopardy was identified on 9/16/21. […]