Bella Terra Lombard

Penalties

• Aug 24, 2023 — IDPH fine (Nursing Home Care Act) ($2,200)

Inspection findings

1. Jun 25, 2026 Health · 1 finding
   • Serious Scope/severity G Complaint Under dispute

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jul 6, 2026 · CMS health inspection

2. Jan 28, 2026 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Feb 6, 2026 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Feb 6, 2026 · CMS health inspection

3. Oct 6, 2025 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0609 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

     Corrected Nov 14, 2025 · CMS health inspection

4. Mar 11, 2025 Health · 2 findings
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Mar 21, 2025 · CMS health inspection

   • Not serious Scope/severity D Complaint

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Mar 21, 2025 · CMS health inspection

5. Jul 20, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Jul 26, 2024 · CMS health inspection

6. Jul 17, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0602 Freedom from Abuse, Neglect, and Exploitation Deficiencies

     Protect each resident from the wrongful use of the resident's belongings or money.

     Corrected Jul 24, 2024 · CMS health inspection

7. Jun 26, 2024 Health · 8 findings
   • Not serious Scope/severity D

     F0550 Resident Rights Deficiencies

     Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0686 Quality of Life and Care Deficiencies

     Provide appropriate pressure ulcer care and prevent new ulcers from developing.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity E

     F0688 Quality of Life and Care Deficiencies

     Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0689 Quality of Life and Care Deficiencies

     Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0695 Quality of Life and Care Deficiencies

     Provide safe and appropriate respiratory care for a resident when needed.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0755 Pharmacy Service Deficiencies

     Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity F

     F0812 Nutrition and Dietary Deficiencies

     Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

     Corrected Jul 5, 2024 · CMS health inspection

   • Not serious Scope/severity D

     F0880 Infection Control Deficiencies

     Provide and implement an infection prevention and control program.

     Corrected Jul 5, 2024 · CMS health inspection

8. Apr 11, 2024 Health · 1 finding
   • Not serious Scope/severity E Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Apr 12, 2024 · CMS health inspection

9. Apr 2, 2024 Health · 1 finding
   • Not serious Scope/severity D Complaint

     F0677 Quality of Life and Care Deficiencies

     Provide care and assistance to perform activities of daily living for any resident who is unable.

     Corrected Apr 3, 2024 · CMS health inspection

10. Feb 21, 2024 Health · 1 finding
    • Not serious Scope/severity D Complaint

      F0622 Resident Rights Deficiencies

      Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

      Corrected Mar 21, 2024 · CMS health inspection

11. Aug 24, 2023 Health · 2 findings
    • Serious Scope/severity G Complaint

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected Sep 7, 2023 · CMS health inspection

    • Not serious Scope/severity B

      Type B Illinois Nursing Home Care Act violation

      Type B: more likely than not to cause more than minimal harm (1-130). Sections of the Illinois Administrative Code cited: 300.610a), 300.1210b)4), 300.1210c) and 300.1210d)5). The fine was doubled in this instance in accordance with 300.282i) and j) of the Code due to the violation of the sections of the Code with a high-risk designation: 300.1210b) and 300.1210d)5).

      Statement of deficiencies (PDF)

12. Jul 21, 2023 Fire Safety · 8 findings
    • Not serious Scope/severity F

      E0026 Emergency Preparedness Deficiencies

      Establish roles under a Waiver declared by secretary.

      Corrected Aug 30, 2023 · CMS fire safety

    • Not serious Scope/severity D

      F0554 Resident Rights Deficiencies

      Allow residents to self-administer drugs if determined clinically appropriate.

      Corrected Aug 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0584 Resident Rights Deficiencies

      Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

      Corrected Aug 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected Aug 3, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0759 Pharmacy Service Deficiencies

      Ensure medication error rates are not 5 percent or greater.

      Corrected Aug 3, 2023 · CMS health inspection

    • Not serious Scope/severity F

      F0812 Nutrition and Dietary Deficiencies

      Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

      Corrected Aug 3, 2023 · CMS health inspection

    • Not serious Scope/severity E

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected Aug 3, 2023 · CMS health inspection

    • Not serious Scope/severity D

      F0919 Environmental Deficiencies

      Make sure that a working call system is available in each resident's bathroom and bathing area.

      Corrected Aug 3, 2023 · CMS health inspection

13. Apr 28, 2022 Health · 12 findings
    • Not serious Scope/severity D

      F0550 Resident Rights Deficiencies

      Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0658 Resident Assessment and Care Planning Deficiencies

      Ensure services provided by the nursing facility meet professional standards of quality.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0677 Quality of Life and Care Deficiencies

      Provide care and assistance to perform activities of daily living for any resident who is unable.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0687 Quality of Life and Care Deficiencies

      Provide appropriate foot care.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0689 Quality of Life and Care Deficiencies

      Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0690 Quality of Life and Care Deficiencies

      Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0758 Pharmacy Service Deficiencies

      Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0761 Pharmacy Service Deficiencies

      Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0800 Nutrition and Dietary Deficiencies

      Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity E

      F0803 Nutrition and Dietary Deficiencies

      Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

      Corrected May 9, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0880 Infection Control Deficiencies

      Provide and implement an infection prevention and control program.

      Corrected May 11, 2022 · CMS health inspection

    • Not serious Scope/severity D

      F0888 Infection Control Deficiencies

      Ensure staff are vaccinated for COVID-19

      Corrected May 9, 2022 · CMS health inspection

Owners and managers (as published by CMS)

• GARDEN, DANIEL — 5% or greater direct ownership interest, 8%, since 06/01/2021
• MORRIS, MARGAUX — w-2 managing employee, NOT APPLICABLE, since 06/01/2021
• NINIO, MORDECHAY — 5% or greater direct ownership interest, 59%, since 06/01/2021
• DOROS GENERATION TRUST U/A/D 1/3/12 — 5% or greater direct ownership interest, 17%, since 06/01/2021
• GPN FAMILY TRUST U/A/D 4/28/08 — 5% or greater direct ownership interest, 17%, since 06/01/2021
• TBDMD IL, LLC — operational/managerial control, NOT APPLICABLE, since 06/01/2021