Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bella Terra Streamwood during CMS and state inspections, most recent first.
A resident with moderate cognitive impairment threw a shoe at another cognitively intact resident following a verbal dispute, resulting in physical contact. Staff and other residents reported no prior history of aggression between the two, and the incident was not witnessed by staff. The facility's abuse prevention policy and behavioral care plans were in place, but the event still occurred, indicating a failure to prevent physical abuse.
A nurse crushed and concealed prescribed medications in a resident's food without the resident's knowledge after the resident refused the medication. The resident, who was alert and oriented with a history of psychiatric diagnoses, noticed the altered food and reported the incident to their guardian and police. Staff interviews and facility policy confirmed that this practice is not permitted, and there was no ongoing consent or order to administer medications in this manner. The incident was not properly documented in the medication administration record.
A resident with dementia, severe morbid obesity, and a recent above-knee amputation was left unsupervised during care when a CNA left the room to obtain supplies. The resident fell from the bed and sustained a femur fracture requiring surgery. Staff involved were not adequately trained or informed about the resident's high fall risk, and the care plan had not been updated to reflect her recent condition. Facility fall prevention protocols were not followed, leading to the incident.
The facility failed to coordinate assessments with the PASRR program by not referring two residents for a Level 2 review despite new mental health diagnoses. One resident had multiple diagnoses, including Vascular Dementia and Generalized Anxiety Disorder, and was admitted before PASRR requirements. The Director of Nursing and Director of Admissions were unaware of the need for PASRR screenings for residents with new diagnoses, relying on OBRA screenings instead. Another resident with PTSD and Vascular Dementia was also not referred for a PASRR Level 2 review. The facility identified 18 residents needing PASRR screenings due to new diagnoses.
A resident with anxiety and other diagnoses missed doses of Lorazepam due to unavailability, leading to a 911 call and ER visit. The facility failed to ensure timely medication reordering, violating its policy on medication administration.
The facility failed to provide adequate hygienic care to two residents, who did not receive the required weekly showers as per policy. One resident, who needed assistance, only received two showers over a month, while another, requiring maximum assistance, received one shower in two weeks. Observations noted poor hygiene, including unkempt hair and dirty fingernails. The DON confirmed the deficiency.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to prevent and protect a resident from physical abuse when one resident threw a shoe at another, striking him in the back of the head. The incident occurred after a verbal disagreement in which one resident accused the other of stealing food, leading to the physical act. Both residents involved had documented cognitive or behavioral diagnoses, with one having moderate cognitive impairment and the other being cognitively intact. Interviews with the residents confirmed the incident, with the resident who was struck reporting the event to staff, who then separated the two individuals. Staff interviews indicated that neither resident had a prior history of aggressive behavior or conflict, and the incident was not witnessed by staff on duty at the time. The facility's policy on abuse and neglect requires an environment free from abuse and mandates thorough investigation of allegations. Despite care plans in place for behavioral monitoring, the event occurred without prior warning or intervention, resulting in a failure to prevent the physical abuse.
Failure to Honor Resident's Right to Refuse Medication
Penalty
Summary
A deficiency occurred when a nurse crushed a resident's prescribed medications and mixed them into the resident's food without the resident's knowledge after the resident had refused to take the medications. The resident, who has diagnoses including generalized anxiety disorder, auditory hallucinations, catatonic disorder, noncompliance with medical treatment, and paranoid schizophrenia, was alert and oriented at the time and reported noticing the altered taste and presence of crushed pills in the food. The resident did not report the incident to facility staff but did inform their guardian and the police. The nurse later admitted to the action, stating it was done after the resident refused the medication and that the intent was to ensure the resident received the prescribed treatment. Facility staff interviews confirmed that the practice of hiding medication in food without the resident's awareness is not standard procedure and is not taught or permitted by facility policy. The nurse involved acknowledged that the resident should always be aware of what medications they are taking and that the correct procedure after a refusal is to offer the medication again later, not to conceal it in food. Documentation showed that the resident had a history of refusing medications and that, on a previous occasion, the guardian had given one-time consent for medication to be mixed with food, but there was no ongoing order or consent for this practice. Facility records, including care plans and medication administration records, indicated that the resident was intermittently noncompliant with medication but did not display behaviors that would justify covert administration. The facility's medication pass policy requires that medications be crushed and administered separately with the resident's knowledge, and there was no policy allowing for medications to be hidden in food following a refusal. The administrator and DON confirmed that staff are expected to respect residents' rights to refuse medication and that the incident was not documented as a medication administration in the resident's record because it was unclear how much of the medication was actually consumed.
Failure to Supervise High Fall Risk Resident During Care
Penalty
Summary
A deficiency occurred when a resident at high risk for falls, with a recent above-knee amputation, dementia, severe morbid obesity, and other significant medical conditions, was left unsupervised during care. The certified nursing assistant (CNA) responsible for the resident left the room to obtain supplies, leaving the resident alone on the bed. During this brief period, the resident fell from the bed and was found on the floor, resulting in a left femur fracture that required surgical intervention. The incident was corroborated by interviews with staff and the resident's roommate, who confirmed the resident was left unattended and subsequently heard her scream after falling. The investigation revealed that the CNA was new to the facility and had not received specific information or training regarding the resident's high fall risk or recent amputation. The CNA stated she was unaware of the resident's condition and risk factors, and her orientation did not include detailed information about the residents she would be caring for. The agency nurse present at the time also reported a lack of formal fall prevention training and did not receive a handoff or endorsement about the resident's current condition or fall risk status. Review of the resident's care plan showed it had not been updated to reflect her recent amputation and increased fall risk until after the incident. The facility's fall prevention policy emphasizes frequent rounding, anticipating resident needs, and paying close attention to high-risk residents, but these measures were not implemented in this case. The lack of staff training, communication, and adherence to fall prevention protocols directly contributed to the resident being left unsupervised and sustaining a serious injury.
Failure to Coordinate PASRR Assessments for Residents with New Diagnoses
Penalty
Summary
The facility failed to coordinate assessments with the Pre-Admission Screening and Resident Review (PASRR) program by not referring two residents for a Level 2 review despite new mental health diagnoses. One resident, aged with multiple diagnoses including Vascular Dementia and Generalized Anxiety Disorder, was admitted before the PASRR requirement was enacted. The Director of Nursing and Director of Admissions were unaware that a PASRR screening was necessary for residents with new mental health diagnoses, relying instead on the OBRA screening. Another resident, also with a history of mental health issues such as PTSD and Vascular Dementia, was similarly not referred for a PASRR Level 2 review. The Director of Admissions, who started in August 2023, was trained on PASRR screenings but did not realize that existing residents with new diagnoses required screening. The facility identified 18 residents needing PASRR screenings due to new diagnoses, indicating a systemic issue in the coordination of assessments with the PASRR program.
Failure to Administer Anti-Anxiety Medication
Penalty
Summary
The facility failed to ensure that a resident was free from significant medication errors, specifically concerning the administration of Lorazepam (Ativan) for anxiety. The resident, who has diagnoses including anxiety, rheumatoid arthritis, depression, and bipolar disorder, had a physician's order for Lorazepam to be administered every eight hours. However, on two occasions, the medication was marked as unavailable in the Electronic Medication Administration Record (EMAR), resulting in missed doses. On January 3rd, the 10 PM dose was not administered, and on January 4th, the 6 AM dose was also missed due to the medication being unavailable. The resident expressed that she had missed her Ativan doses in the past and experienced anxiety as a result. On the night of January 3rd, the resident called 911 due to experiencing withdrawal symptoms and anxiety from not receiving her medication. Paramedics responded, and the resident was taken to the emergency room for treatment. The Director of Nursing acknowledged that staff should ensure timely reordering of medications. The facility's policy mandates adherence to all federal and state regulations regarding medication administration, which was not followed in this instance.
Failure to Provide Adequate Hygienic Care
Penalty
Summary
The facility failed to provide adequate hygienic care to two residents, R2 and R3, as per their Shower and Hygiene Policy. R2, who required staff assistance for hygiene and showers, only received two showers between late June and the end of July, despite the policy mandating at least one shower per week. R2's family member reported that R2 often appeared dirty and unkempt during visits, indicating a lack of proper care. Similarly, R3, who was readmitted from a local hospital and required maximum assistance with activities of daily living, received only one shower over a two-week period. Observations noted that R3 had unkempt hair, long and dirty fingernails, and emitted a putrid smell, suggesting neglect in personal hygiene. The Director of Nursing confirmed that both residents did not receive the required weekly showers, as per the facility's policy, and acknowledged that staff should have been maintaining residents' nail hygiene during shower days.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Streamwood
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Ignite Medical Hanover Park | 1.6 mi | ★★★★★ | 2 | 0 |
| Hearthwood Snf Senior Living | 2.1 mi | ★★★★★ | 1 | 0 |
| Alden Poplar Creek Rehab & Hcc | 3 mi | ★★★★★ | 9 | 0 |
| Encore Village | 4 mi | ★★★★★ | 12 | 0 |
| Bella Terra Schaumburg | 4.3 mi | ★★★★★ | 7 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.