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 Wheeling during CMS and state inspections, most recent first.
Two cognitively impaired residents, both assessed as high risk for abuse, were involved in an incident where one physically injured the other, resulting in facial lacerations and swelling. Despite policies requiring an abuse-free environment, the altercation occurred in a shared room, and the injured resident was non-verbal and fully dependent on staff.
A resident with multiple health issues experienced a fall and subsequent shoulder pain, which was not adequately assessed or documented by the nursing staff. Despite complaints of increased pain, the staff failed to recognize the change in condition, leading to a delay in hospitalization and treatment for a shoulder fracture. The facility's policies on documentation and communication were not followed, resulting in a deficiency.
A resident with spastic quadriplegic cerebral palsy reported being roughly transferred and allegedly fondled by a male CNA during a mechanical lift transfer. Despite expressing distress, the involved CNAs did not report the incident immediately, as required by the facility's abuse policy. The resident reported the incident the following day, highlighting a deficiency in the facility's adherence to its abuse reporting procedures.
Two cognitively impaired residents, both at high risk for falls, were unsupervised and not using their walkers when one resident fell, causing the other to sustain a nasal fracture. Despite care plans indicating the need for supervision and assistive devices, staff failed to monitor the residents, leading to the incident. Interviews with facility staff confirmed the lack of supervision, and the facility's policies on fall prevention were not adequately followed.
The facility failed to administer medications as scheduled for three residents, with delays ranging from one to two hours. The Director of Nursing acknowledged that medications should be given within one hour of the scheduled time and that physicians should be notified of significant delays, but no such notifications were documented.
A resident with heart failure had a low potassium level and was started on Potassium Chloride, but the POA was not notified. The RN admitted to not informing the POA, and the NP confirmed that the medication change was not discussed with the POA. The facility's policy mandates notification of such changes, which was not adhered to in this case.
A resident in a long-term care facility was involved in an altercation with a CNA, resulting in bruising and lacerations on the resident's arm. The resident reported being verbally and physically assaulted by the CNA, while the CNA claimed self-defense. An LPN observed the resident's injuries but did not see any on the CNA. The facility's investigation deemed the abuse allegation unsubstantiated, despite inconsistencies in the accounts.
A resident with severe cognitive impairment and high fall risk suffered a hip fracture after a CNA attempted to dress her by sitting her on the edge of the bed, contrary to her care plan requiring maximum assistance and mechanical lift transfers. The facility's fall prevention protocols were not adequately followed, and the injury was not discovered until hours later, highlighting a deficiency in the facility's care practices.
A resident reported feeling disrespected by a CNA who allegedly used inappropriate language during care. The resident, with a complex medical history, expressed discomfort and reported the incident to the facility. The CNA denied the allegations and was suspended during the investigation. The facility's policy emphasizes the importance of providing safety and good care.
The facility failed to ensure food containers were stored off the floor and that staff employed hygienic practices during food handling. Six cans of fruit cocktail were found on the floor in the dry storage room, and a dietary aide was observed touching her eyeglasses with gloved hands and then continuing to prepare food without changing gloves or performing hand hygiene.
The facility failed to follow its intravenous therapy policy and accurately monitor a resident's condition, leading to a delay in care and the spread of MRSA. The resident, with a history of severe heart conditions, developed symptoms such as chills and elevated white blood cell count, which were not promptly addressed. The resident was eventually diagnosed with a MRSA infection in the PICC line, spreading to the knee and lungs, resulting in MRSA pneumonia.
The facility failed to implement appropriate transmission-based precautions and provide necessary PPE supplies for three residents under isolation. A resident with COVID-19 had incorrect signage, and two residents with MRSA sacral wounds lacked necessary glove supplies in their PPE bins. Staff confirmed these deficiencies, which were against the facility's infection prevention policy.
Failure to Prevent Resident-to-Resident Physical Abuse
Penalty
Summary
The facility failed to follow its abuse prevention policy, resulting in one resident sustaining physical injuries from another resident. Both residents involved had significant cognitive impairments and were assessed as high risk for abuse, with diagnoses including dementia, Alzheimer's disease, and delusional disorder. On the morning of the incident, a nurse found one resident standing next to the other's bed holding a pillow, with the injured resident displaying new lacerations to the forehead and swelling to the left eye. Staff interviews confirmed that the injured resident had no visible injuries earlier that morning, and the aggressor was observed to be confused and unable to explain his actions. The facility's policy requires an environment free from abuse, including physical harm inflicted by others. Despite both residents being identified as high risk for abuse, the incident occurred in a shared room without apparent preventive measures in place to separate or monitor them more closely. The injured resident was non-verbal and fully dependent on staff for care, further increasing vulnerability. The failure to prevent this altercation directly resulted in physical harm to the resident.
Failure to Address Acute Change in Condition
Penalty
Summary
The facility failed to provide adequate care for a resident, identified as R107, who experienced an acute change in condition. R107, a female with multiple diagnoses including a wedge compression fracture, dysphagia, and repeated falls, reported falling out of bed and subsequently experiencing pain in her right shoulder. Despite the resident's complaints of increased pain, the nursing staff did not perform a comprehensive assessment or document the change in condition, leading to a delay in the resident's hospitalization and treatment for a right shoulder fracture. Interviews with the nursing staff revealed that the resident's complaints of shoulder pain were not adequately assessed or documented. A registered nurse, V12, noted discoloration and swelling in the resident's shoulder during a shift but did not receive prior reports of the injury. Another nurse, V7, provided pain medication but did not document any assessment, assuming the pain was consistent with the resident's chronic pain history. The attending physician was only notified after the condition worsened, and an x-ray confirmed a fracture. The lack of documentation and failure to recognize the resident's pain as a change in condition contributed to the delay in appropriate medical intervention. The facility's policies require nurses to document assessments and notify physicians of significant changes in a resident's condition, which was not adhered to in this case. The deficiency highlights the need for thorough assessments and timely communication to ensure residents receive necessary care.
Failure to Report Alleged Abuse Immediately
Penalty
Summary
The facility failed to adhere to its abuse policies and procedures by not immediately reporting an allegation of abuse involving a resident, identified as R86. R86, a 39-year-old resident with spastic quadriplegic cerebral palsy and other medical conditions, reported being roughly transferred and allegedly fondled by a male CNA, V8, during a mechanical lift transfer. Despite expressing discomfort and distress during the incident, R86's concerns were dismissed by the involved CNAs, V8 and V9, and were not reported to the administration immediately as required by the facility's policy. R86 reported the incident the following morning to an RN, V16, after feeling unsafe and distraught overnight. The RN confirmed that no staff had reported any concerns to her on the night of the incident. Both CNAs involved, V8 and V9, acknowledged the resident's complaints but failed to report them, with V8 believing there was no issue to report and V9 assuming V8 would handle it. The facility's administrator and director of nursing provided conflicting interpretations of the reporting requirements, suggesting a lack of clarity in the facility's abuse reporting policy. The facility's policy mandates immediate reporting of any allegations of abuse, including unwanted touching, to the administration. However, the staff involved did not follow this protocol, resulting in a delay in addressing the resident's allegations. The facility's documentation, including timecards and training records, confirmed the presence of the involved staff during the incident and their acknowledgment of the reporting requirements, yet the failure to act promptly led to a deficiency in the facility's handling of the situation.
Lack of Supervision Leads to Resident Injury
Penalty
Summary
The facility failed to provide appropriate assistive devices and staff supervision for two cognitively impaired, high-risk fall residents, resulting in an accident. Resident 1, who has severe cognitive impairment and a history of falls, was ambulating in the hallway without the use of a walker and without staff supervision. Resident 1 was holding hands with Resident 2, who also has severe cognitive impairment and is at high risk for falls. As Resident 2 began to fall, Resident 1 was pulled forward and bumped their nose on a hallway countertop, resulting in a nasal fracture. Resident 1's clinical records indicate a high risk for falls due to an unsteady gait, memory problems, and the need for assistance or an assistive device when walking. The care plan for Resident 1 included interventions such as cueing assistance and reminders to use a walker. Similarly, Resident 2's records show a high risk for falls, with a need for staff assistance and frequent reminders to use a walker. Despite these documented needs, both residents were unsupervised and not using their walkers at the time of the incident. Interviews with facility staff, including the Director of Nursing and a Licensed Practical Nurse, confirmed that both residents require supervision and assistance when walking. The staff acknowledged that the residents were not being monitored at the time of the incident, and the Director of Nursing witnessed the event. The facility's policies on fall prevention and general care emphasize the importance of assessing fall risk and implementing appropriate interventions, which were not adequately followed in this case.
Medication Administration Delays
Penalty
Summary
The facility failed to ensure medications were administered as scheduled per physician orders for three residents. Resident 3 reported receiving their 9:00 AM medications two hours late, close to lunchtime. Resident 4 received their 9:00 AM medications late, with insulin injections and other medications administered more than two hours past the scheduled time. Resident 5's medications were also administered late, more than one hour past the scheduled time. The facility did not document any notification to the physician regarding these late administrations. The Director of Nursing stated that medication administration should occur within one hour before or after the scheduled time, and if medications are given late, the physician must be notified, especially for significant medications like insulin and anticoagulants. However, the facility's records did not show any such notifications. The facility's policy requires that all medications be administered according to physician orders, and any deviations should be documented and communicated to the physician, which was not done in these cases.
Failure to Notify POA of Abnormal Lab Result and Medication Change
Penalty
Summary
The facility failed to notify a resident's Power of Attorney (POA) about an abnormal laboratory result and a change in medication. The resident, who has heart failure, had a low potassium level of 2.2 and was started on Potassium Chloride 40 meq tablet. Despite the significance of this change, the POA was not informed. The Registered Nurse responsible for the resident's care acknowledged not notifying the POA and stated that such notification would have been documented if it had occurred. The Nurse Practitioner also confirmed that discussions with the POA did not include the resident's new potassium medication. The facility's policy requires notification of any change in a resident's status, including abnormal lab results and new medication orders, but this was not followed in this instance.
Resident Assaulted by CNA in LTC Facility
Penalty
Summary
The facility failed to protect a resident from physical harm and mental abuse, as evidenced by an incident involving a Certified Nursing Assistant (CNA) and a resident. The resident, who has a history of dementia, anxiety disorder, and other medical conditions, was involved in an altercation with the CNA. The resident reported that the CNA verbally and physically assaulted her, resulting in bruising and lacerations on her right forearm. The incident occurred after the resident requested assistance from the CNA, which led to a confrontation where the CNA allegedly slapped and grabbed the resident's arm. The CNA provided a different account of the incident, claiming that the resident was the aggressor, scratching and attempting to hit her. The CNA stated that she held the resident's arm in self-defense and then left the room. A Licensed Practical Nurse (LPN) who responded to the commotion observed scratches on the resident's arm and noted that the resident was asking the CNA to leave the room. The LPN did not observe any injuries on the CNA and did not witness the resident chasing or attempting to hit the CNA. The facility's investigation concluded that the allegation of physical abuse was unsubstantiated, citing the resident's own admission of reaching out towards the CNA. However, the surveyor noted inconsistencies in the accounts provided by the staff and the resident. The facility's policy on abuse and neglect emphasizes the importance of providing care in an environment free from abuse, yet the incident highlights a failure to ensure the resident's safety and well-being during the altercation.
Failure to Prevent Fall in High-Risk Resident
Penalty
Summary
The facility failed to prevent an accident involving a severely cognitively impaired resident, identified as R2, who was at high risk for falls. R2, a female resident with multiple diagnoses including a displaced intertrochanteric fracture of the right femur, epilepsy, and severe cognitive impairment, was admitted to the facility with a history of falls. On the day of the incident, a Certified Nursing Assistant (CNA) attempted to dress R2 by sitting her on the edge of the bed, despite R2's need for maximum assistance with activities of daily living (ADLs) and a requirement for mechanical lift transfers. During this process, R2 began to lean forward and fell to the floor, resulting in a comminuted displaced fracture of the right femur. Interviews with facility staff revealed that the CNA was accustomed to sitting R2 on the edge of the bed to dress her, although this was not consistent with R2's care plan, which indicated the need for maximum assistance and mechanical lift for transfers. The CNA and other staff members did not recognize the risk associated with this practice, and the facility's fall prevention protocols were not adequately followed. The Director of Nursing and other staff members acknowledged that R2 required significant assistance and that interventions such as bed alarms and floor mats were in place, but these measures were insufficient to prevent the fall. The facility's incident report and subsequent interviews highlighted a lack of appropriate assessment and intervention following the fall. Although R2 was initially assessed for injuries and appeared to be at her baseline, her hip fracture was not discovered until several hours later when she exhibited signs of pain and a change in leg appearance. The facility's fall occurrence policy emphasized the need for reassessment and revision of interventions for high-risk residents, but this was not effectively implemented in R2's case, leading to the deficiency identified by the surveyors.
Resident Dignity and Respect Violation
Penalty
Summary
The facility failed to treat a resident with respect and dignity, as evidenced by an incident involving a Certified Nursing Assistant (CNA) and a resident. The resident, a female with a complex medical history including anxiety, autoimmune hemolytic anemia, and other conditions, reported that the CNA used inappropriate language while providing care. The resident expressed discomfort and felt disrespected by the CNA's behavior. The incident was reported to the facility by both the resident and her family member. The CNA involved in the incident denied using inappropriate language and stated that they were suspended during the investigation. The Director of Nursing noted that the resident is alert and oriented but forgetful, and suggested that the resident might be seeking attention from her family member. The facility's policy on residents' rights emphasizes the importance of providing safety and good care, which was not upheld in this instance.
Food Storage and Handling Deficiencies
Penalty
Summary
The facility failed to ensure food containers were stored off the floor and that staff employed hygienic practices during food handling in the dining room. During an initial tour, six cans of fruit cocktail were observed on the floor in the dry storage room. The cook acknowledged that the cans should not be on the floor, and the administrator confirmed that food should be stored on shelves. Additionally, a dietary aide was observed touching and adjusting her eyeglasses with gloved hands and then continuing to prepare food without performing hand hygiene and changing gloves. The dietary aide admitted that she should have changed gloves before continuing to prepare food. The assistant director of nursing and infection control confirmed that the dietary aide should have removed her gloves and performed hand hygiene after touching her eyeglasses before continuing her task.
Failure to Follow Intravenous Therapy Policy and Monitor Resident Condition
Penalty
Summary
The facility failed to follow its intravenous therapy policy and accurately assess and monitor a resident's signs, symptoms, and changes in condition, leading to a delay in care and the spread of MRSA. Specifically, the facility did not properly monitor and report significant changes in the resident's arm circumference and external catheter length, which are critical indicators of potential complications with a PICC line. The resident, who had a history of severe heart conditions and was admitted with a PICC line, developed symptoms such as chills, elevated white blood cell count, and malaise, which were not promptly addressed by the staff. The resident's medical records indicated fluctuating arm circumference measurements and multiple complaints of knee pain, which were not reported to the physician as required. Despite the resident's complaints and abnormal lab results, the staff failed to recognize and act on the signs of a potential infection. The resident was eventually transported to the hospital, where they were diagnosed with a MRSA infection in the PICC line, which had spread to the right knee and lungs, resulting in MRSA pneumonia. Interviews with the facility's staff revealed a lack of adherence to the PICC line protocol, including the failure to notify the physician of significant changes in the resident's condition. The nurse practitioner noted that the PICC line was likely infected due to improper aseptic technique during care. The facility's intravenous therapy policy mandates regular assessment and monitoring of intravenous access sites, which was not followed in this case, leading to severe health complications for the resident.
Failure to Implement Appropriate Transmission-Based Precautions and Provide Necessary PPE
Penalty
Summary
The facility failed to implement appropriate transmission-based precautions and provide necessary personal protective equipment (PPE) supplies for three residents under isolation. Specifically, a resident identified as COVID-19 positive was observed with only a Contact Precaution sign outside their room, while the correct precaution should have been both Contact and Droplet Precautions. This discrepancy was confirmed by multiple staff members, including the Licensed Practical Nurse (LPN), Director of Nursing (DON), and Assistant Director of Nursing/Infection Control. Additionally, two other residents on Contact Precaution for MRSA sacral wounds had PPE bins outside their rooms that lacked necessary glove supplies. This issue was acknowledged by a Registered Nurse (RN) who stated that the Central Supply Personnel were responsible for ensuring PPE availability. The Assistant Director of Nursing/Infection Control also confirmed that the isolation bins should have complete PPE supplies, including gloves. The facility's policy on Infection Prevention and Control, revised in October 2023, mandates that transmission-based precaution setups should include PPE like gowns and gloves and appropriate signage indicating the type of precaution required.
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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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Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Wheeling
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Addolorata Villa | 1.5 mi | ★★★★★ | 8 | 0 |
| Greek American Rehab Care Ctr | 1.8 mi | ★★★★★ | 18 | 0 |
| Warren Barr Buffalo Grove | 2.5 mi | ★★★★★ | 1 | 0 |
| Eden Vista Prospect Heights | 2.6 mi | ★★★★★ | 8 | 0 |
| New Summit Rehabilitation And Healthcare | 3 mi | ★★★★★ | 0 | 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.