Facility profile · CCN 465152
Bella Terra St George
98 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $100,651.
Record summary
Federal record · Q1 202698
Total citations
62
Last 3 years
13
Actual harm+
3
Federal penalties
$100,651
Total fines
2
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
98 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Nov 13, 2024 | F919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | E | Complaint |
| Nov 13, 2024 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Complaint |
| Nov 13, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Complaint |
| Nov 13, 2024 | F881 | Implement a program that monitors antibiotic use. | D | Complaint |
| Nov 13, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Complaint |
| Nov 13, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | H | Complaint |
| Nov 13, 2024 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Complaint |
| Nov 13, 2024 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Complaint |
| Nov 13, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | H | Complaint |
| Nov 13, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Complaint |
| Nov 13, 2024 | F810 | Provide special eating equipment and utensils for residents who need them and appropriate assistance. | D | Complaint |
| Nov 13, 2024 | F809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | E | Complaint |
| Nov 13, 2024 | F808 | Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | D | Complaint |
| Nov 13, 2024 | F807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | E | Complaint |
| Nov 13, 2024 | F806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | E | Complaint |
| Nov 13, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Complaint |
| Nov 13, 2024 | F803 | 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. | E | Complaint |
| Nov 13, 2024 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | G | Complaint |
| Nov 13, 2024 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | F | Complaint |
| Nov 13, 2024 | F775 | Keep complete, dated laboratory records in the resident's record. | E | Complaint |
| Nov 13, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Complaint |
| Nov 13, 2024 | F758 | 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. | E | Complaint |
| Nov 13, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Complaint |
| Nov 13, 2024 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint |
| Nov 13, 2024 | F740 | Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | G | Complaint |
| Nov 13, 2024 | F732 | Post nurse staffing information every day. | D | Complaint |
| Nov 13, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | H | Complaint |
| Nov 13, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | H | Complaint |
| Nov 13, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | E | Complaint |
| Nov 13, 2024 | F691 | Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | D | Complaint |
| Nov 13, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | G | Complaint |
| Nov 13, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Nov 13, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Complaint |
| Nov 13, 2024 | F679 | Provide activities to meet all resident's needs. | D | Complaint |
| Nov 13, 2024 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | E | Complaint |
| Nov 13, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | E | Complaint |
| Nov 13, 2024 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Complaint |
| Nov 13, 2024 | F641 | Ensure each resident receives an accurate assessment. | E | Complaint |
| Nov 13, 2024 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | Complaint |
| Nov 13, 2024 | F635 | Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | D | Complaint |
| Nov 13, 2024 | F625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | E | Complaint |
| Nov 13, 2024 | F624 | Prepare residents for a safe transfer or discharge from the nursing home. | D | Complaint |
| Nov 13, 2024 | F622 | 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. | D | Complaint |
| Nov 13, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Nov 13, 2024 | F609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | E | Complaint |
| Nov 13, 2024 | F607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | E | Complaint |
| Nov 13, 2024 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | G | Complaint |
| Nov 13, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint |
| Nov 13, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint |
| Nov 13, 2024 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | E | Complaint |
| Nov 13, 2024 | F584 | 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. | E | Complaint |
| Nov 13, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Complaint |
| Nov 13, 2024 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | D | Complaint |
| Nov 13, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Nov 13, 2024 | F553 | Allow resident to participate in the development and implementation of his or her person-centered plan of care. | D | Complaint |
| Nov 13, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint |
| Jun 28, 2023 | F881 | Implement a program that monitors antibiotic use. | D | Complaint |
| Jun 28, 2023 | F744 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | D | Complaint |
| Jun 28, 2023 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Complaint |
| Jun 28, 2023 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Jun 28, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Jun 28, 2023 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint |
| Sep 16, 2021 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard |
| Sep 16, 2021 | F886 | Perform COVID19 testing on residents and staff. | E | Standard |
| Sep 16, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Sep 16, 2021 | F868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | D | Standard |
| Sep 16, 2021 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | D | Standard |
| Sep 16, 2021 | F865 | Have a plan that describes the process for conducting QAPI and QAA activities. | E | Standard |
| Sep 16, 2021 | F849 | Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | D | Standard |
| Sep 16, 2021 | F842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard |
| Sep 16, 2021 | F840 | Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | E | Standard |
| Sep 16, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Sep 16, 2021 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard |
| Sep 16, 2021 | F803 | 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. | E | Standard |
| Sep 16, 2021 | F802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | E | Standard |
| Sep 16, 2021 | F801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | F | Standard |
| Sep 16, 2021 | F773 | Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | D | Standard |
| Sep 16, 2021 | F758 | 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. | D | Standard |
| Sep 16, 2021 | F742 | Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | G | Standard |
| Sep 16, 2021 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E | Standard |
| Sep 16, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard |
| Sep 16, 2021 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Sep 16, 2021 | F688 | 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. | D | Standard |
| Sep 16, 2021 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Sep 16, 2021 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Sep 16, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Sep 16, 2021 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Sep 16, 2021 | F640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | E | Standard |
| Sep 16, 2021 | F638 | Assure that each resident’s assessment is updated at least once every 3 months. | E | Standard |
| Sep 16, 2021 | F636 | Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | D | Standard |
| Sep 16, 2021 | F585 | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | D | Standard |
| Sep 16, 2021 | F584 | 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. | E | Standard |
| Sep 16, 2021 | F582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | D | Standard |
| Sep 16, 2021 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Sep 16, 2021 | F576 | Ensure residents have reasonable access to and privacy in their use of communication methods. | E | Standard |
| Sep 16, 2021 | F567 | Honor the resident's right to manage his or her financial affairs. | E | Standard |
| Sep 16, 2021 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Standard |
| Sep 16, 2021 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Standard |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $100,651 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Nov 8, 2024 | Fine | $68,812 | — |
| Feb 6, 2024 | Fine | $12,534 | — |
| Jun 28, 2023 | Fine | $19,305 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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