Morton Grove, IL

Bella Terra Morton Grove

2-star overall rating with 2-star inspections with abuse icon flag with $135,353 in total fines with 14 recent health deficiencies with 7 fire-safety deficiencies in the latest cycle

8425 Waukegan Road, Morton Grove, IL

(847) 965-8100

Compare this facility

Overall

2 / 5

CMS overall stars

Health inspections

2 / 5

Survey and complaint cycles

Staffing

2 / 5

RN + nurse staffing

Quality measures

3 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

211

Certified beds

Average residents

157

Average occupied residents

Ownership

For-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1969-02-13

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.76

Registered nurse staffing · state 0.73 · national 0.68

LPN hours / resident day

0.81

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.04

Nurse aide staffing · state 2.13 · national 2.35

Total nurse hours

3.60

All reported nurse hours · state 3.49 · national 3.89

Licensed hours

1.57

RN + LPN hours · state 1.36 · national 1.54

Weekend hours

3.39

Weekend nurse staffing · state 3.09 · national 3.43

Weekend RN hours

0.70

Weekend registered nurse coverage · state 0.56 · national 0.47

Physical therapist

0.04

Reported PT staffing · state 0.05 · national 0.07

Adjusted RN hours

0.58

CMS adjusted RN staffing hours

Adjusted total hours

2.76

CMS adjusted total nurse staffing hours

Case-mix index

1.78

Higher values indicate more complex resident acuity

RN turnover

38%

Annual RN turnover · state 44% · national 45%

Total nurse turnover

48%

Annual nurse turnover · state 46% · national 46%

SNF VBP

Value-based purchasing

Program rank

11,918

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

14.71

Composite VBP score used to determine payment impact.

Payment multiplier

0.9814

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

Baseline 20.19% · Performance 22.78% · Measure score 0 · Achievement 0 · Improvement 0

Healthcare-associated infections

Baseline 6.49% · Performance 12.44% · Measure score 0 · Achievement 0 · Improvement 0

Total nurse turnover

5.26

Baseline 33.75% · Performance 42.19% · Measure score 5.26 · Achievement 5.26 · Improvement 0

Adjusted total nurse staffing

0.63

Baseline 2.37 hours · Performance 2.76 hours · Measure score 0.63 · Achievement 0 · Improvement 0.63

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	11.12%	10.72% 0.4 pts worse	No Different than the National Rate · Eligible stays 186 · Observed rate 13.98% · Lower 95% interval 8.56%
Discharge to community	43.11%	50.57% 7.5 pts worse	No Different than the National Rate · Eligible stays 192 · Observed rate 30.21% · Lower 95% interval 34.83%
Medicare spending per beneficiary	1.08	1.02 0.1 pts worse
Drug regimen review with follow-up	96.49%	95.27% 1.2 pts better	Numerator 110 · Denominator 114
Falls with major injury	0.88%	0.77% 0.1 pts worse	Numerator 1 · Denominator 114
Discharge self-care score	31.25%	53.69% 22.4 pts worse	Numerator 20 · Denominator 64
Discharge mobility score	25%	50.94% 25.9 pts worse	Numerator 16 · Denominator 64
Pressure ulcers or injuries, new or worsened	0.88%	2.29% 1.4 pts better	Numerator 1 · Denominator 114 · Adjusted rate 0.55%
Healthcare-associated infections requiring hospitalization	12.44%	7.12% 5.3 pts worse	Worse than the National Rate · Eligible stays 135 · Observed rate 20.74% · Lower 95% interval 9.49%
Staff COVID-19 vaccination coverage	1.13%	8.2% 7.1 pts worse	Numerator 2 · Denominator 177
Staff flu vaccination coverage	78.72%	42% 36.7 pts better	Numerator 111 · Denominator 141
Discharge function score	18.75%	56.45% 37.7 pts worse	Numerator 12 · Denominator 64
Transfer of health information to provider	95.35%	95.95% 0.6 pts worse	Numerator 41 · Denominator 43
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 38 · Denominator 38
Resident COVID-19 vaccinations up to date	43.86%	25.2% 18.7 pts better	Numerator 25 · Denominator 57

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	2.1	2.0 0.1 pts worse	1.9 0.2 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.1 · Observed 2.6 · Expected 2.4 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.9	2.3 0.4 pts better	1.8 0.1 pts worse	Long Stay · 20240701-20250630 · Adjusted 1.9 · Observed 2.3 · Expected 2.0 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	98.4%	89.6% 8.8 pts better	93.4% 5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 97.0% · Q2 97.8% · Q3 99.3% · Q4 99.3% · 4Q avg 98.4%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	99.3%	91.6% 7.7 pts better	95.5% 3.8 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 99.3%
Percentage of long-stay residents experiencing one or more falls with major injury	2.0%	3.3% 1.3 pts better	3.3% 1.3 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.7% · Q3 1.4% · Q4 3.3% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	100.0%	50.3% 49.7 pts worse	11.4% 88.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of long-stay residents who lose too much weight	8.6%	6.5% 2.1 pts worse	5.4% 3.2 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 7.3% · Q2 8.0% · Q3 9.6% · Q4 9.4% · 4Q avg 8.6%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	10.2%	18.5% 8.3 pts better	19.6% 9.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 8.7% · Q3 9.4% · Q4 11.4% · 4Q avg 10.2%
Percentage of long-stay residents who received an antipsychotic medication	23.5%	22.8% 0.7 pts worse	16.7% 6.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.6% · Q2 25.6% · Q3 23.1% · Q4 19.8% · 4Q avg 23.5% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	6.6%	17.2% 10.6 pts better	16.3% 9.7 pts better	Long Stay · 2024Q4-2025Q3 · Q1 9.1% · Q2 4.2% · Q3 4.6% · Q4 8.8% · 4Q avg 6.6% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	5.0%	15.0% 10 pts better	14.9% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.4% · Q2 0.9% · Q3 6.0% · Q4 5.7% · 4Q avg 5.0% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	0.1%	1.1% 1 pts better	1.0% 0.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.6% · Q3 0.0% · Q4 0.0% · 4Q avg 0.1% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	0.7%	1.7% 1 pts better	1.7% 1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.2% · Q2 0.7% · Q3 0.0% · Q4 0.0% · 4Q avg 0.7% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	14.9%	21.3% 6.4 pts better	19.8% 4.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 15.8% · Q2 6.4% · Q3 10.9% · Q4 25.5% · 4Q avg 14.9%
Percentage of long-stay residents with pressure ulcers	3.5%	5.2% 1.7 pts better	5.1% 1.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 3.2% · Q2 2.1% · Q3 4.7% · Q4 4.1% · 4Q avg 3.5% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.8%	68.8% 30 pts better	81.7% 17.1 pts better	Short Stay · 2024Q4-2025Q3 · Q1 98.1% · Q2 98.2% · Q3 100.0% · Q4 98.8% · 4Q avg 98.8%
Percentage of short-stay residents who had an outpatient emergency department visit	16.1%	14.0% 2.1 pts worse	12.0% 4.1 pts worse	Short Stay · 20240701-20250630 · Adjusted 16.1% · Observed 18.3% · Expected 12.6% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	0.0%	2.3% 2.3 pts better	1.6% 1.6 pts better	Short Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	91.1%	63.0% 28.1 pts better	79.7% 11.4 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 91.1%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	24.1%	26.2% 2.1 pts better	23.9% 0.2 pts worse	Short Stay · 20240701-20250630 · Adjusted 24.1% · Observed 30.8% · Expected 30.4% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-04-17 · Fire 2025-04-17

14 health deficiencies

Top issue: Freedom from Abuse and Neglect and Exploitation (3 deficiencies)

7 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 2 Health 2024-04-19 · Fire 2024-04-19

11 health deficiencies

Top issue: Quality of Life and Care (7 deficiencies)

8 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Cycle 3 Health 2023-03-31 · Fire 2023-03-31

18 health deficiencies

Top issue: Quality of Life and Care (6 deficiencies)

11 fire-safety deficiencies

Top issue: Smoke (5 deficiencies)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-04-17

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2025-04-22

F · Potential for more than minimal harm 2025-04-17

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-05-27

F · Potential for more than minimal harm 2025-04-17

K918 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Have generator or other power source capable of supplying service within 10 seconds.

Corrected 2025-04-28

F · Potential for more than minimal harm 2025-04-17

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-04-17

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-04-17

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2025-04-22

E · Potential for more than minimal harm 2025-04-17

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2025-04-22

F · Potential for more than minimal harm 2024-04-19

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-04-19

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-04-19

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-04-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-04-19

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-04-19

K372 · Smoke Deficiencies

Fire Safety

Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-04-19

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2024-05-01

E · Potential for more than minimal harm 2024-04-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-05-01

F · Potential for more than minimal harm 2023-03-31

K133 · Construction Deficiencies

Fire Safety

Install a two-hour-resistant firewall separation.

Corrected 2023-04-30

F · Potential for more than minimal harm 2023-03-31

K321 · Smoke Deficiencies

Fire Safety

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

Corrected 2023-04-30

F · Potential for more than minimal harm 2023-03-31

K345 · Smoke Deficiencies

Fire Safety

Have approved installation, maintenance and testing program for fire alarm systems.

Corrected 2023-05-25

F · Potential for more than minimal harm 2023-03-31

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2023-05-15

F · Potential for more than minimal harm 2023-03-31

K909 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure gas and vacuum piping is labeled.

Corrected 2023-04-30

E · Potential for more than minimal harm 2023-03-31

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2023-04-30

E · Potential for more than minimal harm 2023-03-31

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2023-04-30

E · Potential for more than minimal harm 2023-03-31

K293 · Egress Deficiencies

Fire Safety

Have properly located and lighted "Exit" signs.

Corrected 2023-04-30

E · Potential for more than minimal harm 2023-03-31

K355 · Smoke Deficiencies

Fire Safety

Properly select, install, inspect, or maintain portable fire extinguishes.

Corrected 2023-04-30

E · Potential for more than minimal harm 2023-03-31

K374 · Smoke Deficiencies

Fire Safety

Install smoke barrier doors that can resist smoke for at least 20 minutes.

Corrected 2023-04-30

E · Potential for more than minimal harm 2023-03-31

K781 · Miscellaneous Deficiencies

Fire Safety

Have restrictions on the use of portable space heaters.

Corrected 2023-04-30

Inspection history

Recent health citations

G · Actual harm 2025-06-18

F550 · Resident Rights Deficiencies

Health

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

Corrected 2025-06-19

G · Actual harm 2025-06-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-06-18

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-06-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2025-06-19

D · Potential for more than minimal harm 2025-06-18

F726 · Nursing and Physician Services Deficiencies

Health

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.

Corrected 2025-06-19

F · Potential for more than minimal harm 2025-04-17

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-17

F564 · Resident Rights Deficiencies

Health

Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges.

Corrected 2025-05-01

E · Potential for more than minimal harm 2025-04-17

F677 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-05-01

D · Potential for more than minimal harm 2025-04-17

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-04-17

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2025-04-18

D · Potential for more than minimal harm 2025-04-17

F688 · Quality of Life and Care Deficiencies

Health

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 2025-05-01

D · Potential for more than minimal harm 2025-03-12

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2025-03-13

D · Potential for more than minimal harm 2025-03-12

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2025-03-18

D · Potential for more than minimal harm 2025-03-12

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-03-13

E · Potential for more than minimal harm 2024-11-06

F725 · Nursing and Physician Services Deficiencies

Health

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Corrected 2024-11-13

G · Actual harm 2024-10-30

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-10-31

D · Potential for more than minimal harm 2024-08-18

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-08-19

D · Potential for more than minimal harm 2024-04-19

F686 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-19

F688 · Quality of Life and Care Deficiencies

Health

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 2024-04-24

D · Potential for more than minimal harm 2024-04-19

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-19

F693 · Quality of Life and Care Deficiencies

Health

Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube.

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-19

F758 · Pharmacy Service Deficiencies

Health

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 2024-04-24

D · Potential for more than minimal harm 2024-04-19

F813 · Nutrition and Dietary Deficiencies

Health

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Corrected 2024-04-24

D · Potential for more than minimal harm 2024-04-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-04-24

G · Actual harm 2024-03-07

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2024-03-08

G · Actual harm 2023-10-31

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2023-11-13

D · Potential for more than minimal harm 2023-10-31

F580 · Resident Rights Deficiencies

Health

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Corrected 2023-11-13

D · Potential for more than minimal harm 2023-09-23

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2023-10-02

G · Actual harm 2023-07-29

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-05

G · Actual harm 2023-03-31

F604 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Corrected 2023-04-18

G · Actual harm 2023-03-31

F689 · Quality of Life and Care Deficiencies

Health

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

Corrected 2023-08-05

F · Potential for more than minimal harm 2023-03-31

F812 · Nutrition and Dietary Deficiencies

Health

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

Corrected 2023-04-18

E · Potential for more than minimal harm 2023-03-31

F755 · Pharmacy Service Deficiencies

Health

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

Corrected 2023-04-18