Terra Bella Health and Wellness Suites

Scope/severity J — IMMEDIATE JEOPARDY

Survey 2026-05-23 · Tag F0580 · Complaint investigation · Deficient, Provider has no plan of correction · Under dispute (IDR)

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

What this scope/severity letter means: CMS found the facility's failure caused, or was likely to cause, serious injury, harm, impairment, or death to a resident. This is the most serious finding a surveyor can make. Affected one resident or instance. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2026-05-23 · Tag F0697 · Complaint investigation · Deficient, Provider has no plan of correction · Under dispute (IDR)

Provide safe, appropriate pain management for a resident who requires such services.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-07-21 · Tag F0600 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-08-08

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-07-21 · Tag F0656 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-08-08

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-07-21 · Tag F0687 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-08-08

Provide appropriate foot care.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2025-02-24 · Tag F0686 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-14

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2024-01-18 · Tag F0686 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2024-01-21

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2023-11-14 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-24

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

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2023-11-14 · Tag F0760 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-24

Ensure that residents are free from significant medication errors.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity K — IMMEDIATE JEOPARDY

Survey 2023-10-28 · Tag F0760 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2023-11-10

Ensure that residents are free from significant medication errors.

What this scope/severity letter means: CMS found a pattern of failures that caused, or were likely to cause, serious injury, harm, impairment, or death. This is the most serious finding a surveyor can make. How the A–L grid works

Scope/severity G — ACTUAL HARM

Survey 2026-05-23 · Tag F0689 · Complaint investigation · Deficient, Provider has no plan of correction · Under dispute (IDR)

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

What this scope/severity letter means: A resident was actually harmed. CMS found real harm occurred, affecting one resident. How the A–L grid works

Scope/severity H — ACTUAL HARM

Survey 2025-02-24 · Tag F0677 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-14

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

What this scope/severity letter means: Residents were actually harmed, in a repeated pattern rather than a one-off. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-05-23 · Tag F0550 · Complaint investigation · Deficient, Provider has no plan of correction

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2026-03-26 · Tag F0759 · Routine survey · Deficient, Provider has date of correction · Correction reported 2026-04-20

Ensure medication error rates are not 5 percent or greater.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2026-01-13 · Tag F0726 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-23

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity E — Potential for harm

Survey 2026-01-13 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2026-01-23

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm, and it happened repeatedly. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-11-26 · Tag F0684 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-01

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-11-26 · Tag F0689 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-01

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-11-20 · Tag F0755 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-12-11

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

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-07-21 · Tag F0641 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-08-08

Ensure each resident receives an accurate assessment.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-07-21 · Tag F0761 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-08-08

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.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-04-25 · Tag F0805 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-05-10

Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-02-07 · Tag F0557 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-03

Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2025-02-07 · Tag F0880 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-03-03

Provide and implement an infection prevention and control program.

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works

Scope/severity D — Potential for harm

Survey 2024-12-23 · Tag F0645 · Complaint investigation · Deficient, Provider has date of correction · Correction reported 2025-01-17

PASARR screening for Mental disorders or Intellectual Disabilities

What this scope/severity letter means: No resident was harmed, but the failure could have caused more than minimal harm. Affected one resident or one instance. How the A–L grid works