Illinois ›Lombard

Bella Terra Lombard

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2100 South Finley Road, Lombard, IL 60148 (opens Google Maps) · Du Page County · (630) 495-4000· 224 certified beds · avg 146 residents/day · certified since Oct 1, 1985 · Medicare and Medicaid certified

Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →

Part of chain: LEGACY HEALTHCARE (89 facilities, chain avg rating 2.9★)

3/5
Health inspection rating (on-site)
inspected Jun 26, 2024
2
Serious findings on record
most recent Jun 25, 2026
$0
Fines, last 3 years
2.57
Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

New to these records? How to read an inspection report →

Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 4/5 · how star ratings work →

⚠ The most recent standard health inspection was more than 2 years ago — conditions may have changed.

The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.

Most serious findings (actual harm or immediate jeopardy)

▲ Actual harm, isolated · Jun 25, 2026 · F-0686 · triggered by a complaint

The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.

Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Jul 6, 2026 (Deficient, Provider has date of correction)

▲ Actual harm, isolated · Aug 24, 2023 · F-0677 · triggered by a complaint

The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own.

Why it matters: Residents who don't get this help can suffer poor hygiene, skin breakdown, weight loss, and a loss of dignity.

Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.

Corrected: Sep 7, 2023 (Deficient, Provider has date of correction)

Inspection findings in the public record

Showing the latest 3 of 39 inspection findings. Open the full record below to read every finding.

  1. G · Actual harm, isolated

    The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint F-0686

  2. D · Potential for more than minimal harm, isolated

    The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint F-0686

  3. D · Potential for more than minimal harm, isolated

    The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689

View all 39 inspection findingsShow only the latest 3 findings

CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.

DateSeverityWhat the facility was cited for
Jun 25, 2026▲ G · Actual harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jan 28, 2026D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jan 28, 2026D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689
Oct 6, 2025D · Potential for more than minimal harm, isolatedThe facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint · F-0609
Mar 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Mar 11, 2025D · Potential for more than minimal harm, isolatedThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · from a complaint · F-0686
Jul 20, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Jul 17, 2024D · Potential for more than minimal harm, isolatedThe facility did not protect residents from misuse of their belongings or money — this is called misappropriation, and it includes theft or improper use of a resident's property or funds. · from a complaint · F-0602
Jun 26, 2024F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jun 26, 2024E · Potential for more than minimal harm, patternThe facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686
Jun 26, 2024E · Potential for more than minimal harm, patternThe facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · F-0688
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. · F-0755
Jun 26, 2024D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Apr 11, 2024E · Potential for more than minimal harm, patternThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Apr 2, 2024D · Potential for more than minimal harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Feb 21, 2024D · Potential for more than minimal harm, isolatedThe facility transferred or discharged a resident without a valid reason, or failed to provide the required documentation and information when moving a resident out. · from a complaint · F-0622
Aug 24, 2023▲ G · Actual harm, isolatedThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint · F-0677
Jul 21, 2023F · Potential for more than minimal harm, widespreadThe facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. · F-0812
Jul 21, 2023E · Potential for more than minimal harm, patternThe facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. · F-0584
Jul 21, 2023E · Potential for more than minimal harm, patternThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Jul 21, 2023E · Potential for more than minimal harm, patternThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Jul 21, 2023D · Potential for more than minimal harm, isolatedThe facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. · F-0554
Jul 21, 2023D · Potential for more than minimal harm, isolatedThe facility's medication error rate was 5 percent or higher — meaning too many doses were given incorrectly, such as the wrong drug, dose, or time. · F-0759
Jul 21, 2023D · Potential for more than minimal harm, isolatedThe facility did not have a working call system — the button or cord residents use to summon help — in each resident's bathroom and bathing area. · F-0919
Apr 28, 2022E · Potential for more than minimal harm, patternThe facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658
Apr 28, 2022E · Potential for more than minimal harm, patternThe facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · F-0677
Apr 28, 2022E · Potential for more than minimal harm, patternThe facility did not provide appropriate care related to bladder and bowel needs — including care for residents who use catheters and steps to prevent urinary tract infections. · F-0690
Apr 28, 2022E · Potential for more than minimal harm, patternThe facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. · F-0761
Apr 28, 2022E · Potential for more than minimal harm, patternThe facility did not provide each resident with a nourishing, tasty, well-balanced diet that meets their daily nutritional and special dietary needs. · F-0800
Apr 28, 2022E · Potential for more than minimal harm, patternThe facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · F-0803
Apr 28, 2022D · Potential for more than minimal harm, isolatedThe facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · F-0550
Apr 28, 2022D · Potential for more than minimal harm, isolatedThe facility did not provide proper foot care for residents. Foot care includes routine care like nail trimming and attention to foot problems, which matter greatly for older adults. · F-0687
Apr 28, 2022D · Potential for more than minimal harm, isolatedThe facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · F-0689
Apr 28, 2022D · Potential for more than minimal harm, isolatedThe facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. · F-0758
Apr 28, 2022D · Potential for more than minimal harm, isolatedThe facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880
Apr 28, 2022D · Potential for more than minimal harm, isolatedThe facility did not make sure its staff were vaccinated for COVID-19 in accordance with the federal requirements in effect at the time. · F-0888

Inspection trend by year

Citations from standard inspections stayed about the same across the last two inspection cycles (7 → 8).

Citations by recorded inspection yearPublished citation counts, not a quality score · Source: CMS, 2026-08-01
All citationsSerious citations (G–L)
2022
All citations: 12
Serious citations (G–L): 0
2023
All citations: 8
Serious citations (G–L): 1
2024
All citations: 13
Serious citations (G–L): 0
2025
All citations: 3
Serious citations (G–L): 0
2026
All citations: 3
Serious citations (G–L): 1

All bars start at zero. Exact values and supporting details remain below.

YearCitationsSerious (G–L)Worst severity that year
2022120E
202381G ▲
2024130F
202530D
202631G ▲

Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.

Fines and enforcement (last 3 years)

How to file a complaint about care →

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

What these staffing numbers mean →

Nurse time, in contextAdjusted hours per resident per day · Source: CMS, 2026-08-01
This facilityIllinois averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 2.57
Illinois average: 2.99
U.S. average: 3.95
Registered Nurse hours
This facility: 0.72
Illinois average: 0.63
U.S. average: 0.69
Weekend total nurse staffing
This facility: 2.42
Illinois average: 2.67
U.S. average: 3.50

All bars start at zero. Exact values and supporting details remain below.

MeasureThis facilityIllinois avgU.S. avgWhere it stands
Total nurse staffing (hours per resident per day)2.572.993.95bottom 41% in Illinois; bottom 4% in the U.S.
Registered Nurse hours0.720.630.69top 26% in Illinois; top 34% in the U.S.
Weekend total nurse staffing2.422.673.50top 47% in Illinois; bottom 7% in the U.S.
Weekend RN hours (not acuity-adjusted)0.880.560.48top 14% in Illinois; top 8% in the U.S.
Total nursing staff turnover (%)50.044.545.8bottom 34% in Illinois; bottom 38% in the U.S.
RN turnover (%)39.441.842.9top 49% in Illinois; top 46% in the U.S.

Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 3.40, RN 0.96, weekend 3.21.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.40 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 2/5.

Quality measures: assessments & claims

Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.

Quality measures rating: 5/5 · long-stay residents: 5/5 · short-stay residents: 4/5

Costs & payment

Price evidence · separate from quality

No verified facility-specific private-pay price is available in our data for Bella Terra Lombard. CMS inspection and staffing records do not tell us what this home will charge you.

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Who owns this facility

How to read ownership records →

Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →

For profit - Corporation

Owner / managerTypeRoleStakeSince
Doros Generation Trust U/A/D 1/3/12Organization5% or Greater Direct Ownership Interest17%06/01/2021
Garden, DanielIndividual5% or Greater Direct Ownership Interest8%06/01/2021
GPN Family Trust U/A/D 4/28/08Organization5% or Greater Direct Ownership Interest17%06/01/2021
Ninio, MordechayIndividual5% or Greater Direct Ownership Interest59%06/01/2021
Morris, MargauxIndividualW-2 Managing EmployeeNOT APPLICABLE06/01/2021
TBDMD Il, LLCOrganizationOperational/Managerial ControlNOT APPLICABLE06/01/2021

All 6 owning or managing parties CMS has on file are shown — none excluded.

Other facilities in the same chain

CMS lists this facility under the chain Legacy Healthcare — 89 facilities in the current records. Chain membership says who operates these homes. It says nothing about how any individual one of them was inspected; each has its own record.

Listed by state, then facility name — not a ranking. Showing 8 of the 88 others, continuing from this facility's own place in that list.

Questions to ask on your visit

Full visit checklist →

Print visit checklist

Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.

  • "How do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
  • "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
  • "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
  • "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
  • "What safeguards do you have to protect residents' money and belongings, and what happens when something goes missing?"
  • "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
  • "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
  • "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"

Also worth asking anywhere

  • "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
  • "Can I see the plan of correction for the findings in your most recent state inspection?"
  • "CMS reports 50% total nursing staff turnover here — who on the care team has been with you longest?"
  • "Can I visit again unannounced, at a mealtime or on a weekend?"

Nearby facilities (12 closest of 179 within 20 miles)

FacilityDistanceCityOverallInspectionFlags
Beacon Hill0.4 miLombard, IL★★★★★4/5
The Pearl of Downers Grove1.6 miDowners Grove, IL★☆☆☆☆2/5
Alta Rehab at Oak Brook2.8 miOak Brook, IL★★☆☆☆2/5
Bella Terra Elmhurst3.9 miElmhurst, IL★★★★☆4/5
Oakwood Rehab and Nursing Center4.2 miWestmont, IL★☆☆☆☆1/5abuse
Park Place Christian Community4.7 miElmhurst, IL★★★★★4/5
Pearl of Hinsdale, the5.0 miHinsdale, IL★★★★☆4/5
The Commons at Lisle Creek Estates5.1 miLisle, IL★★★★☆4/5
Burgess Square Healthcare Ctr5.2 miWestmont, IL★★★★☆3/5
Wheaton Village Nrsg & RHB Ctr5.3 miWheaton, IL★★★☆☆3/5
Thrive of Lisle5.5 miLisle, IL★★★★☆4/5
Oak Trace5.8 miDowners Grove, IL★★★★★4/5

Compare this facility with the 3 closest →

Other facilities in the same county

CMS records place this facility in Du Page, IL — 38 certified facilities there. These are outside the 20-mile list above, or far enough down it not to appear.

Listed by facility name — not a ranking. Homes already in the table above are not repeated here.

All facilities in Lombard →

Facility data as of CMS processing date 2026-08-01. CCN 145511.

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