Bella Terra Elmhurst

420 West Butterfield Road · Elmhurst, IL · 60126 · 6308322300

142 certified beds For profit - Corporation Chain: Legacy Healthcare

  • Staffing hours comfortably above national benchmarks.
  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

The complete Safety Report — $19

Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.

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Red flags

No standard inspection in over 2 years

The inspection record here is older than usual — conditions may have changed since.

Score breakdown

Inspection record 30% of score 56
Serious harm & abuse 20% 94
Staffing 20% 84
Federal penalties 15% 100
Trend 10% 78
Context 5% 85

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day4.243.48 min · 4.1 strong
RN hours / resident-day1.030.55–0.75
Weekend hours / resident-day4.23≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (29 in the current record)

  • Potential for harm · D September 4, 2025 · found via complaint

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

    Corrected September 5, 2025 · Quality of Life and Care

  • Actual harm · G December 30, 2024 · found via complaint

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

    Corrected January 1, 2025 · Quality of Life and Care

  • Potential for harm · D December 30, 2024 · found via complaint

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

    Corrected January 1, 2025 · Resident Rights

  • Potential for harm · D April 25, 2024 · found via complaint

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

    Corrected April 26, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024 · found via complaint

    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.

    Corrected April 30, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024 · found via complaint

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

    Corrected April 26, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected March 15, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D March 14, 2024

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

    Corrected March 15, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

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

    Corrected March 15, 2024 · Quality of Life and Care

  • Potential for harm · E March 14, 2024

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected March 15, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    Provide enough food/fluids to maintain a resident's health.

    Corrected March 15, 2024 · Quality of Life and Care

  • Potential for harm · D March 14, 2024

    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 March 15, 2024 · Pharmacy Service

  • Potential for harm · E March 14, 2024

    Provide and implement an infection prevention and control program.

    Corrected March 15, 2024 · Infection Control

  • Potential for harm · D December 28, 2023 · found via complaint

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

    Corrected December 29, 2023 · Resident Rights

  • Potential for harm · E December 28, 2023 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected December 29, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D December 28, 2023 · found via complaint

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

    Corrected December 29, 2023 · Quality of Life and Care

  • Potential for harm · D September 22, 2023 · found via complaint

    Provide or get specialized rehabilitative services as required for a resident.

    Corrected October 4, 2023 · Quality of Life and Care

  • Potential for harm · E June 9, 2023

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

    Corrected June 10, 2023 · Quality of Life and Care

  • Potential for harm · E June 9, 2023

    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.

    Corrected June 10, 2023 · Pharmacy Service

  • Potential for harm · E June 9, 2023

    Provide and implement an infection prevention and control program.

    Corrected June 10, 2023 · Infection Control

  • Potential for harm · D May 5, 2022

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected May 27, 2022 · Resident Assessment and Care Planning

  • Potential for harm · E May 5, 2022

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

    Corrected May 27, 2022 · Quality of Life and Care

  • Potential for harm · D May 5, 2022

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

    Corrected May 27, 2022 · Quality of Life and Care

  • Potential for harm · E May 5, 2022

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

    Corrected May 27, 2022 · Quality of Life and Care

  • Potential for harm · D May 5, 2022

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected May 27, 2022 · Quality of Life and Care

Showing the 25 most recent. The Safety Report includes every citation with full findings.

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 145711 · certified since January 6, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.