The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
BELLA TERRA LOMBARD
LOMBARD, IL · Medicare-certified · 224 beds
In good standing
For-profitChain member
Data as of September 1, 2026
4 of 5 overall
Bella Terra Lombard in Lombard, IL has a 4 out of 5 star overall rating, with strong quality measures but weaker staffing at 2 stars and reported nurse staffing below the federal benchmark (3.40 vs. 4.1 hours per resident per day). Health inspections are 3 stars, there were no fines in the last 24 months, and recent inspection citations included pressure ulcer care, food safety, and residents’ rights to a safe, clean, comfortable environment.
Facility ratings
Health inspections
Staffing
3.4036 hrs/resident/day
Quality measures
Last inspection: July 10, 2026Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.4036.
Staffing detail
- Registered nurses
- 0.96
- Licensed practical nurses
- 0.46
- Nurse aides
- 1.98
- Weekend nursing
- 3.21
Hours per resident per day.
Total staff turnover: 50%
Registered nurse turnover: 39%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Long-stay residents on antipsychotic medication
16.9%10.7%Improving
Residents with a fall causing major injury
1.6%2.6%Worsening
Residents with pressure ulcers (bedsores)
3.4%2.7%Improving
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
9.9%10.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
7.8%6.6%Improving
Residents whose ability to walk got worse
13.2%10.3%Improving
Long-stay residents on antianxiety or sleep medication
20.7%16.2%Improving
Short-stay residents newly given an antipsychotic
2.5%2.2%No change
Residents with a long-term catheter
0%0.6%Worsening
Residents with new or worsening incontinence
10%17.1%Worsening
Residents with depressive symptoms
100%100%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—94%—
Long-stay residents given the pneumonia vaccine
95.1%94.7%No change
Short-stay residents given the seasonal flu vaccine
—58.4%—
Short-stay residents given the pneumonia vaccine
85.4%65.8%Worsening
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited June 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited July 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 42 CFR §483.10 — S/S: E
The home failed to provide appropriate care to help a resident maintain or improve movement and mobility. Cited June 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 688 — 42 CFR §483.25(c) — S/S: E
The nursing home failed to provide needed care and help with daily activities for residents who could not do them on their own. Cited April 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 677 — 42 CFR §483.24(a)(2) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
Operator & ownership
Recent ownership change · Jun 1, 2021
Now operated by Lombard Skilled Nursing Facility LLC, previously Lexington Health Care Center of Lombard INC.
- Ownership
- For profit - Corporation
- Chain
- Part of LEGACY HEALTHCARE · 95 homes · 2.9 stars avg
- Occupancy
- 145.6 residents on an average day (65% of 224 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 41 years
The most recent standard health inspection was more than two years ago.
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.