All citations for Bella Terra St George (Black Rock Health and Rehab

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Bella Terra St George (Black Rock Health and Rehab

Last standard health inspection on record

January 8, 2026

Showing 1 to 25 of 64 citations

  1. Immediate jeopardy to resident health or safety

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

    Isolated (one or a few residents). CMS level J.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  2. Harm to a resident

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

    Pattern (more than a few residents). CMS level H.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  3. Harm to a resident

    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.

    Pattern (more than a few residents). CMS level H.

    Health citation F-0726, Nursing and Physician Services Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  4. Harm to a resident

    Administer the facility in a manner that enables it to use its resources effectively and efficiently.

    Pattern (more than a few residents). CMS level H.

    Health citation F-0835, Administration Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  5. Harm to a resident

    Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

    Pattern (more than a few residents). CMS level H.

    Health citation F-0867, Administration Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  6. Harm to a resident

    Protect each resident from separation (from other residents, his/her room, or confinement to his/her room).

    Isolated (one or a few residents). CMS level G.

    Health citation F-0603, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  7. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  8. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  9. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  10. Harm to a resident

    Ensure each resident must receive and the facility must provide necessary behavioral health care and services.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0740, Quality of Life and Care Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  11. Harm to a resident

    Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0802, Nutrition and Dietary Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  12. Harm to a resident

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

    Isolated (one or a few residents). CMS level G.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 28, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2023).

  13. No harm, with potential for more than minimal harm

    Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.

    Widespread (many residents). CMS level F.

    Health citation F-0800, Nutrition and Dietary Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  14. No harm, with potential for more than minimal harm

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

    Widespread (many residents). CMS level F.

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  15. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  16. No harm, with potential for more than minimal harm

    Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0584, Resident Rights Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  17. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  18. No harm, with potential for more than minimal harm

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0607, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  19. No harm, with potential for more than minimal harm

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  20. No harm, with potential for more than minimal harm

    Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0625, Resident Rights Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  21. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  22. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  23. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  24. No harm, with potential for more than minimal harm

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

  25. No harm, with potential for more than minimal harm

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

    Pattern (more than a few residents). CMS level E.

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of November 13, 2024. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (January 7, 2025).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.