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 26 to 50 of 64 citations

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

    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.

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

    Health citation F-0758, Pharmacy Service 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. No harm, with potential for more than minimal harm

    Keep complete, dated laboratory records in the resident's record.

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

    Health citation F-0775, 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).

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

    Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

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

    Health citation F-0803, 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).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, 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).

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

    Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

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

    Health citation F-0806, 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).

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

    Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration.

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

    Health citation F-0807, 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).

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

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

    Health citation F-0809, 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).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, 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).

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

    Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

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

    Health citation F-0887, 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).

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

    Make sure that a working call system is available in each resident's bathroom and bathing area.

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

    Health citation F-0919, Environmental 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. No harm, with potential for more than minimal harm

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of January 8, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 23, 2026).

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

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

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

    Health citation F-0550, 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).

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

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

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

    Health citation F-0553, 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).

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, 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).

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

    Ensure residents have reasonable access to and privacy in their use of communication methods.

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

    Health citation F-0576, 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

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

    Health citation F-0578, 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

    Protect each resident from the wrongful use of the resident's belongings or money.

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

    Health citation F-0602, 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

    Respond appropriately to all alleged violations.

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

    Health citation F-0610, 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

    Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

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

    Health citation F-0622, 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

    Prepare residents for a safe transfer or discharge from the nursing home.

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

    Health citation F-0624, 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).

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

    Provide doctor's orders for the resident's immediate care at the time the resident was admitted.

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

    Health citation F-0635, 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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, 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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, 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 appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services.

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

    Health citation F-0691, 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 October 1, 2026. Inspection results describe the home at the time of each inspection.