Bella Vita Rehab: Pressure Ulcer Harm Found - AZ
The resident had arrived with multiple wounds, including pressure injuries at the sacrococcyx, both heels, and the left lower leg. A surgical provider who saw him in mid-July noted the wounds were stable and called for weekly follow-up visits, foam boots to offload pressure, and family consent to be obtained in case further debridement became necessary. By July 21, all the wounds had decreased in size.
Then things reversed.
On the morning of August 11, a floor nurse documented that the resident was very lethargic, not opening his eyes, and not responding to voice or touch. He could not answer questions for a routine quarterly assessment. The floor nurse and the assistant director of nursing were both aware of the decline.
Three days later, on August 14, staff noted a new foul odor coming from the buttock wound. A wound culture was ordered, and an infectious disease consult was requested. The culture specimen was collected and placed in a refrigerator. Staff tried to reach the resident's guardian for debridement consent and could not.
Federal inspectors cited the facility for actual harm under the wound care standard.
The resident's nutrition assessment from the same period noted he was at risk for malnutrition due to decreased mobility and impaired cognition, and that he required total assistance for dining. His weight had increased significantly in August, recorded at 195.7 pounds on a wheelchair scale. He was receiving mechanical soft food and supplemental nutrition.
The psychiatric note from July 28 had described him as cooperative, maintaining fair oral intake, with no signs of increased depression or worsening anorexia.
By August 11, he could not open his eyes. By August 14, his wound smelled. A culture sat in a refrigerator, and no one who could authorize the next step in his care could be reached.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Bella Vita Health and Rehabilitation Center from 2025-11-06 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
Bella Vita Health and Rehabilitation Center in GLENDALE, AZ was cited for violations during a health inspection on November 6, 2025.
The resident had arrived with multiple wounds, including pressure injuries at the sacrococcyx, both heels, and the left lower leg.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.