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Complaint Investigation

Bella Vita Health And Rehabilitation Center

November 6, 2025 · Glendale, AZ · 5125 North 58th Avenue
Citations 1
CMS Rating 3/5
Beds 176
Provider ID 035092
Healthcare Facility
Bella Vita Health And Rehabilitation Center
Glendale, AZ  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

Bella Vita Health and Rehabilitation Center in GLENDALE, AZ — inspection on November 6, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0686
Quality of Life and Care Deficiencies
Actual Harm

by the provider, as this was the resident's first visit; and-Regarding the left medial lower leg wound, diabetic, no infection, dressing treatment used was honey alginate, mild serosanguinous exudate, no odor, two open wounds with intervening epithelium.

The wound progress was unable to be determined by the provider, as this was the resident's first visit.The July 14, 2025, surgical note included an assessment and plan of the wounds.

The assessment and plan revealed the wounds were stable and required continued topical wound dressing therapy; to obtain consent from family in case the resident has some improvement overall and would benefit from further debridement; offload; turn per facility protocol; LALM; foam boots; and a follow-up interval of every week. On the July 21, 2025 visit, the surgical note document revealed that the sacrococcyx wound, the left and right medial heel wounds, and the left medial lower leg wound, and all the wounds had all decreased in size. A review of the psychiatric progress note dated July 28, 2025 at 8:28 AM revealed a late entry note; the resident had not had any evidence of increased depression, no psychotic symptoms or major behavioral disturbances, maintaining a fair oral intake, and no evidence of worsening anorexia, and had been cooperative with his cares.A review of the nursing progress note dated August 11, 2025 at 12:56 PM revealed the resident was very lethargic, not opening eyes or responding to voice or touch in the morning, and was unable to answer any questions for the MDS quarterly.

The floor nurse and the ADON were aware of the resident's decline in health.A review of the Nutrition-Quarterly Evaluation assessment dated [DATE], revealed the resident had an order for regular mechanical soft diet, thin fluid consistency; resident's weight on August 11, 2025 using a wheelchair scale was 195.7 pounds, significant weight gain noted for August; have upper and lower dentition; total assist for dining; pressure and non-pressure wounds skin status; had a Body Mass Index (BMI) of 28.1, overweight; at risk of malnutrition per the Minimum Nutrition Assessment (MNA) due to decreased mobility and impaired cognition; has healing pressure and non-pressure wounds; meal intake of mechanical soft food and House supplement 4 ounces by mouth three times a day, meeting needs; and intake of Prostat 1 ounce at bedtime, exceeding needs.Review of Skin Wound progress note dated August 14, 2025 at 3:54 PM revealed the provider, ADON, and floor nurse were notified of a new foul odor from the resident's buttock wound. A wound culture and an infectious disease consult were ordered. A wound culture specimen was obtained and placed in the refrigerator.

The staff was unable to reach the resident's guardian for a debridement consent.Review of eMAR-Medic

Facility ID:

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in GLENDALE, AZ, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from Bella Vita Health and Rehabilitation Center or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.