La Bella Of Danville
LA BELLA OF DANVILLE in DANVILLE, IL — inspection on April 28, 2026.
Found 2 citations. 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
was told R4 fell out of bed. V8 stated V8 wrapped R4's wrist and reported bruising to V2 DON.R4's
After Visit Summary dated 3/28/26 documents R4 was seen for closed fracture of the left wrist and
1:00PM, V18 Ortho Surgery Office Tech stated R4 did not have any appointments scheduled and that the referral was closed after office staff attempted on 4/1/26 and 4/3/26 to contact facility to make an appointment. V18 stated no contact was ever made as phone number was not accurate. At 1:08pm, V18 informed this surveyor that the facility was currently on another line attempting to make an appointment for R4. At 1:09PM, V19 Ortho Advanced Practical Nurse (APN) stated that after reviewing R4's X-Rays, they most likely would not have recommended surgery due to R4's severe osteoporosis, however we would have either put R4 in a hard cast or appropriate immobilizing splint. V19 stated soft casts were made to be temporary only. V19 stated R4 will be seen tomorrow 4/23/26 and x-rays will be completed to assess fracture healing and alignment and make recommendations from there.On 4/23/26 at 10:27 AM, V20 Transportation Aide stated V20 makes all resident appointments and arranges transportation. V20 stated V20 will receive an email from V2 DON with resident information and appointment. V20 will then check EMR for order which V20 prints along with resident face sheet and faxes to appropriate medical office with two contact numbers to call with appointment time. V20 stated V20 follows up each fax request after two days with a phone call if V20 has not had a response. V20 stated V20 has a box for nursing to place orders with appointment requests during off hours.V20 stated that up until yesterday 4/22/26 V20 had no request or information regarding R4's need to see Orthopedic Surgery. V20 stated the order was written on a Saturday at 1:00AM, which would have been the nurse's responsibility to follow up and place information in transportation box.R4's Left Wrist X-Ray dated 4/22/26 documents interval healing of the mildly comminuted/impacted fracture of the distal left radius (wrist) with some callus formation evident about the fracture site. No evidence for dislocation.
Positive ulnar variance with subacute fracture of the ulnar styloid (pinky finger side of wrist).
Mild-moderate generalized osteoporosis (weak bones).
Mild degenerative changes first carpometacarpal (CMC) joint (thumb joint). No radiopaque foreign body.On 4/23/26 at 2:41PM, R4 was observed returning to the facility from ortho appointment.
Pink hard cast noted to left wrist/forearm. R4 stated R4 doesn't have any pain now but did in the other cast. R4 stated R4 is to return to doctor in a month.R4's After Visit Summary dated 4/23/26 documents R4 was seen for closed fracture of the left wrist with routine healing.
Education for cast care enclosed and notice of next follow up appointment on 5/20/26 at 10:45AM.On 4/27/26 at 1:00PM, V2 DON stated the facility does not have a policy on following physician orders.R4's Progress Notes dated 3/27/26 documents the facility received abnormal X-ray results.
Findings were reported to physician, who ordered that the resident be sent to the Emergency Department for treatment if unable to be seen by orthopedics immediately. R4's family was notified. An ambulance was called, and the resident was transported to hospital.R4's Progress Notes dated 3/28/26 documents R4 returned from hospital with soft cast in place to left forearm and referral to orthopedic surgery.Facility Incidents and Accidents Policy, undated, documents in the event of an incident or accident, immediate assistance will be provided, and any injuries will be assessed by the licensed nurse or practitioner, the affected individual will not be moved until safe to do so.Facility's Registered Nurse Job Description, undated, documents all nurses will transcribe physician orders to medical record and carry out orders as written.
145753 04/28/2026
LA Bella of Danville 1701 North Bowman Danville, IL 61832
in accordance with accepted professional standards.
resident in accordance with accepted professional standards and practices that are complete and
the Electronic Health Record (EHR) R3 has diagnoses including Cerebral Vascular Accident, Epilepsy, Vascular Dementia, Obstructive Uropathy, Severe Protein Malnutrition, Anxiety, and Autonomic Nervous System Disorder.R3's undated Care Plan documents R3 is dependent on staff for all Activities of Daily Living (ADL's), has indwelling nephrostomy and foley tubes, cognitive impairment is severe, has a seizure disorder, has a communication deficit related to Aphasia, is at risk to develop clinically unavoidable skin breakdown related to Cerebrovascular disease, history of loss of weight, and muscle weakness.R3's progress notes dated 4/9/26 documents R3 out of facility for procedure.
R3's progress notes do not document R3 returning from procedure, any new medical devices, status, and new orders associated with procedure. R3's progress notes contain five 72-hour re-admission entries that are all blank.
Next progress note entry was made by a nurse practitioner on 4/20/26 about a new infection.On 4/23/26 at 1:45 PM, V2 Director of Nursing (DON) stated that V2 was unclear why there are blank entries within R3's progress notes. V2 DON confirmed there are no follow-up progress notes documenting R3's return from R3's appointment on 4/9/26 and R3's clinical changes.2) According to the Electronic Health Record (EHR) R4 has diagnoses including admission diagnosis of Urinary Tract Infection (UTI), Left Femur Fracture surgical aftercare, and repeated falls.R4's undated Care Plan documents R4 is high risk for falls with recent fall with fracture history (12/30/25); Interventions include adding scoop mattress on 1/26/26, offer to transfer R4 to wheelchair prior to dinner on 2/6/26, and non-skid strips placed by bed, and non-skid socks to replace slippers on 3/26/26. R4's Care Plan also documents R4 is to ambulate with assistance and walker with left leg weight bearing as tolerated. R4 dependent on staff for ADL's, at risk for skin alterations, and has moderate cognitive impairment. and weaknesses.Facility Fall Log, undated, documents R4 had a fall on 2/6/26, and 3/26/26.R4's EMR does not document incident referred to as fall that occurred on 3/26/26 causing R4's injury, nor any physical assessment completed.R4's Progress Notes dated 3/27/26 documents R4 had bruising and swelling to left wrist.
Physician notified and diagnostic testing ordered.On 4/22/25 at 11:45AM, V2 DON confirmed there was no documentation in R4's EMR about R4's fall on 3/26/26.The Facility's Documentation in Medical Record Policy, undated, documents each resident's medical record shall contain an accurate representation of the actual experiences of the resident and include enough information to provide a picture of the resident's progress through complete, accurate, and timely documentation.The Facility Incidents and Accidents Policy, undated, documents in the event of an incident or accident, documentation of the incident shall be entered within 24 hours of occurrence.
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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.