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On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 97 Google reviews
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These current public-data fields deserve follow-up with the facility and the official Medicare record. They are not a clinical risk score or a substitute for an in-person assessment.
Medicare Special Focus status indicates a history of serious quality problems and heightened oversight. Review the latest inspection records, ask what corrective actions remain open, and visit in person before deciding.
Families often praise the admissions process and the professionalism of the administrative staff, particularly Ms. Marilyn Mitchell, noting that the facility is beautiful and clean. However, there are serious, recurring allegations regarding neglect, including improper hygiene care, medication errors, and inadequate staffing levels. While the physical environment is frequently described as top-notch, the quality of clinical nursing care is a significant point of contention among long-term residents' families.
Quality Themes
Tap a score for detailsStrengths
Concerns
Rating Trends
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Distribution · 98 analyzed
The owner relies heavily on a library of repetitive, templated responses that vary slightly depending on the star rating. While some responses attempt to personalize by using the reviewer's name or mentioning specific staff, many are identical copy-paste phrases used across multiple reviews.
Personalized based on this facility's data
Key Review Excerpts
“Ms. Marilyn basically handheld me through the process of getting my mom admitted so bless her so much. Everyone I met seemed nice and Mom thinks so too so I'm not worried much anymore.”
“My grandma was being neglected and malnourished to the point we had to take her to the ER… we put her in this facility for quality care and that is NOT what we got.”
“I am an entertainer (do not have a friend or relative at Terra Bella) and sang and performed for the residents last month. From my observation, they appeared well taken care of, happy, and seemed very appreciative.”
Both RN and total nursing hours are below the EveryPlace reference benchmarks. Ask the facility how it staffs each shift for current resident needs.
Reference benchmarks (0.75 RN and 4.1 total nursing hours per resident/day) are comparison targets, not current federal minimum requirements.
Resident outcomes compared with national, state, and local averages · 17 measures
12
measures
2
measures
3
measures
Residents whose bladder or bowel control got worse
Residents with depression symptoms
Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.
Residents needing more daily help over time
Residents on antipsychotic medication
Residents on anti-anxiety or sleep medication
Residents vaccinated for pneumonia
Short-stay residents vaccinated for the flu
Short-stay residents vaccinated for pneumonia
Short-stay residents newly given antipsychotics
US average from Medicare published data
Detailed Medicare record · up to 3-year lookback
Terra Bella has a concerning pattern of 43 complaint-triggered deficiencies out of 66 total, indicating families have repeatedly filed reports about care problems. The most recurring issues involve medication management errors, wound and pressure ulcer care failures, and infection control lapses. Problems with care planning, daily living assistance, and abuse reporting also persist across multiple surveys, suggesting ongoing systemic care quality concerns that families should carefully consider before visiting.
Quality of Life and Care Deficiencies
Provide safe, appropriate pain management for a resident who requires such services.
Resident Rights Deficiencies
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Smoke Deficiencies
Provide properly protected cooking facilities.
Pharmacy Service Deficiencies
Ensure medication error rates are not 5 percent or greater.
Smoke Deficiencies
Install corridor and hallway doors that block smoke.
Smoke Deficiencies
Ensure smoke barriers are constructed to a 1 hour fire resistance rating.
Services Deficiencies
Have properly installed electrical wiring and gas equipment.
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Smoke Deficiencies
Install an approved automatic sprinkler system.
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Nursing and Physician Services Deficiencies
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.
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Resident Assessment and Care Planning Deficiencies
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Quality of Life and Care Deficiencies
Provide appropriate foot care.
Resident Assessment and Care Planning Deficiencies
Ensure each resident receives an accurate assessment.
Pharmacy Service Deficiencies
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Federal Penalties
Fine
May 23, 2026
$24,740
Fine
Jul 21, 2025
$45,679
Fine
Feb 7, 2025
$26,943
Fine
Jan 18, 2024
$38,705
Fine
Nov 14, 2023
$32,548
Fine
Oct 10, 2023
$13,029
South Limestone Hospital District
for profit
CITY PARK CARE CENTER, LLC
BERNARD MOORE
Fundamental Healthcare
67 facilities nationwide
Chain avg rating: 2.8/5 · Rank 23 of 26 (Lowest rating)
Owners
South Limestone Hospital District
Owner · Organization
Forman, Murray
Individual is an Owner, Partner or Trustee of Any Adp of the Snf
Key personnel
Contact this facility directly and verify the details that matter most to your family.
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
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Google Reviews
97 reviews from families & visitors
Official Website
Visit terrabellahealth.com
Medicare data downloads
Original nursing home datasets
EveryPlace is a research directory. Facility information is compiled from public sources — Medicare.gov, state licensing portals, Google Places, and publicly available street-level imagery. Some summaries, interpretations, suggested questions, and pricing research are AI-generated or AI-assisted and may contain errors or omit important context. Listings do not constitute endorsement, recommendation, or advertisement, and we do not accept payment for placement. Families should verify all details directly with the facility and the original sources linked above before making any care decisions. See our Research Policy for our editorial standards, correction process, and image-removal policy.
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