Terra Bella Health and Wellness Suites
On Medicare Special Focus status, a serious quality warning. Visit in person and ask tough questions before deciding.
based on 95 Google reviews
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Quality Concerns Identified
Medicare inspection and quality data reveal areas that families should carefully evaluate before choosing this facility.
- Special Focus Facility (under heightened CMS scrutiny)
- Abuse citation on record
- Low overall rating (1/5 stars)
- Low staffing rating (2/5 stars)
- Above-median deficiencies (15 vs median 8.0)
- High staff turnover (66%)
Bottom 25% in Texas · Below recommended RN staffing · Worst in FUNDAMENTAL HEALTHCARE chain · $168,542 in fines · Special Focus Facility (CMS) · Abuse citation
What this means for your family
The admissions and administrative teams at Terra Bella are exceptionally helpful and provide a smooth transition for new residents. However, families must exercise extreme caution regarding clinical care, as multiple reports indicate serious issues with nursing neglect, hygiene, and staffing shortages. We recommend conducting unannounced visits specifically during evening or weekend hours to verify care standards.
Google Reviews
Google Reviews
95 reviews on Google“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
- Smooth and compassionate admissions process
- Clean and beautiful physical facility
- Engaging activity programs and staff
- Professional administrative and business office staff
Concerns
- Neglect regarding hygiene and frequent changes (mentioned by 3 reviewers)
- Inadequate staffing levels, especially on weekends (mentioned by 3 reviewers)
- Difficulty reaching the facility via phone (mentioned by 4 reviewers)
- Loss or improper disposal of resident belongings (mentioned by 2 reviewers)
Rating Trends
Tap a year to see what changed
Distribution · 96 analyzed
How They Respond to Reviews
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.
Questions for Your Tour
- 1We've heard great things about how welcoming the admissions process is; could you walk us through what the first few days of transition look like for a new resident?
- 2The facility looks beautiful and very clean; how do you ensure that the high standard of cleanliness is maintained for every resident's personal room and hygiene needs?
- 3We'd love to hear more about the activity programs; what are some of the favorite weekly events that keep residents engaged?
- 4With the importance of medication safety in mind, what specific protocols do you have in place to ensure medications are managed accurately and on time?
- 5How does the nursing team handle medical emergencies or changes in health status during the weekends when the facility might be quieter?
- 6Could you tell us a bit about the dining experience and how the menu is planned to ensure residents receive nutritious and appealing meals?
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.”
Staffing
Staffing Hours
per resident/day · Medicare 2026Both RN and total nursing hours are below national benchmarks. This can mean less clinical attention per resident, so ask about their staffing plan.
Quality Measures
Quality Measures
Resident outcomes compared with national, state, and local averages · 17 measures
11
measures
3
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
Inspection History
Medicare Inspection History
3-year lookback · Medicare 2026
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.
Mar 26, 2026Routine7
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.
Jan 13, 2026Complaint2
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.
Nov 26, 2025Complaint2
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.
Nov 20, 2025Complaint1
Pharmacy Service Deficiencies
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Jul 21, 2025Complaint5
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.
Apr 25, 2025Complaint1
Nutrition and Dietary Deficiencies
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
Federal Penalties
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
Ownership & Operations
Who Operates This Facility
South Limestone Hospital District
for profit
CITY PARK CARE CENTER, LLC
BERNARD MOORE
Chain Affiliation
Fundamental Healthcare
69 facilities nationwide
Chain avg rating: 2.8/5 · Rank 23 of 26 (Worst)
Ownership & Management
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
Get in Touch
Contact this facility directly and verify the details that matter most to your family.
References & Resources
Medicare Care Compare
Official Medicare quality ratings, inspections & staffing data
Google Maps
Photos, directions & neighborhood info
Google Reviews
95 reviews from families & visitors
Official Website
Visit terrabellahealth.com
Medicare data downloads
Original nursing home datasets
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