Terrabella Little Avenue
Families consistently rate this highly — reviewers highlight engaging and diverse activity programs. Schedule a visit to confirm the fit.
based on 31 Google reviews
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What this means for your family
The facility offers exceptional social programming and a beautiful environment that can greatly improve the quality of life for active seniors. However, families must exercise extreme caution and perform rigorous on-site checks, as recent reviews indicate critical failures in resident supervision and basic hygiene care.
Google Reviews
Google Reviews
31 reviews analyzed“TerraBella Little Avenue is highly regarded by many families for its vibrant activity programs, including music, arts, and animal visits, and its warm, welcoming staff. However, recent reviews have raised serious concerns regarding neglectful care, hygiene issues, and lack of responsiveness from management during critical situations.”
Quality Themes
Tap a score for detailsStrengths
- Engaging and diverse activity programs
- Warm and welcoming front-line staff
- Beautiful and clean facility environment
- Strong sense of community and social connection
Concerns
- Serious allegations of resident neglect and lack of supervision (mentioned by 2 reviewers)
- Inconsistent hygiene and personal care standards
- Inconsistent food quality
Rating Trends
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Distribution
How They Respond to Reviews
This facility actively engages with reviewer feedback.
Questions for Your Tour
- 1We've heard wonderful things about the sense of community here; could you tell us more about the different types of social activities and programs available to help residents connect?
- 2The facility looks beautiful and very well-maintained; what are your daily routines for ensuring the common areas and resident spaces stay clean and comfortable?
- 3How do you ensure that personal care and hygiene needs are consistently met for every resident throughout the day and night?
- 4Could you explain your protocol for monitoring residents and how you ensure they are supervised and safe, especially during the evening or overnight hours?
- 5We noticed you are very active in responding to feedback from families; how does the management team use resident or family input to improve communication and service?
- 6What is the process for handling medical emergencies or sudden changes in a resident's health after regular business hours?
Personalized based on this facility's data
Key Review Excerpts
“Since we've moved my dad into Terra Bella, he actually feels and looks better! He was living alone in a four-bedroom house, fairly isolated and not eating well.”
“The staff has always lovingly cared for Mom, even through the 13 months I was unable to visit her due to COVID. Mom is always clean, safe and cared for in a loving manner.”
“In my personal experience, Terra Bella Assisted Living failed my family in ways I will never forget. We entrusted them with the care of my mom, who had severe Alzheimer’s and was at the end of her life, for less than 24 hours — and what we witnessed was deeply distressing.”
State Inspection History
State Inspections
Source: NC Division of Health Service Regulation
May 27, 2025Complaint
The facility failed to provide adequate supervision for a resident with a history of wandering behaviors in the Special Care Unit, which resulted in the resident eloping from the facility. Despite documented exit-seeking behaviors and a high risk for elopement, the resident was found in the parking lot after exiting through an emergency door.
May 27, 2025Complaint
The facility failed to provide adequate supervision for a resident with a history of wandering behaviors in the Special Care Unit, which resulted in the resident eloping from the facility. Observations of the unit revealed multiple emergency exit doors that led to the outside or parking areas, and staff failed to respond to alarms in a manner that prevented the elopement.
Jan 29, 2025Other
The facility failed to ensure referral and follow-up to meet routine healthcare needs for one resident. Specifically, there were multiple instances between November 2024 and January 2025 where the resident's finger stick blood sugar was 401 or greater, but there was no documentation that the Primary Care Provider was notified as ordered.
The facility failed to ensure medications were administered as ordered for one of five sampled residents. The record review indicated a failure to follow physician orders regarding medication administration related to blood sugar management.
Jan 29, 2025Other
The facility failed to ensure proper referral and follow-up for a resident's healthcare needs. Specifically, staff failed to document notification to the Primary Care Provider when the resident's finger stick blood sugar readings exceeded the ordered threshold of 401 on multiple occasions between November 2024 and January 2025.
Aug 3, 2023Complaint
The facility failed to provide adequate supervision for a resident with a history of wandering behaviors in the Special Care Unit. Specifically, the facility allowed the resident access to an unlocked and disarmed outside exit door, which resulted in the resident eloping from the facility.
Aug 3, 2023Complaint
The facility failed to provide adequate supervision for a resident with a history of wandering behaviors in the Special Care Unit. Specifically, the resident was allowed access to an unlocked and disarmed outside exit door, which resulted in the resident eloping from the facility.
Aug 30, 2021Complaint
The facility failed to ensure medications were administered to residents within one hour before or one hour after the prescribed or scheduled time. Specifically, for two sampled residents, medications were documented as administered outside of the required one-hour window. This included instances where 8:00am medications were administered as late as 10:12am.
Aug 30, 2021Other
The facility failed to ensure medications were administered within one hour before or one hour after the scheduled times as ordered. Specifically, for 2 of 2 sampled residents, medications such as aspirin, metoprolol XL, and simvastatin were administered outside of the prescribed 8:00am window.
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References & Resources
Google Maps
Photos, directions & neighborhood info
Google Reviews
31 reviews from families & visitors
Medicare data downloads
Original nursing home datasets
NC DHSR — View Official Record
Public-record source of inspection history and licensure data shown on this page
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