Illinois › Cook County › La Grange
Bella Terra Lagrange
4735 Willow Springs Road, La Grange, IL 60525
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Certified for 120 beds, Bella Terra Lagrange serves La Grange in Cook County, Illinois and has taken Medicare and Medicaid residents since 1992.
CMS gives it 4 of 5 stars overall, above the Illinois median of 2; the health inspection rating is 4, staffing 2 and quality measures 3.
Inspectors recorded 29 health deficiencies across the three most recent survey cycles (9, 13, 7 by cycle, most recent first), none at the actual-harm level. That is 24.2 per 100 beds, about the same as the state median of 28.4.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.5 hours per resident per day (1.0 RN), close to the Illinois median of 3.3; nursing staff turnover is 36.0%.
Compared with county, state and nation
| Measure | This facility | Cook Co. median | Illinois median | US average |
|---|---|---|---|---|
| Overall star rating | 4 | 2 | 2 | 3.0 |
| Health citations, 3 cycles | 29 | 37 | 34 | 28.7 |
| Citations per 100 beds | 24.2 | 23.8 | 28.4 | 26.8 |
| Total nurse hours per resident day | 3.5 | 3.2 | 3.3 | 3.9 |
| RN hours per resident day | 1.0 | 0.7 | 0.6 | 0.7 |
| Nursing staff turnover | 36.0% | 39.7% | 43.4% | 45.8% |
| Fines listed | $0 | $52,199 | $45,123 | — |
County and state figures are medians across facilities (202 in the county, 666 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Illinois average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Mar 2025, 1 Feb 2024.
Severity mix: D ×18 E ×10 F ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 28 Mar 2025 | F0887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | F | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | E | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | E | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0761 | 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. | E | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0625 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. | D | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard survey | 17 Apr 2025 |
| 28 Mar 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 17 Apr 2025 |
| 16 Jan 2025 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint investigation | 30 Jan 2025 |
| 18 Dec 2024 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint investigation | 24 Dec 2024 |
| 18 Dec 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 24 Dec 2024 |
| 24 Jun 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 5 Jul 2024 |
| 23 Apr 2024 | F0558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint investigation | 10 May 2024 |
| 1 Feb 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 15 Feb 2024 |
| 1 Feb 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Standard survey | 15 Feb 2024 |
| 1 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 15 Feb 2024 |
| 1 Feb 2024 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard survey | 15 Feb 2024 |
| 1 Feb 2024 | F0554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard survey | 15 Feb 2024 |
| 1 Feb 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard survey | 15 Feb 2024 |
| 1 Feb 2024 | F0690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard survey | 15 Feb 2024 |
| 1 Feb 2024 | F0693 | Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | D | Standard survey | 15 Feb 2024 |
| 1 Feb 2024 | F0759 | Ensure medication error rates are not 5 percent or greater. | D | Standard survey | 15 Feb 2024 |
| 3 Mar 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 16 Mar 2023 |
| 3 Mar 2023 | F0688 | Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | D | Standard survey | 16 Mar 2023 |
| 3 Mar 2023 | F0694 | Provide for the safe, appropriate administration of IV fluids for a resident when needed. | D | Standard survey | 16 Mar 2023 |
| 3 Mar 2023 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 16 Mar 2023 |
| 3 Mar 2023 | F0761 | 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. | D | Standard survey | 16 Mar 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Illinois average. Turnover: nursing staff 36.0%, RNs 48.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Illinois median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 5.0% | 11.5% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 4.0% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.8% | 2.6% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.8% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 4.7% | 12.2% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.6% | 4.3% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.3% | 17.8% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, limited liability company. Legal business name: Willow Springs Skilled Nursing Facility Llc. Chain: Legacy Healthcare (89 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Tbdmd Il, LLC | Operational/managerial control | NOT APPLICABLE | 06/01/2021 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Cook County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Addolorata Villa | Wheeling | 86 | 5 | 3 | 5 | 24 | 27.9 | $181K | 28 May 2026 |
| Alden Estates of Evanston | Evanston | 99 | 5 | 5 | 4 | 12 | 12.1 | — | 19 Dec 2025 |
| Alden Estates of Skokie | Skokie | 56 | 5 | 5 | 4 | 3 | 5.4 | — | 24 Oct 2024 |
| Alden Poplar Creek Rehab & HCC | Hoffman Estates | 217 | 5 | 4 | 2 | 29 | 13.4 | $8K | 11 Mar 2026 |
| Aperion Care Niles | Niles | 99 | 5 | 4 | 2 | 21 | 21.2 | $12K | 29 May 2026 |
| Ascension Nazarethville Place | Des Plaines | 68 | 5 | 5 | 4 | 5 | 7.4 | — | 31 Dec 2025 |
| Bella Terra Streamwood | Streamwood | 214 | 5 | 5 | 2 | 16 | 7.5 | — | 20 Dec 2025 |
| Brandel Health and Rehab | Northbrook | 102 | 5 | 5 | 5 | 3 | 2.9 | — | 12 Sep 2025 |
All 202 facilities in Cook County
Questions and answers
How many deficiencies has Bella Terra Lagrange been cited for?
29 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The Illinois median is 34 per facility.
Has Bella Terra Lagrange been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Bella Terra Lagrange compare?
Reported total nurse staffing is 3.5 hours per resident per day against a Illinois median of 3.3 and a national average of 3.9.
Who operates Bella Terra Lagrange?
It is part of the Legacy Healthcare chain. Ownership type is for-profit, limited liability company. Organisations in the CMS ownership record include Tbdmd Il, LLC. Individual owners and managers are not listed on this site.
When was Bella Terra Lagrange last inspected?
The most recent survey or investigation in the CMS record is dated 28 Mar 2025; the most recent standard health survey was 28 Mar 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.