Bella terra

    178 S 1200 E, St. George, UT, 84790
    3.2 · 18 reviews
    • Assisted living
    • Memory care
    • Skilled nursing
    AnonymousStaff member
    2.0

    Caring staff, but facility failures

    I've seen truly caring, personable staff, excellent rehab and social services, and several coworkers who go above and beyond. But chronic problems-toxic/inconsistent management (though new leadership shows improvement), severe understaffing/high turnover, poor communication, sanitation issues (mold, urine odor), broken/rotting facilities, and inadequate or incorrect meals/meds-have left residents neglected at times. Under new management things are getting better and I'd consider placing a loved one here again, but repairs, training, food quality, and cleanliness still need attention.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 12-16 hour nursing
    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Air-conditioning
    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Private bathrooms
    • Telephone
    • Wifi

    Transportation

    • Community operated transportation
    • Transportation arrangement
    • Transportation arrangement (non-medical)

    Common areas

    • Beauty salon
    • Computer center
    • Dining room
    • Fitness room
    • Gaming room
    • Garden
    • Outdoor space
    • Small library
    • Wellness center

    Community services

    • Concierge services
    • Fitness programs
    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Planned day trips
    • Resident-run activities
    • Scheduled daily activities

    3.17 · 18 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      3.4
    • Staff

      3.2
    • Meals

      1.7
    • Amenities

      3.0
    • Value

      1.3

    Pros

    • Caring and dedicated direct care staff
    • Rehab and therapy staff praised
    • Responsive admissions and supportive social services (in some reports)
    • Staff who go above and beyond for residents
    • Family-like, personable atmosphere described by some families
    • Small, intimate building with personable staff
    • Nice outdoor area and pleasant grounds
    • Remodeling and improvements noted in some reviews
    • Clean facility and attentive care reported by several reviewers
    • Large rooms and modern amenities in some units (e.g., large TVs)
    • Housekeeping reported as good in some accounts
    • Community activities (e.g., church group performances) appreciated

    Cons

    • Toxic or inconsistent management and leadership
    • Chronic understaffing and staffing shortages
    • High staff turnover and low staff morale
    • Neglect of residents and negligent caregivers reported
    • Unresponsive administration, social worker, DON, and business office
    • Poor communication and broken promises from staff/administration
    • Unsafe sanitation practices and reports of mold (including kitchen)
    • Persistent urine and other foul odors
    • Poor cleanliness and housekeeping lapses
    • Aging, broken, or rotting facility infrastructure
    • Peeling wallpaper, worn furnishings, and need for repainting/refurbishing
    • Small, cramped rooms in parts of the building
    • Inadequate or poor-quality meals and dietary noncompliance
    • Medication management concerns, including allegations of withholding
    • Transfer/assistance and patient-care process failures
    • Privacy concerns and unprofessional conduct by some staff
    • Night staff issues and complaints of low energy or short-tempered staff
    • Alleged focus on cost-cutting after ownership change (buyout)
    • Mixed reports about cleanliness after incidents of filthy rooms/bathrooms
    • Polarized reviews suggesting inconsistent quality across time/shifts

    Summary review

    Overall sentiment across the reviews is mixed and highly polarized. Many reviewers praise the frontline caregivers, therapists, and some administrative staff for compassion, individualized attention, and rehabilitation results. At the same time, a substantial cluster of reviews raises serious concerns about management, sanitation, staffing levels, and consistency of care. That split produces two distinct narratives: one of a small, caring community where certain staff create a family-like atmosphere and deliver strong rehab outcomes; and the other of a facility struggling with leadership instability, cleanliness and safety problems, and communication breakdowns.

    Care quality and staff behavior are recurring and contradictory themes. Multiple reviews repeatedly credit direct care staff, aides, and therapists as kind, patient, and hardworking — with several mentions of staff going "above and beyond," and family members saying they would place loved ones there again. Rehab/therapy teams receive particular praise in a number of accounts. Conversely, many reviews describe negligent caregivers, untrained or short-staffed nursing teams, nurse oversight failures, and individual caregivers who are unprofessional or short-tempered. The net effect is that resident experiences appear to vary widely by shift, unit, or time period: some residents receive attentive, family-like care, while others reportedly experience neglect and substandard treatment.

    Management, administration, and communication are prominent negative themes. Multiple reviewers describe toxic or inconsistent management, frequent leadership changes, and low morale among staff. Reports of high turnover and cost-cutting after a reported buyout (Cottonwood mentioned) suggest an administrative focus on finances that some feel has harmed staffing and care. Several specific communication failures are cited: unreturned calls from social workers, unresolved shipping of personal items, broken promises, and no responses from the business office or Director of Nursing. These lapses compounded family members' grief and led to distrust of the facility’s leadership.

    Sanitation, safety, and facility condition are significant concerns for a subset of reviewers. Serious allegations include mold in the kitchen and throughout the facility, unsafe sanitation practices, persistent urine odor, and rooms or bathrooms left filthy. Other reviewers reported peeling wallpaper, broken or rotting fixtures, unused hallway furniture, and a general need for repainting and refurbishing. At the same time, some reviews note recent remodeling, pleasant smells, and an overall clean environment — reinforcing the overall pattern of inconsistency. The presence of both strong cleanliness reports and severe sanitation complaints suggests variability across time, floors, or in response to management changes.

    Dining and nutrition emerge as another divided area. Several reviewers say meals are inedible, poorly prepared, or not aligned with prescribed diets, including dietary restrictions not being followed. There are also accounts of insufficient nutrition and complaints about bedding and meal choice limitations. In contrast, some families report good housekeeping and that food is acceptable or better than neighboring facilities. Again, this shows a lack of uniform standards in dining services and dietary management.

    Operational issues affecting resident safety and transitions are frequently mentioned. Reports include medication management problems (even allegations of medication being withheld), transfers not being properly prepared, and difficulties in providing timely assistance. These operational failures, combined with staffing shortages and night staff dissatisfaction, have tangible consequences for resident well-being and family peace of mind.

    Notable patterns and temporal context: several reviewers explicitly reference a turnaround under new management, noting clear improvements, better experiences, and more satisfied families after leadership changes. Conversely, long-time residents and families describe a decline in care quality following ownership changes and staff cuts, indicating that care quality may have fluctuated over time. Other reviews suggest disgruntled former employees (for example, a negative review from a former director of environmental services) which may color some negative accounts but does not invalidate consistent recurring issues raised by multiple independent reviewers.

    In summary, the most reliable takeaways are: the facility has many compassionate, qualified caregivers and therapy staff who can deliver excellent, individualized care; however, systemic problems with management, staffing levels, sanitation, facility maintenance, food/dietary consistency, and communication have been reported often enough to be concerning. Prospective families should weigh the positive reports about specific staff and therapy outcomes against repeated administrative and housekeeping complaints. If considering this facility, ask targeted questions about current management/staffing stability, sanitation inspections (including mold remediation), recent or planned refurbishments, dietary compliance procedures, medication management protocols, and references from recent families under the present management team to validate whether improvements are sustained.

    Location

    Map showing location of Bella terra

    About Bella terra

    Bella Terra St George is a large senior living facility with a capacity of 174 beds, operating under for-profit, corporate ownership in the St. George, Utah area. This nursing home specializes in both short-term rehabilitation and long-term care and is set up to provide a broad spectrum of support to its residents. It is not part of a continuing care retirement community, which means its primary focus is on rehabilitation and nursing care services rather than offering a full spectrum of retirement living options.

    The facility participates in both Medicare and Medicaid, making it accessible for individuals who qualify for these government programs, and thereby serving a diverse range of residents needing post-acute care, recovery assistance, or ongoing long-term support. Short-term rehabilitation services are available for patients who require recovery following a hospital stay for various conditions such as strokes, heart attacks, infections, or accidental injuries. Residents requiring long-term assistance with daily medical and personal needs, including help with medication management and daily activities like dressing and eating, are also supported at Bella Terra St George.

    Care at Bella Terra St George is tailored to each resident’s requirements, including care for those who are continent or incontinent, providing appropriate catheter care, and implementing strategies to prevent urinary tract infections. The facility places an emphasis on regular immunizations, with 100% of residents annually receiving influenza vaccinations to help maintain communal health. Daily nurse staffing averages approximately 2 hours and 26 minutes per resident, with consistent staffing levels sustained on weekends to ensure ongoing support and stability in care.

    For residents dealing with dementia or memory-related conditions, treatment plans and services are available to address their unique needs. Bella Terra St George also monitors antibiotic use within the facility as part of its resident care and wellness programs. The safety and supervision of residents are key priorities, with measures in place to help prevent accidents and maintain an environment that supports the well-being and autonomy of individuals. Most residents maintain the ability to manage common daily activities independently, which is indicative of the support aimed at fostering self-care wherever possible.

    Inspections and surveys conducted at the home highlight areas of focus for ongoing improvement, reflecting a commitment to addressing the needs of residents as they arise. While the care environment is structured and closely monitored, Bella Terra St George continues to evolve its care planning and service delivery to adapt to the changing requirements of its residents, with attention to maintaining both physical health and quality of life.

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