Deficiency Records for Highlands of Bella Vista Health and Rehab, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Highlands of Bella Vista Health and Rehab, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-10 | 2023-12-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-10 | 2023-12-04 | N |
| 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. | Health | 2023-11-10 | 2023-12-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-11-10 | 2023-12-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-07 | 2023-12-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-07 | 2023-12-04 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-26 | 2023-08-24 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-26 | 2023-08-24 | Y |
| 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. | Health | 2022-11-08 | 2022-12-02 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-11 | 2022-11-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-11 | 2022-11-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-11 | 2022-11-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-11 | 2022-11-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-11-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-11 | 2022-11-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-08-11 | 2022-09-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-08-11 | 2022-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-11 | 2022-09-10 | N |
| 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. | Health | 2022-08-11 | 2022-09-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-08-11 | 2022-09-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-08-11 | 2022-09-10 | N |
| 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. | Health | 2022-07-05 | 2022-08-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-05 | 2022-08-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-05 | 2022-08-04 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-05 | 2022-08-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-21 | 2021-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-21 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-05-21 | 2021-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-21 | 2021-06-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-05-19 | 2021-06-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-21 | 2021-05-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-21 | 2021-05-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-05-21 | 2021-05-21 | N |
