Deficiency Records for Belvedere Nursing and Rehabilitation Center, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Belvedere Nursing and Rehabilitation Center, 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-21 | 2024-01-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-12-21 | 2024-01-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-21 | 2024-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-01-20 | 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 | 2023-12-21 | 2024-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-21 | 2024-01-20 | 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 | 2023-12-21 | 2024-01-20 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-12-21 | 2024-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-12-20 | 2024-01-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-12-20 | 2024-01-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-20 | 2024-01-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-30 | 2022-12-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-11-30 | 2022-12-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-30 | 2022-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2022-12-30 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-28 | 2022-10-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-28 | 2022-10-10 | 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 | 2022-09-28 | 2022-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-28 | 2022-10-10 | N |
| 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. | Health | 2022-09-28 | 2022-10-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-28 | 2022-10-10 | 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 | 2022-09-28 | 2022-10-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-28 | 2022-10-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-28 | 2022-10-10 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-06-18 | 2021-07-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-06-18 | 2021-07-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-18 | 2021-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-18 | 2021-07-02 | N |
