Deficiency Records for The Bellefontaine Healthcare Center
Updated as of January 01, 2021
This is not the most recent data for The Bellefontaine Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for The Bellefontaine Healthcare Center. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-05-20 | 2020-05-28 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-03-18 | 2019-04-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-03-18 | 2019-04-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-18 | 2019-04-29 | N |
| Be properly staffed | Fire Safety | 2019-03-18 | 2019-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-18 | 2019-04-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-22 | 2019-04-29 | 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 | 2019-03-22 | 2019-04-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-22 | 2019-04-29 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-03-22 | 2019-04-29 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-03-22 | 2019-04-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-22 | 2019-04-29 | N |
| Provide or obtain dental services for each resident. | Health | 2019-03-22 | 2019-04-29 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-03-22 | 2019-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-22 | 2019-04-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-22 | 2019-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-22 | 2019-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-22 | 2019-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-03-22 | 2019-04-29 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-12-21 | 2019-01-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-21 | 2018-12-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-21 | 2018-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-21 | 2018-12-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-11-21 | 2018-12-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-21 | 2018-12-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-10-09 | 2018-10-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-26 | 2018-08-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-06-18 | 2018-07-10 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-05-08 | 2018-05-29 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-05-08 | 2018-05-29 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-03-16 | 2018-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-03-16 | 2018-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-16 | 2018-04-24 | 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 | 2018-03-16 | 2018-04-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-03-16 | 2018-04-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-16 | 2018-04-24 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-03-16 | 2018-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-16 | 2018-04-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-03-16 | 2018-04-24 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-03-16 | 2018-04-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-03-16 | 2018-04-24 | 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 | 2018-03-16 | 2018-04-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-03-16 | 2018-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-16 | 2018-04-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-03-16 | 2018-04-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-16 | 2018-04-24 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-14 | 2018-04-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-17 | 2017-06-13 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-05-17 | 2017-06-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-05-17 | 2017-06-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-17 | 2017-06-13 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2017-05-17 | 2017-06-13 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-05-19 | 2017-06-13 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-19 | 2017-06-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-05-19 | 2017-06-13 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-05-19 | 2017-06-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-19 | 2017-06-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-19 | 2017-06-13 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-19 | 2017-06-13 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-19 | 2017-06-13 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-05-19 | 2017-06-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-19 | 2017-06-13 | N |
| Keep all essential equipment working safely. | Health | 2017-05-19 | 2017-06-13 | N |
| Keep clinical record information safe. | Health | 2017-05-19 | 2017-06-13 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-05-19 | 2017-06-13 | N |
