Deficiency Records for Bell Convalescent Hospital
Updated as of March 01, 2023
This is not the most recent data for Bell Convalescent Hospital. For the most recent information, click here.
A list of the most recent deficiencies for Bell Convalescent Hospital. 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 | 2022-10-27 | 2022-12-01 | 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 | 2022-10-27 | 2022-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-27 | 2022-12-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-27 | 2022-12-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-27 | 2022-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | 2022-12-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-27 | 2022-12-01 | N |
| 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 | 2022-10-27 | 2022-12-01 | N |
| Post nurse staffing information every day. | Health | 2022-10-27 | 2022-12-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-27 | 2022-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-27 | 2022-12-01 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-10-27 | 2022-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-27 | 2022-12-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-27 | 2022-12-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-27 | 2022-12-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-26 | 2022-11-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-10-26 | 2022-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-26 | 2022-11-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-26 | 2022-11-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-26 | 2022-11-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-18 | 2022-05-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-19 | 2021-03-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-10 | 2021-02-16 | Y |
| 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 | 2019-05-24 | 2019-08-16 | 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 | 2019-05-24 | 2019-07-23 | N |
| Respond appropriately to all alleged violations. | Health | 2019-05-24 | 2019-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-24 | 2019-07-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-24 | 2019-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-23 | 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 | 2019-05-24 | 2019-07-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-24 | 2019-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-07-23 | N |
| Post nurse staffing information every day. | Health | 2019-05-24 | 2019-07-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-24 | 2019-07-23 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-05-24 | 2019-07-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-24 | 2019-07-23 | 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 | 2019-05-24 | 2019-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-07-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-05-24 | 2019-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-05-24 | 2019-07-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-24 | 2019-07-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-23 | 2019-06-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-23 | 2019-06-18 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-04-26 | 2018-06-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-26 | 2018-06-04 | N |
| Respond appropriately to all alleged violations. | Health | 2018-04-26 | 2018-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-26 | 2018-06-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-26 | 2018-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-26 | 2018-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-26 | 2018-06-04 | 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 | 2018-04-26 | 2018-06-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-26 | 2018-06-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-04-26 | 2018-06-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-26 | 2018-06-04 | 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 | 2018-04-26 | 2018-06-04 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-04-26 | 2018-06-04 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-04-26 | 2018-06-04 | 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 | 2018-04-26 | 2018-06-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-04-26 | 2018-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-26 | 2018-06-04 | 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 | 2018-04-26 | 2018-06-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-04-26 | 2018-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-26 | 2018-06-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-25 | 2018-06-04 | N |
