Deficiency Records for Belmont Lodge Healthcare Center
Updated as of December 01, 2016
This is not the most recent data for Belmont Lodge Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Belmont Lodge 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? |
|---|---|---|---|---|
| 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 | 2015-12-08 | 2016-02-15 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-12-08 | 2016-02-15 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-12-08 | 2016-01-13 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-12-08 | 2016-01-13 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-12-08 | 2016-01-13 | N |
| Provide housekeeping and maintenance services. | Health | 2015-12-08 | 2016-01-13 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2015-12-08 | 2016-01-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-08 | 2016-01-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-12-08 | 2016-01-13 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-08 | 2016-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-12-08 | 2016-01-13 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-12-08 | 2016-01-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-12-08 | 2016-01-13 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2015-12-08 | 2016-01-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-12-08 | 2016-01-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-12-08 | 2016-01-13 | N |
| Keep all essential equipment working safely. | Health | 2015-12-08 | 2016-01-13 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2015-12-08 | 2016-01-13 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-12-08 | 2016-01-13 | N |
| Keep clinical record information safe. | Health | 2015-12-08 | 2016-01-13 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2015-12-08 | 2016-01-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-12-08 | 2016-01-13 | N |
| Let a representative of the State Ombudsman look at a resident's records, if the resident agreed. | Health | 2015-01-09 | 2015-02-18 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-01-09 | 2015-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-01-09 | 2015-02-18 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-01-09 | 2015-02-18 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2014-10-08 | 2014-11-11 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2014-10-08 | 2014-11-11 | N |
| Provide residents with private access to a telephone. | Health | 2014-10-08 | 2014-11-11 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-10-08 | 2014-11-11 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-10-08 | 2014-11-11 | N |
| Provide housekeeping and maintenance services. | Health | 2014-10-08 | 2014-11-11 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-10-08 | 2014-11-11 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-10-08 | 2014-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-08 | 2014-11-11 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2014-10-08 | 2014-11-11 | 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 | 2014-10-08 | 2014-11-11 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2014-10-08 | 2014-11-11 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-10-08 | 2014-11-11 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-10-08 | 2014-11-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-10-08 | 2014-11-11 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2014-01-14 | 2014-02-10 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2014-01-14 | 2014-02-10 | Y |
| Provide housekeeping and maintenance services. | Health | 2013-09-11 | 2013-12-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-09-11 | 2013-12-13 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2013-09-11 | 2013-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-09-11 | 2013-12-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2013-09-11 | 2013-10-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2013-09-11 | 2013-10-28 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2013-09-11 | 2013-10-28 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2013-09-11 | 2013-10-28 | N |
| Maintain comfortable sound levels. | Health | 2013-09-11 | 2013-10-28 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2013-09-11 | 2013-10-28 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2013-09-11 | 2013-10-28 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2013-09-11 | 2013-10-28 | 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 | 2013-09-11 | 2013-10-28 | N |
| Hire sufficient dietary support personnel. | Health | 2013-09-11 | 2013-10-28 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2013-09-11 | 2013-10-28 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-09-11 | 2013-10-28 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2013-09-11 | 2013-10-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2013-09-11 | 2013-10-28 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2013-09-11 | 2013-10-28 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-04-23 | Not Fixed | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-03-04 | Not Fixed | Y |
