Deficiency Records for Belmont Lodge Healthcare Center
Updated as of July 01, 2017
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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-02 | 2017-04-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-02 | 2017-04-05 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-12 | 2017-03-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-10-12 | 2017-02-28 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-10-12 | 2017-02-15 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-10-12 | 2017-02-07 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-12 | 2017-02-07 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-10-12 | 2017-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-12 | 2017-02-07 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-10-12 | 2017-02-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-10-12 | 2017-02-07 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2016-10-12 | 2016-11-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-12 | 2016-11-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-10-12 | 2016-11-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-10-12 | 2016-11-17 | N |
| Provide housekeeping and maintenance services. | Health | 2016-10-12 | 2016-11-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-12 | 2016-11-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-12 | 2016-11-17 | 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 | 2016-10-12 | 2016-11-17 | N |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-10-12 | 2016-11-17 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-10-12 | 2016-11-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-12 | 2016-11-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-12 | 2016-11-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-12 | 2016-11-17 | 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 | 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 |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-05-04 | Not Fixed | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-05-04 | Not Fixed | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-04 | Not Fixed | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-04 | Not Fixed | 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 | 2017-05-04 | Not Fixed | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-04 | Not Fixed | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-04 | Not Fixed | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2017-05-04 | Not Fixed | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-05-04 | Not Fixed | 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 | 2017-05-04 | Not Fixed | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-05-04 | Not Fixed | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-04 | Not Fixed | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-04 | Not Fixed | N |
| Keep all essential equipment working safely. | Health | 2017-05-04 | Not Fixed | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-05-04 | Not Fixed | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2017-05-04 | Not Fixed | N |
| Help the resident in making transportation arrangements to and from radiology services. | Health | 2017-05-04 | Not Fixed | N |
