Deficiency Records for Belmont Lodge Healthcare Center
Updated as of August 01, 2022
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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-30 | 2021-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-30 | 2021-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-30 | 2021-12-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-11-04 | 2021-12-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-04 | 2021-12-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-11-04 | 2021-12-08 | 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 | 2021-11-04 | 2021-12-08 | 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 | 2021-11-04 | 2021-12-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-11-30 | 2021-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2021-12-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-30 | 2021-12-06 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-11-30 | 2021-11-30 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2020-12-22 | 2021-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-10 | 2020-11-23 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-10-15 | 2020-11-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-10-15 | 2020-11-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-15 | 2020-11-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-15 | 2020-11-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-15 | 2020-11-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-04-08 | 2020-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-08 | 2019-09-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-08 | 2019-09-19 | N |
| Provide activities to meet all resident's needs. | Health | 2019-07-16 | 2019-08-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-08 | 2019-08-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-16 | 2019-08-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-16 | 2019-08-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-16 | 2019-08-19 | 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 | 2019-07-16 | 2019-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-16 | 2019-08-19 | 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 | 2019-07-16 | 2019-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-16 | 2019-08-19 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-07-16 | 2019-08-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-06-14 | 2018-07-24 | 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 | 2018-06-14 | 2018-07-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-14 | 2018-07-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-24 | 2018-06-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-05-24 | 2018-06-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-24 | 2018-06-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-24 | 2018-06-27 | N |
