CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Belhaven Nursing and Rehab Center
View the most recent health deficiencies and inspection results for Belhaven Nursing and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Belhaven Nursing and Rehab Center. Stay informed about quality of care issues.
| 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 | 2026-03-20 | 2026-03-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-03-20 | 2026-03-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-20 | 2026-03-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-03-20 | 2026-03-31 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2026-03-20 | 2026-03-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-20 | 2026-03-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-02-17 | 2026-02-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-02-05 | 2026-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-05 | 2026-02-16 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-17 | 2026-01-09 | 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 | 2025-12-17 | 2026-01-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-12-17 | 2026-01-06 | 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 | 2025-12-17 | 2026-01-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-17 | 2026-01-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-17 | 2026-01-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-12-17 | 2026-01-05 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-12-17 | 2026-01-05 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2025-12-17 | 2026-01-05 | N |
| Post nurse staffing information every day. | Health | 2025-12-17 | 2026-01-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-17 | 2026-01-02 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-12-17 | 2026-01-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-12-17 | 2026-01-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-17 | 2026-01-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-17 | 2026-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-17 | 2025-12-29 | N |
| Dispose of garbage and refuse properly. | Health | 2025-12-17 | 2025-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-17 | 2025-12-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-09-18 | 2025-09-19 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-08-27 | 2025-09-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-27 | 2025-09-08 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2025-08-15 | 2025-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-15 | 2025-08-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-03 | 2025-07-18 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-05-21 | 2025-05-29 | Y |
| 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 | 2025-05-04 | 2025-05-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-10 | 2025-04-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-16 | 2025-03-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-03-05 | 2025-03-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-05 | 2025-03-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-05 | 2025-03-25 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-05 | 2025-03-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-25 | 2025-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-24 | 2025-01-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-03 | 2025-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-03 | 2025-01-20 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-10-31 | 2024-12-03 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-10-31 | 2024-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-31 | 2024-11-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-31 | 2024-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-31 | 2024-11-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-31 | 2024-11-18 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-10-31 | 2024-11-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-10-31 | 2024-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-31 | 2024-11-18 | 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 | 2024-10-31 | 2024-11-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-31 | 2024-11-18 | 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 | 2024-10-31 | 2024-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-31 | 2024-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-24 | 2024-11-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-30 | 2024-11-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-30 | 2024-11-15 | Y |
| 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 | 2024-10-31 | 2024-11-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-31 | 2024-11-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-10-31 | 2024-11-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-31 | 2024-11-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-31 | 2024-11-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-31 | 2024-11-15 | 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 | 2024-10-31 | 2024-11-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-31 | 2024-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-31 | 2024-11-15 | 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 | 2024-10-31 | 2024-11-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-31 | 2024-11-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-10-31 | 2024-11-15 | 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 | 2024-10-31 | 2024-11-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-24 | 2024-11-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-24 | 2024-11-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-30 | 2024-10-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-29 | 2024-09-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-12 | 2024-07-25 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-29 | 2024-06-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-25 | 2024-04-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-25 | 2024-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-01 | 2024-03-15 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-03-01 | 2024-03-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-19 | 2024-02-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-19 | 2024-02-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-03 | 2024-01-10 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-07 | 2023-12-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-07 | 2023-12-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-07 | 2023-12-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-07 | 2023-12-22 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-03 | 2023-11-24 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-11-03 | 2023-11-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-03 | 2023-11-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-03 | 2023-11-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-03 | 2023-11-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-03 | 2023-11-24 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-11-03 | 2023-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-03 | 2023-11-17 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-03 | 2023-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-03 | 2023-11-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-03 | 2023-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-03 | 2023-11-17 | 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 | 2023-11-03 | 2023-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-03 | 2023-11-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-11-03 | 2023-11-17 | 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 | 2023-11-03 | 2023-11-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-03 | 2023-11-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-03 | 2023-11-17 | 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 | 2023-11-03 | 2023-11-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-03 | 2023-11-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-03 | 2023-11-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-03 | 2023-11-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-05 | 2023-10-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-05 | 2023-10-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-05 | 2023-10-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-10-19 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-10-05 | 2023-10-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-22 | 2023-06-30 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-06-22 | 2023-06-30 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-08 | 2023-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-08 | 2023-02-13 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-12-08 | 2023-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-08 | 2023-01-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-08 | 2023-01-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-08 | 2023-01-11 | N |
| Meet other general requirements. | Fire Safety | 2022-12-08 | 2023-01-11 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-12-08 | 2023-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-08 | 2023-01-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-08 | 2023-01-11 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2022-12-08 | 2023-01-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-12-08 | 2023-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-08 | 2023-01-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-08 | 2023-01-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-08 | 2023-01-03 | 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 | 2022-12-08 | 2023-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-08 | 2023-01-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-08 | Not Fixed | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-03 | Not Fixed | N |