Deficiency Records for Belhaven Nursing and Rehab Center
Updated as of October 01, 2016
This is not the most recent data for Belhaven Nursing and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for Belhaven Nursing and Rehab 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? |
---|---|---|---|---|
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-31 | 2016-09-02 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-31 | 2016-09-02 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-31 | 2016-09-02 | Y |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-31 | 2016-09-02 | Y |
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-08-17 | 2016-08-19 | Y |
1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2016-08-17 | 2016-08-19 | Y |
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2016-06-03 | 2016-06-06 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-03 | 2016-06-06 | Y |
Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2016-06-03 | 2016-06-06 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-06-03 | 2016-06-06 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-01-29 | 2016-02-19 | Y |
Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-01-29 | 2016-02-19 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-01-29 | 2016-02-19 | Y |
Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2016-01-29 | 2016-02-19 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-05 | 2016-01-08 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-05 | 2016-01-08 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-12-09 | 2015-12-11 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-09 | 2015-12-11 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-12-09 | 2015-12-11 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-12-09 | 2015-12-11 | Y |
Keep all essential equipment working safely. | Health | 2015-10-29 | 2015-10-30 | Y |
Keep all essential equipment working safely. | Health | 2015-10-29 | 2015-10-30 | Y |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-10-09 | 2015-10-13 | 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 | 2015-10-09 | 2015-10-13 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-09 | 2015-10-13 | N |
Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-10-09 | 2015-10-13 | 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 | 2015-10-09 | 2015-10-13 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-09 | 2015-10-13 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-10 | 2015-09-12 | Y |
Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-09-10 | 2015-09-12 | Y |
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-09-04 | 2015-09-12 | Y |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-09-04 | 2015-09-12 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-09-10 | 2015-09-12 | Y |
Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2015-09-10 | 2015-09-12 | Y |
Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2015-09-04 | 2015-09-12 | Y |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-09-04 | 2015-09-12 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-12 | 2015-08-14 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-08-12 | 2015-08-14 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-23 | 2015-07-27 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-07-23 | 2015-07-27 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-06-24 | 2015-06-26 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-06-24 | 2015-06-26 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-05-21 | 2015-05-25 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-05-21 | 2015-05-25 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-05-21 | 2015-05-25 | Y |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-05-21 | 2015-05-25 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-05-21 | 2015-05-25 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-05-21 | 2015-05-25 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-05-21 | 2015-05-25 | Y |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2015-05-21 | 2015-05-25 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-04-22 | 2015-04-24 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-22 | 2015-04-24 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-08 | 2015-04-24 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2015-04-22 | 2015-04-24 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-22 | 2015-04-24 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-08 | 2015-04-24 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-04-03 | 2015-04-07 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-04-03 | 2015-04-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-03-10 | 2015-03-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-03-10 | 2015-03-15 | Y |
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 | 2015-03-10 | 2015-03-15 | Y |
Give or get emergency care by a doctor 24 hours a day. | Health | 2015-03-10 | 2015-03-15 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-03-10 | 2015-03-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-03-10 | 2015-03-15 | Y |
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 | 2015-03-10 | 2015-03-15 | Y |
Give or get emergency care by a doctor 24 hours a day. | Health | 2015-03-10 | 2015-03-15 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-02-03 | 2015-03-04 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-02-03 | 2015-03-04 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-02-03 | 2015-03-04 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-02-03 | 2015-03-04 | 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 | 2015-01-08 | 2015-01-12 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2015-01-08 | 2015-01-12 | 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 | 2015-01-08 | 2015-01-12 | Y |
Ensure that residents are safe from serious medication errors. | Health | 2015-01-08 | 2015-01-12 | 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 | 2014-11-06 | 2014-12-05 | 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 | 2014-11-06 | 2014-12-05 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-11-06 | 2014-12-05 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-11-06 | 2014-12-05 | N |
Ensure that residents are safe from serious medication errors. | Health | 2014-11-06 | 2014-12-05 | N |
Offer other nutritional food to each resident who will not eat the food served. | Health | 2014-11-06 | 2014-12-05 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-11-06 | 2014-12-05 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-11-06 | 2014-12-05 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-11-06 | 2014-12-05 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-11-06 | 2014-12-05 | 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 | 2014-11-06 | 2014-12-05 | 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 | 2014-11-06 | 2014-12-05 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-11-06 | 2014-12-05 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-11-06 | 2014-12-05 | N |
Ensure that residents are safe from serious medication errors. | Health | 2014-11-06 | 2014-12-05 | N |
Offer other nutritional food to each resident who will not eat the food served. | Health | 2014-11-06 | 2014-12-05 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-11-06 | 2014-12-05 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-11-06 | 2014-12-05 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-11-06 | 2014-12-05 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2014-11-06 | 2014-12-05 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-10-31 | 2014-11-05 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-31 | 2014-11-05 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-10-31 | 2014-11-05 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-10-31 | 2014-11-05 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2014-07-29 | 2014-08-22 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-07-29 | 2014-08-22 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-07-29 | 2014-08-22 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-07-29 | 2014-08-22 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-29 | 2014-08-22 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2014-07-29 | 2014-08-22 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2014-07-29 | 2014-08-22 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-07-29 | 2014-08-22 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-07-29 | 2014-08-22 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-07-29 | 2014-08-22 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-07-29 | 2014-08-22 | Y |
Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2014-07-29 | 2014-08-22 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2014-06-04 | 2014-06-19 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2014-06-04 | 2014-06-19 | Y |
Try to resolve each resident's complaints quickly. | Health | 2014-01-09 | 2014-01-31 | 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 | 2014-01-09 | 2014-01-31 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-01-09 | 2014-01-31 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-01-09 | 2014-01-31 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-01-09 | 2014-01-31 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-01-09 | 2014-01-31 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-01-09 | 2014-01-31 | N |
Try to resolve each resident's complaints quickly. | Health | 2014-01-09 | 2014-01-31 | 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 | 2014-01-09 | 2014-01-31 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-01-09 | 2014-01-31 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-01-09 | 2014-01-31 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-01-09 | 2014-01-31 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-01-09 | 2014-01-31 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-01-09 | 2014-01-31 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2013-12-11 | 2013-12-20 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-12-11 | 2013-12-20 | Y |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2013-12-11 | 2013-12-20 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2013-12-11 | 2013-12-20 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-10-28 | 2013-11-01 | Y |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-10-28 | 2013-11-01 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-05-27 | Not Fixed | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-05-27 | Not Fixed | Y |