Deficiency Records for Belhaven Nursing and Rehab Center
Updated as of July 01, 2020
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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-26 | 2020-01-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-26 | 2020-01-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-05 | 2019-12-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-05 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-05 | 2019-12-20 | 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 | 2019-12-05 | 2019-12-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-05 | 2019-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-05 | 2019-12-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-05 | 2019-12-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-05 | 2019-12-20 | N |
| Provide or obtain dental services for each resident. | Health | 2019-12-05 | 2019-12-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-12-03 | 2019-12-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-03 | 2019-12-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-17 | 2019-11-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-29 | 2019-09-10 | 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 | 2019-08-29 | 2019-09-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-13 | 2019-06-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-06-13 | 2019-06-21 | 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 | 2019-04-04 | 2019-04-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-11-29 | 2018-12-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-29 | 2018-12-17 | 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 | 2018-11-29 | 2018-12-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-29 | 2018-12-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-11-29 | 2018-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-11-29 | 2018-12-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-29 | 2018-12-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-11-29 | 2018-12-10 | 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 | 2018-11-29 | 2018-12-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-29 | 2018-12-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-11-29 | 2018-12-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-11-29 | 2018-12-10 | 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 | 2018-11-29 | 2018-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-29 | 2018-12-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-29 | 2018-12-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-18 | 2018-11-06 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-05-25 | 2018-05-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-03-16 | 2018-03-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-16 | 2018-03-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-03-16 | 2018-03-21 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-20 | 2017-11-22 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-11-20 | 2017-11-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-11-07 | 2017-11-15 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-11-07 | 2017-11-15 | Y |
| 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 | 2017-11-07 | 2017-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-11-07 | 2017-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-05 | 2017-11-15 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-10-13 | 2017-10-16 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-10-13 | 2017-10-16 | N |
| Provide food in a way that meets a resident's needs. | Health | 2017-10-13 | 2017-10-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-10-13 | 2017-10-16 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-10-13 | 2017-10-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-13 | 2017-10-16 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-05 | 2017-10-13 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-10-05 | 2017-10-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-07 | 2017-08-07 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-07 | 2017-08-07 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-14 | 2017-06-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-06-14 | 2017-06-15 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-14 | 2017-06-15 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-04-28 | 2017-05-22 | Y |
