A list of the most recent deficiencies for Bel Pre 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 | 2022-02-25 | 2022-04-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-25 | 2022-04-08 | 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 | 2022-02-25 | 2022-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-25 | 2022-04-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-25 | 2022-04-08 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-02-03 | 2020-03-06 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-03 | 2020-03-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-03 | 2020-03-06 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2020-02-03 | 2020-03-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-03 | 2020-03-06 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-02-03 | 2020-03-06 | N |
| Have policies on smoking. | Health | 2020-02-03 | 2020-03-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-29 | 2020-02-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-29 | 2020-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-29 | 2020-02-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-01 | 2019-05-13 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-03-29 | 2019-05-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-29 | 2019-05-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-29 | 2019-05-09 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-03-29 | 2019-05-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-29 | 2019-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-29 | 2019-05-09 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-03-29 | 2019-05-09 | 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 | 2019-03-29 | 2019-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-29 | 2019-05-09 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-03-29 | 2019-05-09 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-04-24 | 2018-06-30 | 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 | 2018-04-24 | 2018-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-24 | 2018-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-04-24 | 2018-06-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-24 | 2018-04-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-24 | 2018-04-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2018-04-24 | 2018-04-25 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-03-16 | 2018-04-23 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2018-03-16 | 2018-04-23 | 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 | 2018-03-16 | 2018-04-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-16 | 2018-04-23 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-16 | 2018-04-23 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-03-16 | 2018-04-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-03-16 | 2018-04-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-03-16 | 2018-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-16 | 2018-04-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-03-16 | 2018-04-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-16 | 2018-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-16 | 2018-04-23 | N |
| Provide appropriate foot care. | Health | 2018-03-16 | 2018-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-16 | 2018-04-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-03-16 | 2018-04-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-16 | 2018-04-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-16 | 2018-04-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-16 | 2018-04-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-16 | 2018-04-23 | N |
