A list of the most recent deficiencies for Belvidere 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-29 | 2023-12-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-31 | 2023-05-15 | 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 | 2023-03-31 | 2023-05-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-05-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-03-24 | 2023-05-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-24 | 2023-04-25 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-24 | 2023-04-25 | 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 | 2023-03-24 | 2023-04-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-24 | 2023-04-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-24 | 2023-04-25 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-24 | 2023-04-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-24 | 2023-04-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-24 | 2023-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-04-25 | 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 | 2023-03-24 | 2023-04-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-24 | 2023-04-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-24 | 2023-04-25 | 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 | 2023-03-24 | 2023-04-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-24 | 2023-04-25 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-24 | 2023-04-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-24 | 2023-04-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-24 | 2023-04-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-24 | 2023-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-04-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-24 | 2023-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-24 | 2023-04-25 | N |
| Keep all essential equipment working safely. | Health | 2023-03-24 | 2023-04-25 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-03-24 | 2023-04-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-04-14 | 2022-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-14 | 2022-06-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-14 | 2022-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-14 | 2022-06-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-14 | 2022-05-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-14 | 2022-05-26 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-14 | 2022-05-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-14 | 2022-05-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-14 | 2022-05-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-14 | 2022-05-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-14 | 2022-05-26 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-14 | 2022-05-26 | 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 | 2022-04-14 | 2022-05-26 | 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 | 2022-04-14 | 2022-05-26 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-04-14 | 2022-05-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-14 | 2022-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-05-26 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-04-26 | 2022-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-26 | 2022-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-26 | 2022-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-22 | 2021-12-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-22 | 2021-12-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-20 | 2021-11-08 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-09-25 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-12 | 2019-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-12 | 2019-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-12 | 2019-08-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-07-12 | 2019-08-23 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-07-12 | 2019-08-23 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-07-12 | 2019-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-12 | 2019-08-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-12 | 2019-08-23 | N |
