Deficiency Records for Bellefontaine Gardens Nursing and Rehab
Updated as of January 01, 2017
This is not the most recent data for Bellefontaine Gardens Nursing and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Bellefontaine Gardens Nursing and Rehab. 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 | 2016-09-06 | 2016-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-06 | 2016-10-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-06 | 2016-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-06 | 2016-10-07 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-06 | 2016-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-09-06 | 2016-10-07 | Y |
| Completely assess the resident at least every twelve months. | Health | 2016-04-13 | 2016-05-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-04-13 | 2016-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-13 | 2016-05-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-13 | 2016-05-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-13 | 2016-05-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-04-13 | 2016-05-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-13 | 2016-05-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-04-13 | 2016-05-17 | Y |
| Completely assess the resident at least every twelve months. | Health | 2016-04-13 | 2016-05-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-04-13 | 2016-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-13 | 2016-05-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-13 | 2016-05-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-13 | 2016-05-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-04-13 | 2016-05-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-13 | 2016-05-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-04-13 | 2016-05-17 | Y |
| Completely assess the resident at least every twelve months. | Health | 2016-04-13 | 2016-05-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-04-13 | 2016-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-04-13 | 2016-05-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-13 | 2016-05-17 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-04-13 | 2016-05-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-04-13 | 2016-05-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-13 | 2016-05-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-13 | 2016-05-17 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-04-13 | 2016-05-17 | Y |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2015-05-20 | 2015-06-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-05-20 | 2015-06-30 | N |
| Completely assess the resident at least every twelve months. | Health | 2015-05-20 | 2015-06-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2015-05-20 | 2015-06-30 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-05-20 | 2015-06-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-20 | 2015-06-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-20 | 2015-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-05-20 | 2015-06-30 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-05-20 | 2015-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-05-20 | 2015-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-20 | 2015-06-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-05-20 | 2015-06-30 | Y |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2015-05-20 | 2015-06-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-05-20 | 2015-06-30 | N |
| Completely assess the resident at least every twelve months. | Health | 2015-05-20 | 2015-06-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2015-05-20 | 2015-06-30 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-05-20 | 2015-06-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-20 | 2015-06-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-20 | 2015-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-05-20 | 2015-06-30 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-05-20 | 2015-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-05-20 | 2015-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-20 | 2015-06-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-05-20 | 2015-06-30 | Y |
| Provide proof that residents' personal money that is deposited with the nursing home is secure. | Health | 2015-05-20 | 2015-06-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2015-05-20 | 2015-06-30 | N |
| Completely assess the resident at least every twelve months. | Health | 2015-05-20 | 2015-06-30 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2015-05-20 | 2015-06-30 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2015-05-20 | 2015-06-30 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-05-20 | 2015-06-30 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-05-20 | 2015-06-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-05-20 | 2015-06-30 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2015-05-20 | 2015-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-05-20 | 2015-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-05-20 | 2015-06-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-05-20 | 2015-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-03 | 2015-05-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-03 | 2015-05-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-03 | 2015-05-04 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-05-08 | 2014-06-09 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2014-05-08 | 2014-06-09 | 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 | 2014-05-08 | 2014-06-09 | N |
| Provide housekeeping and maintenance services. | Health | 2014-05-08 | 2014-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-05-08 | 2014-06-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-08 | 2014-06-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-08 | 2014-06-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-05-08 | 2014-06-09 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2014-05-08 | 2014-06-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-05-08 | 2014-06-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-05-08 | 2014-06-09 | Y |
| 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 | 2014-05-08 | 2014-06-09 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-05-08 | 2014-06-09 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-05-08 | 2014-06-09 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2014-05-08 | 2014-06-09 | 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 | 2014-05-08 | 2014-06-09 | N |
| Provide housekeeping and maintenance services. | Health | 2014-05-08 | 2014-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-05-08 | 2014-06-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-08 | 2014-06-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-08 | 2014-06-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-05-08 | 2014-06-09 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2014-05-08 | 2014-06-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-05-08 | 2014-06-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-05-08 | 2014-06-09 | Y |
| 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 | 2014-05-08 | 2014-06-09 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-05-08 | 2014-06-09 | Y |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2014-05-08 | 2014-06-09 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2014-05-08 | 2014-06-09 | 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 | 2014-05-08 | 2014-06-09 | N |
| Provide housekeeping and maintenance services. | Health | 2014-05-08 | 2014-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-05-08 | 2014-06-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-05-08 | 2014-06-09 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-05-08 | 2014-06-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-05-08 | 2014-06-09 | N |
| 1) Review the work of each nurse aide every year; and 2) give regular in-service training based upon these reviews. | Health | 2014-05-08 | 2014-06-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-05-08 | 2014-06-09 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-05-08 | 2014-06-09 | Y |
| 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 | 2014-05-08 | 2014-06-09 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-05-08 | 2014-06-09 | Y |
