Deficiency Records for Bellhaven Center For Rehab and Nursing Care
Updated as of March 01, 2024
A list of the most recent deficiencies for Bellhaven Center For Rehab and Nursing Care. 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-07-28 | 2023-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-28 | 2023-09-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-28 | 2023-09-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-28 | 2023-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-09-25 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-28 | 2023-09-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-28 | 2023-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-19 | 2021-11-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-21 | 2021-08-20 | N |
| Respond appropriately to all alleged violations. | Health | 2021-06-21 | 2021-08-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-21 | 2021-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-21 | 2021-08-20 | 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 | 2021-06-21 | 2021-08-20 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-06-21 | 2021-08-20 | 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 | 2021-06-21 | 2021-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-21 | 2021-08-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-02-27 | 2019-04-27 | 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 | 2019-02-27 | 2019-04-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-27 | 2019-04-27 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-02-27 | 2019-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-27 | 2019-04-25 | N |
