A list of the most recent deficiencies for Gardens of Belden Village. 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-09-12 | 2023-10-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-12 | 2023-10-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-12 | 2023-10-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-19 | 2023-07-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-06 | 2023-07-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-09 | 2023-05-24 | Y |
| Provide appropriate foot care. | Health | 2023-05-09 | 2023-05-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-19 | 2023-05-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-03-27 | 2023-05-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-27 | 2023-05-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-27 | 2023-05-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-06 | 2023-01-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-23 | 2023-01-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-23 | 2023-01-31 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-07-21 | 2022-09-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-21 | 2022-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-09-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-07-21 | 2022-09-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-21 | 2022-09-05 | Y |
| 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 | 2022-07-18 | 2022-09-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-07-18 | 2022-09-05 | 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 | 2022-07-18 | 2022-09-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-18 | 2022-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-18 | 2022-09-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-18 | 2022-09-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-07-18 | 2022-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-18 | 2022-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-24 | 2022-06-20 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-05-24 | 2022-06-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-24 | 2022-06-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-26 | 2022-04-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-02-26 | 2022-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-04-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-07 | 2022-04-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-07 | 2022-04-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-07 | 2022-04-04 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-12-07 | 2022-04-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-07 | 2022-04-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-07 | 2022-04-04 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-12-07 | 2022-04-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-07 | 2022-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-07 | 2022-04-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-02 | 2021-04-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-02 | 2021-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-20 | 2019-07-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-20 | 2019-07-18 | 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 | 2019-06-20 | 2019-07-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-20 | 2019-07-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-06-20 | 2019-07-18 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-18 | 2019-07-18 | 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 | 2019-06-18 | 2019-07-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-18 | 2019-07-18 | 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 | 2019-06-18 | 2019-07-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-18 | 2019-07-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-05-23 | 2018-07-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-23 | 2018-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-23 | 2018-07-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-23 | 2018-07-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-23 | 2018-07-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-23 | 2018-07-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-23 | 2018-07-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-05-23 | 2018-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-05-21 | 2018-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-21 | 2018-07-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-05-21 | 2018-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-21 | 2018-07-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-05-21 | 2018-07-14 | N |
