A list of the most recent deficiencies for Belmont Manor. 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 | 2022-08-18 | 2022-09-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-18 | 2022-09-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-17 | 2022-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-17 | 2022-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-17 | 2022-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-17 | 2022-09-27 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-01-25 | 2022-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-25 | 2022-03-01 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-08-19 | 2021-09-10 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-07 | 2019-12-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-07 | 2019-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-07 | 2019-12-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-07 | 2019-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-07 | 2019-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-07 | 2019-12-13 | 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 | 2018-10-11 | 2018-11-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-11 | 2018-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-11 | 2018-11-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-11 | 2018-11-10 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-10-11 | 2018-11-10 | 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 | 2018-10-11 | 2018-11-10 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-10-11 | 2018-11-10 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-10-11 | 2018-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-11 | 2018-11-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-11 | 2018-11-10 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-10-11 | 2018-11-10 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-10-11 | 2018-11-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-10-09 | 2018-11-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-09 | 2018-11-10 | 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 | 2018-10-09 | 2018-11-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-09 | 2018-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-10-09 | 2018-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-09 | 2018-11-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-10-09 | 2018-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-09 | 2018-11-10 | N |
