Deficiency Records for Bellevue Health and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Bellevue Health and Rehabilitation 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? |
|---|---|---|---|---|
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-28 | 2023-06-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-28 | 2023-06-29 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-06-28 | 2023-06-29 | 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 | 2023-04-28 | 2023-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-28 | 2023-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-28 | 2023-05-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-28 | 2023-05-31 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-04-28 | 2023-05-31 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-02-22 | 2022-03-18 | 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 | 2022-02-16 | 2022-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-02-16 | 2022-03-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-22 | 2022-03-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-16 | 2022-03-09 | N |
| Have an externally vented heating system. | Fire Safety | 2022-02-16 | 2022-02-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-25 | 2021-06-25 | Y |
| 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 | 2021-05-25 | 2021-06-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-25 | 2021-06-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-05-25 | 2021-06-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-25 | 2021-06-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-25 | 2021-06-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-07 | 2019-12-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-02 | 2019-12-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-02 | 2019-12-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-02 | 2019-12-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-02 | 2019-12-09 | 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 | 2019-10-02 | 2019-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-02 | 2019-12-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-02 | 2019-12-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-02 | 2019-12-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-02 | 2019-12-09 | N |
