Deficiency Records for Belmont Care and Rehabilitation
Updated as of October 01, 2023
This is not the most recent data for Belmont Care and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Belmont Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-23 | 2023-06-28 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-05-23 | 2023-06-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-23 | 2023-06-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-23 | 2023-06-28 | N |
| Provide activities to meet all resident's needs. | Health | 2023-05-23 | 2023-06-28 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-23 | 2023-06-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-23 | 2023-06-28 | N |
| Provide or obtain dental services for each resident. | Health | 2023-05-23 | 2023-06-28 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-05-23 | 2023-06-28 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-05-23 | 2023-06-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-23 | 2023-06-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-23 | 2023-06-28 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-05-23 | 2023-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-23 | 2023-06-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-23 | 2023-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-23 | 2023-06-28 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-05-17 | 2023-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-17 | 2023-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-17 | 2023-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-17 | 2023-06-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-17 | 2023-06-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-05-17 | 2023-06-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-10 | 2023-03-22 | 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 | 2023-02-10 | 2023-03-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-10 | 2023-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-07 | 2022-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-07 | 2022-04-28 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-07 | 2022-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-07 | 2022-04-28 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-03 | 2022-04-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-03 | 2022-04-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-03 | 2022-04-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-07 | 2022-04-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-07 | 2022-04-15 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-03 | 2022-04-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-03 | 2022-04-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-03 | 2022-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-03 | 2022-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-05 | 2021-03-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-05 | 2021-03-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-02-05 | 2021-03-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-02-05 | 2021-03-27 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-02-08 | 2019-05-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-08 | 2019-03-27 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-02-08 | 2019-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-08 | 2019-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-08 | 2019-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-08 | 2019-03-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-08 | 2019-03-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-08 | 2019-03-27 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-02-08 | 2019-03-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-08 | 2019-03-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-08 | 2019-03-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-08 | 2019-03-27 | 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 | 2019-02-08 | 2019-03-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-08 | 2019-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-08 | 2019-03-27 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-01-30 | 2019-03-12 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-01-30 | 2019-03-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-01-30 | 2019-03-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-30 | 2019-03-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-01-30 | 2019-03-12 | N |
