Deficiency Records for Belmont Care and Rehabilitation
Updated as of December 01, 2018
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? |
|---|---|---|---|---|
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-12-18 | 2018-03-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2017-12-13 | 2018-02-07 | N |
| Develop a communication plan. | Fire Safety | 2017-12-13 | 2018-02-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-13 | 2018-02-07 | N |
| 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 | 2017-12-13 | 2018-02-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-12-13 | 2018-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-13 | 2018-02-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2017-12-18 | 2018-01-31 | 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 | 2017-12-18 | 2018-01-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2017-12-18 | 2018-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-18 | 2018-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-18 | 2018-01-31 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is ne | Health | 2017-12-18 | 2018-01-31 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-24 | 2017-08-25 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-24 | 2017-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-24 | 2017-08-25 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-26 | 2016-12-15 | Y |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-10-04 | 2016-10-14 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-10-04 | 2016-10-14 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-09-26 | 2016-10-14 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-09-26 | 2016-10-14 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-09-26 | 2016-10-14 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-09-26 | 2016-10-14 | Y |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-10-04 | 2016-10-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-07-27 | 2015-10-07 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-27 | 2015-10-07 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-07-27 | 2015-10-07 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-03 | 2015-09-15 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-08-03 | 2015-09-15 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-08-03 | 2015-09-15 | N |
| Portable fire extinguishers. | Fire Safety | 2015-08-03 | 2015-09-15 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-07-27 | 2015-09-15 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-07-27 | 2015-09-15 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-07-27 | 2015-09-15 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-07-27 | 2015-09-15 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-07-27 | 2015-09-15 | N |
