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Deficiency Records for Belle Terrace
View the most recent health deficiencies and inspection results for Belle Terrace. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Belle Terrace. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-12-05 | 2026-02-05 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-12-05 | 2026-02-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-12-05 | 2026-02-05 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2025-12-05 | 2026-02-05 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2025-12-05 | 2026-02-05 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-12-05 | 2026-02-05 | 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 | 2025-12-05 | 2026-02-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-12-05 | 2026-02-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-12-05 | 2026-02-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-05 | 2026-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-05 | 2026-01-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-12-05 | 2026-01-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-05 | 2026-01-12 | 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 | 2025-12-05 | 2026-01-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-12-05 | 2026-01-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-23 | 2025-05-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-23 | 2025-05-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-16 | 2025-02-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-01-16 | 2025-02-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-16 | 2025-02-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-16 | 2025-02-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-16 | 2025-02-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-01-16 | 2025-02-17 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-01-16 | 2025-02-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-01-16 | 2025-02-17 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2025-01-16 | 2025-02-17 | 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 | 2025-01-16 | 2025-02-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-01-16 | 2025-02-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-16 | 2025-02-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-10 | 2024-09-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-09-01 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-08-01 | 2024-09-01 | Y |
| 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 | 2024-03-14 | 2024-04-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-28 | 2024-03-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-28 | 2024-03-15 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-12-28 | 2024-03-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-12-28 | 2024-03-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-28 | 2024-03-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-28 | 2024-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-28 | 2024-01-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-28 | 2024-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-06 | 2023-11-23 | Y |