Deficiency Records for The Belvedere Center, Genesis Healthcare
Updated as of January 01, 2022
This is not the most recent data for The Belvedere Center, Genesis Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for The Belvedere Center, Genesis Healthcare. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-20 | 2021-11-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-17 | 2021-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-30 | 2020-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-08-05 | 2020-09-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-19 | 2020-02-04 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-12-19 | 2020-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-19 | 2020-02-04 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-12-19 | 2020-02-04 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-12-19 | 2020-02-04 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-17 | 2020-01-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-09 | 2019-11-22 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-01-08 | 2019-03-08 | 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 | 2019-01-08 | 2019-03-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-01-08 | 2019-03-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-01-08 | 2019-03-08 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2019-01-08 | 2019-03-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-08 | 2019-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-08 | 2019-03-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-08 | 2019-03-08 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2019-01-08 | 2019-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-08 | 2019-02-18 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-01-08 | 2019-02-18 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-01-08 | 2019-02-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-08 | 2019-02-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-08 | 2019-02-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-08 | 2019-02-18 | Y |
