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Deficiency Records for The Belvedere Center, Genesis Healthcare
View the most recent health deficiencies and inspection results for The Belvedere Center, Genesis Healthcare. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for The Belvedere Center, Genesis Healthcare. 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 | 2025-08-15 | 2025-10-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-15 | 2025-10-15 | 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 | 2025-08-15 | 2025-10-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Install proper backup exit lighting. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-15 | 2025-10-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-08-15 | 2025-10-15 | 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 | 2025-08-15 | 2025-09-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-15 | 2025-09-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-15 | 2025-09-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-15 | 2025-09-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-08-15 | 2025-09-23 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-15 | 2025-09-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-23 | 2024-10-10 | Y |
| 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 | 2024-07-18 | 2024-09-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-18 | 2024-09-10 | 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 | 2024-07-18 | 2024-09-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-18 | 2024-09-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-18 | 2024-09-10 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-18 | 2024-09-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-09-10 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-18 | 2024-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-18 | 2024-09-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-18 | 2024-09-10 | 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 | 2024-07-18 | 2024-09-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-07-18 | 2024-09-10 | N |
| Respond appropriately to all alleged violations. | Health | 2024-02-29 | 2024-04-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-29 | 2024-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2024-01-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-06 | 2023-11-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-06 | 2023-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-06 | 2023-11-30 | 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 | 2023-10-06 | 2023-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-06 | 2023-11-30 | 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 | 2023-10-06 | 2023-11-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-06 | 2023-11-26 | N |