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Deficiency Records for Belmont Terrace
View the most recent health deficiencies and inspection results for Belmont Terrace. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Belmont Terrace. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-02 | 2026-04-20 | 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 | 2026-03-02 | 2026-04-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-03-02 | 2026-04-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-03-02 | 2026-04-20 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-03-02 | 2026-04-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-02 | 2026-04-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2026-03-02 | 2026-04-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-02 | 2026-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-02 | 2026-04-20 | N |
| 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 | 2026-03-02 | 2026-04-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2026-03-02 | 2026-04-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-03-02 | 2026-04-20 | N |
| Post nurse staffing information every day. | Health | 2026-03-02 | 2026-04-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2026-03-02 | 2026-04-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-03-02 | 2026-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-03-02 | 2026-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-03-02 | 2026-03-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-03-02 | 2026-03-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-02 | 2026-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-02 | 2026-03-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-03-02 | 2026-03-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-11-18 | 2025-12-17 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-04-01 | 2025-04-25 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-04-01 | 2025-04-25 | Y |
| Implement a program that monitors antibiotic use. | Health | 2025-04-01 | 2025-04-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-01 | 2025-04-25 | Y |
| 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 | 2025-04-01 | 2025-04-25 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2025-04-01 | 2025-04-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-14 | 2024-12-17 | 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 | 2024-11-14 | 2024-12-17 | 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 necessary and PRN use is limited. | Health | 2024-11-14 | 2024-12-17 | N |
| 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 | 2024-11-14 | 2024-12-17 | 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 | 2024-11-14 | 2024-12-17 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-11-14 | 2024-12-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-11-14 | 2024-12-17 | 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 | 2024-11-14 | 2024-12-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-14 | 2024-12-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-11-14 | 2024-12-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-11-14 | 2024-12-17 | 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 | 2024-11-14 | 2024-12-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-14 | 2024-12-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-14 | 2024-12-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-11-14 | 2024-12-17 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-11-14 | 2024-12-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-14 | 2024-12-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-11-14 | 2024-12-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-14 | 2024-12-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-14 | 2024-12-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-11-14 | 2024-12-17 | Y |
| Keep all essential equipment working safely. | Health | 2024-11-14 | 2024-12-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-11-14 | 2024-12-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-14 | 2024-12-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-11-14 | 2024-12-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-10-31 | 2024-12-17 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-10-31 | 2024-12-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-31 | 2024-12-17 | Y |
| Provide appropriate foot care. | Health | 2024-10-31 | 2024-12-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-14 | 2024-12-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-14 | 2024-12-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-11-14 | 2024-12-17 | N |
| 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 | 2024-11-14 | 2024-12-17 | 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 | 2024-11-14 | 2024-12-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-14 | 2024-12-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-11-14 | 2024-12-17 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-11-14 | 2024-12-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-14 | 2024-12-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-14 | 2024-12-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-14 | 2024-12-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-11-14 | 2024-12-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-05 | 2024-02-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-02-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-05 | 2024-02-27 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-05 | 2024-02-27 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-10-13 | 2023-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-13 | 2023-11-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-13 | 2023-11-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-13 | 2023-11-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-13 | 2023-11-27 | N |
| 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 | 2023-10-13 | 2023-11-27 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-13 | 2023-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-13 | 2023-11-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-13 | 2023-11-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-13 | 2023-11-27 | 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 | 2023-10-13 | 2023-11-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-13 | 2023-11-27 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-13 | 2023-11-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-13 | 2023-11-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-13 | 2023-11-10 | N |
| 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 | 2023-08-25 | 2023-09-22 | Y |