Deficiency Records for Belmont Healthcare Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Belmont Healthcare Center. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-10-19 2022-11-25 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-10-19 2022-11-25 N
Ensure each resident receives an accurate assessment. Health 2022-10-19 2022-11-25 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-10-19 2022-11-25 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-10-19 2022-11-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-10-19 2022-11-25 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 2022-10-19 2022-11-25 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-10-19 2022-11-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-19 2022-11-25 N
Dispose of garbage and refuse properly. Health 2022-10-19 2022-11-25 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-10-19 2022-11-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-19 2022-11-25 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 2022-10-19 2022-11-25 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-07-28 2021-08-20 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 2021-07-28 2021-08-20 N
Keep residents' personal and medical records private and confidential. Health 2021-07-28 2021-08-20 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-07-28 2021-08-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-28 2021-08-20 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 2021-07-28 2021-08-20 N
Ensure each resident receives an accurate assessment. Health 2021-07-28 2021-08-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-28 2021-08-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-28 2021-08-20 N
Assist a resident in gaining access to vision and hearing services. Health 2021-07-28 2021-08-20 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2021-07-28 2021-08-20 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-07-28 2021-08-20 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 2021-07-28 2021-08-20 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 2021-07-28 2021-08-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-28 2021-08-20 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-07-28 2021-08-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-05-08 2019-07-02 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 2019-05-08 2019-07-02 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2019-05-08 2019-07-02 N
Respond appropriately to all alleged violations. Health 2019-05-08 2019-07-02 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-05-08 2019-07-02 N
Ensure each resident receives an accurate assessment. Health 2019-05-08 2019-07-02 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-05-08 2019-07-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-05-08 2019-07-02 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 2019-05-08 2019-07-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-05-08 2019-07-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-05-08 2019-07-02 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 2019-05-08 2019-07-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-05-08 2019-07-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-05-08 2019-07-02 N
Provide and implement an infection prevention and control program. Health 2019-05-08 2019-07-02 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2019-05-08 2019-07-02 N