Deficiency Records for Belmont Healthcare Center
Updated as of May 01, 2022
This is not the most recent data for Belmont Healthcare Center. For the most recent information, click here.
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 | 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 |
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 |
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 |
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 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 |
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 | Y |
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 | Y |
Respond appropriately to all alleged violations. | Health | 2019-05-08 | 2019-07-02 | Y |
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 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-08 | 2019-07-02 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-05-24 | 2018-07-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-24 | 2018-07-09 | 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 | 2018-05-24 | 2018-07-09 | 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 | 2018-05-24 | 2018-07-09 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-24 | 2018-07-09 | N |
Provide and implement an infection prevention and control program. | Health | 2018-05-24 | 2018-07-09 | N |