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Deficiency Records for Belmont Healthcare Center
View the most recent health deficiencies and inspection results for Belmont Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Belmont Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-04-03 | 2026-04-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-10 | 2025-07-07 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-12-05 | 2024-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-05 | 2024-12-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-12-05 | 2024-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-05 | 2024-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-05 | 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 | 2024-06-18 | 2024-06-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-18 | 2024-06-27 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-18 | 2024-06-27 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-18 | 2024-06-27 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-01 | 2023-08-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-01 | 2023-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-08-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-01 | 2023-08-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-01 | 2023-08-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-14 | 2023-08-01 | Y |
| Keep all essential equipment working safely. | Health | 2021-11-19 | 2022-01-04 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-19 | 2022-01-04 | 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 | 2021-11-19 | 2022-01-04 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-19 | 2022-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2022-01-04 | 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 | 2021-11-19 | 2022-01-04 | 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 | 2021-11-19 | 2022-01-04 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-11-19 | 2022-01-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-19 | 2022-01-04 | 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 | 2021-11-19 | 2022-01-04 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-19 | 2022-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-19 | 2022-01-04 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-11-19 | 2022-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-19 | 2021-12-23 | 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 | 2021-11-19 | 2021-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-19 | 2021-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-07 | 2019-10-11 | 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 | 2019-06-07 | 2019-10-11 | 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 | 2019-06-07 | 2019-10-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-06-07 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-07 | 2019-08-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-07 | 2019-08-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-06-07 | 2019-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-07 | 2019-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-07 | 2019-08-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-07 | 2019-08-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-07 | 2019-08-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-07 | 2019-08-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-06-07 | 2019-08-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-07 | 2019-08-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-07 | 2019-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-07 | 2019-08-16 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-06-07 | 2019-08-16 | N |
| Post nurse staffing information every day. | Health | 2019-06-07 | 2019-08-16 | 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 | 2019-06-07 | 2019-08-16 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-06-07 | 2019-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-07 | 2019-08-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-06-07 | 2019-08-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-07 | 2019-08-16 | N |