A list of the most recent deficiencies for Bellaken Skilled Nursing 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-14 | 2024-01-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-14 | 2024-01-12 | 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 | 2023-12-14 | 2024-01-12 | N |
| Use approved construction type or materials. | Fire Safety | 2023-12-19 | 2023-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-19 | 2023-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-19 | 2023-12-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-19 | 2023-12-29 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-10 | 2022-03-04 | 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 | 2022-02-10 | 2022-03-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-02-10 | 2022-03-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-10 | 2022-03-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-10 | 2022-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-10 | 2022-03-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-10 | 2022-03-04 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-02-10 | 2022-03-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-02-10 | 2022-03-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-10 | 2022-03-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-04 | 2022-02-11 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-02-04 | 2022-02-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-04 | 2022-02-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-04 | 2022-02-11 | 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 | 2022-02-04 | 2022-02-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-04 | 2022-02-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-02-04 | 2022-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-04 | 2022-02-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-23 | 2020-02-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-15 | 2019-12-11 | N |
| 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 | 2019-11-15 | 2019-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-15 | 2019-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-15 | 2019-12-11 | N |
