A list of the most recent deficiencies for Beltline 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-02 | 2023-11-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-28 | 2023-09-29 | 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 | 2023-09-28 | 2023-09-29 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-03 | 2022-09-11 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-08-03 | 2022-08-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-03 | 2022-08-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-03 | 2022-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-03 | 2022-08-22 | 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 | 2022-08-02 | 2022-08-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-02 | 2022-08-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-02 | 2022-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-02 | 2022-08-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-29 | 2022-06-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-29 | 2022-06-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-08-23 | 2021-09-13 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-09 | 2021-07-09 | 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 | 2021-06-09 | 2021-07-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-09 | 2021-07-09 | N |
