Deficiency Records for The Belmont at Twin Creeks
Updated as of April 01, 2021
This is not the most recent data for The Belmont at Twin Creeks. For the most recent information, click here.
A list of the most recent deficiencies for The Belmont at Twin Creeks. 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 and implement an infection prevention and control program. | Health | 2020-06-09 | 2020-07-07 | Y |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-10-16 | 2019-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-17 | 2019-11-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-20 | 2019-06-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-20 | 2019-06-21 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-10-25 | 2018-12-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-10-24 | 2018-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-24 | 2018-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-24 | 2018-11-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-08 | 2018-08-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-08 | 2018-08-31 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-25 | 2018-05-31 | Y |
| 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 | 2018-04-25 | 2018-05-31 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-04-25 | 2018-05-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-04-25 | 2018-05-31 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-10-19 | 2017-10-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-10-19 | 2017-10-31 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-19 | 2017-10-31 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-19 | 2017-10-31 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-19 | 2017-10-31 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-19 | 2017-10-31 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-19 | 2017-10-31 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2017-10-19 | 2017-10-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-10-19 | 2017-10-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-10-19 | 2017-10-23 | 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 | 2021-02-04 | Not Fixed | N |
