A list of the most recent deficiencies for Belterra Health and Rehab. 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 appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-13 | 2022-12-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-08 | 2022-03-04 | 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 | 2022-02-08 | 2022-03-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-15 | 2021-12-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-15 | 2021-12-16 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-11-18 | 2021-11-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-18 | 2021-11-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-18 | 2021-11-19 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-11-18 | 2021-11-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-11-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-09-17 | 2021-11-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-09-17 | 2021-11-01 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-09-23 | 2021-10-31 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-09-23 | 2021-10-31 | 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 | 2021-09-23 | 2021-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-10-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2021-09-23 | 2021-10-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-23 | 2021-10-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-09-23 | 2021-10-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-23 | 2021-09-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-23 | 2021-09-24 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-23 | 2021-09-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-05 | 2019-12-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-05 | 2019-11-22 | N |
