Deficiency Records for Belterra Health and Rehab

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Updated as of March 01, 2019

This is not the most recent data for Belterra Health and Rehab. For the most recent information, click here.

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?
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2018-10-18 2018-11-26 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-10-18 2018-11-26 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-10-18 2018-11-26 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-10-18 2018-11-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-10-18 2018-11-26 N
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 2018-10-18 2018-11-26 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-10-18 2018-11-26 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 2018-10-18 2018-11-26 N
Provide and implement an infection prevention and control program. Health 2018-10-18 2018-11-26 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2018-10-16 2018-11-12 N
Conduct testing and exercise requirements. Fire Safety 2018-10-16 2018-11-12 N
Keep residents' personal and medical records private and confidential. Health 2018-01-11 2018-01-12 Y
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2017-09-14 2017-10-14 N
Store, cook, and serve food in a safe and clean way. Health 2017-09-14 2017-10-14 N
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Health 2017-09-14 2017-10-14 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2017-01-25 2017-03-11 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2017-01-25 2017-02-28 Y
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2017-01-25 2017-01-26 Y
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. Health 2016-12-14 2016-12-15 Y
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Health 2016-12-14 2016-12-15 Y
Assess in a timely manner the resident when the resident enters the nursing home. Health 2016-09-15 2016-09-26 N
Keep clinical records for an appropriate amount of time. Health 2016-09-15 2016-09-16 N
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Health 2016-08-18 2016-08-18 Y