Deficiency Records for Belterra Health and Rehab
Updated as of May 01, 2022
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? |
---|---|---|---|---|
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 |
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 |
Provide and implement an infection prevention and control program. | Health | 2020-07-13 | 2020-08-18 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-02-08 | 2020-03-05 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-08 | 2020-03-05 | Y |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-02-08 | 2020-03-05 | Y |
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 |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-13 | 2019-10-31 | Y |
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 | 2019-09-13 | 2019-10-31 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-13 | 2019-10-31 | Y |
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-09-13 | 2019-10-31 | Y |
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 |