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Deficiency Records for Belvidere Healthcare Center
A list of the most recent deficiencies for Belvidere Healthcare Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Belvidere 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-16 | 2024-06-15 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-16 | 2024-06-15 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-05-16 | 2024-06-15 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-16 | 2024-06-15 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-16 | 2024-06-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-06-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-16 | 2024-06-15 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-16 | 2024-06-15 | 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 | 2024-05-16 | 2024-06-15 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-16 | 2024-06-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-16 | 2024-06-15 | 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 | 2024-05-16 | 2024-06-15 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-16 | 2024-06-15 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-05-16 | 2024-06-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-16 | 2024-06-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-16 | 2024-06-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-29 | 2023-12-21 | Y |
Implement emergency and standby power systems. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-31 | 2023-05-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-05-11 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-03-24 | 2023-05-11 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-24 | 2023-04-25 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-03-24 | 2023-04-25 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-03-24 | 2023-04-25 | N |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-24 | 2023-04-25 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-24 | 2023-04-25 | N |
Respond appropriately to all alleged violations. | Health | 2023-03-24 | 2023-04-25 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-24 | 2023-04-25 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-04-25 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-03-24 | 2023-04-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-24 | 2023-04-25 | 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 | 2023-03-24 | 2023-04-25 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-24 | 2023-04-25 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2023-03-24 | 2023-04-25 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-03-24 | 2023-04-25 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-24 | 2023-04-25 | N |
Provide or obtain dental services for each resident. | Health | 2023-03-24 | 2023-04-25 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-24 | 2023-04-25 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-24 | 2023-04-25 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-24 | 2023-04-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-04-25 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-24 | 2023-04-25 | N |
Provide and implement an infection prevention and control program. | Health | 2023-03-24 | 2023-04-25 | N |
Keep all essential equipment working safely. | Health | 2023-03-24 | 2023-04-25 | 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 | 2023-03-24 | 2023-04-25 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
Provide properly protected cooking facilities. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-26 | 2022-06-03 | N |
Assess the resident when there is a significant change in condition | Health | 2022-04-14 | 2022-06-01 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-14 | 2022-06-01 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-14 | 2022-06-01 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-14 | 2022-06-01 | N |
Keep residents' personal and medical records private and confidential. | Health | 2022-04-14 | 2022-05-26 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-14 | 2022-05-26 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-14 | 2022-05-26 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-04-14 | 2022-05-26 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-14 | 2022-05-26 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-14 | 2022-05-26 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-14 | 2022-05-26 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-04-14 | 2022-05-26 | N |
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-04-14 | 2022-05-26 | 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 | 2022-04-14 | 2022-05-26 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-04-14 | 2022-05-26 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-04-14 | 2022-05-26 | N |
Provide and implement an infection prevention and control program. | Health | 2022-04-14 | 2022-05-26 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-04-26 | 2022-05-20 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-26 | 2022-05-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-26 | 2022-05-20 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-22 | 2021-12-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-22 | 2021-12-24 | Y |
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