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Deficiency Records for Skld Beltline
A list of the most recent deficiencies for Skld Beltline. 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 Skld Beltline. 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 | 2025-01-29 | 2025-02-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-29 | 2025-02-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-29 | 2025-02-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-29 | 2025-02-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-01-29 | 2025-02-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-29 | 2025-02-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-29 | 2025-02-25 | N |
| Provide activities to meet all resident's needs. | Health | 2025-01-29 | 2025-02-25 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2025-01-29 | 2025-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-29 | 2025-02-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-29 | 2025-02-25 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-01-29 | 2025-02-25 | N |
| Provide or obtain dental services for each resident. | Health | 2025-01-29 | 2025-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-29 | 2025-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-29 | 2025-02-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-29 | 2025-02-25 | 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 | 2025-01-28 | 2025-02-25 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-01-28 | 2025-02-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-28 | 2025-02-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-28 | 2025-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-01-28 | 2025-02-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-28 | 2025-02-25 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-24 | 2024-11-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-24 | 2024-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-24 | 2024-11-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-11 | 2024-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-11 | 2024-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-11 | 2024-07-22 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-04-25 | 2024-05-09 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-04-25 | 2024-05-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-25 | 2024-05-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-25 | 2024-05-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-25 | 2024-04-25 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-01-12 | 2024-02-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-12 | 2024-02-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-12 | 2024-02-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-12 | 2024-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-02-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-12 | 2024-02-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-12 | 2024-02-06 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-01-12 | 2024-02-06 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-01-12 | 2024-02-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-12 | 2024-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-01-12 | 2024-02-06 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-01-12 | 2024-02-06 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-11 | 2024-02-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-12 | 2023-10-23 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-08 | 2023-06-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-03-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-18 | 2023-01-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-18 | 2023-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2023-01-17 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-11-18 | 2022-12-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-18 | 2022-12-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-18 | 2022-12-19 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-18 | 2022-12-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-18 | 2022-12-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-18 | 2022-12-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-18 | 2022-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-18 | 2022-12-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-11-18 | 2022-12-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-18 | 2022-12-14 | 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 | 2022-11-18 | 2022-12-14 | 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 | 2022-11-18 | 2022-12-14 | 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 | 2022-11-18 | 2022-12-14 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-18 | 2022-12-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-11-18 | 2022-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-18 | 2022-12-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-18 | 2022-12-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-22 | 2022-09-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-22 | 2022-08-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-22 | 2022-08-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-22 | 2022-08-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-22 | 2022-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-13 | 2022-06-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-13 | 2022-06-28 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-13 | 2022-06-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-13 | 2022-06-08 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-13 | 2022-06-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-01 | 2022-03-25 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-01 | 2022-03-25 | Y |
| 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 | 2022-03-01 | 2022-03-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-01 | 2022-03-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-01 | 2022-03-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-01 | 2022-03-25 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-01 | 2022-03-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-01 | 2022-03-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-01 | 2022-03-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-01 | 2022-03-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-01 | 2022-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-01 | 2022-03-25 | Y |
| 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 | 2022-03-01 | 2022-03-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-01 | 2022-03-25 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-01 | 2022-03-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-03-01 | 2022-03-25 | 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 | 2022-03-01 | 2022-03-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-01 | 2022-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-01 | 2022-03-25 | Y |
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