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Deficiency Records for Belle Fountain Nursing and Rehabilitation Center
A list of the most recent deficiencies for Belle Fountain Nursing and Rehabilitation 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 Belle Fountain Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-05 | 2024-09-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-05 | 2024-09-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-26 | 2024-07-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-07 | 2024-07-09 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-06-07 | 2024-07-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-07 | 2024-07-09 | Y |
| 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 | 2024-03-06 | 2024-03-20 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-08 | 2024-02-07 | 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 | 2024-01-08 | 2024-02-05 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-08 | 2024-02-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-08 | 2024-02-05 | 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 | 2024-01-09 | 2024-02-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-09 | 2024-02-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-09 | 2024-02-02 | 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 | 2023-03-16 | 2023-04-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-03-16 | 2023-04-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-16 | 2023-04-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-16 | 2023-04-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-16 | 2023-04-28 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-14 | 2023-04-28 | 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 | 2023-03-14 | 2023-04-28 | 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 | 2023-03-14 | 2023-04-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-14 | 2023-04-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-01 | 2022-04-11 | 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 | 2022-03-01 | 2022-04-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-01 | 2022-04-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-02 | 2022-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-02 | 2022-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-02 | 2022-03-28 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-03-02 | 2022-03-28 | Y |
| 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 | 2022-03-02 | 2022-03-28 | Y |
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