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Deficiency Records for Belmont Manor
A list of the most recent deficiencies for Belmont Manor. 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 Belmont Manor. 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 and implement an infection prevention and control program. | Health | 2024-08-16 | 2024-09-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-16 | 2024-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-16 | 2024-09-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-16 | 2024-09-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-16 | 2024-09-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-16 | 2024-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-16 | 2024-09-27 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-16 | 2024-09-27 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2024-08-16 | 2024-09-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-16 | 2024-09-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-16 | 2024-09-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-16 | 2024-09-27 | 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 | 2024-08-16 | 2024-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-16 | 2024-09-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-16 | 2024-09-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-16 | 2024-09-27 | 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 | 2024-08-16 | 2024-09-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-16 | 2024-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-16 | 2024-09-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-16 | 2024-09-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-16 | 2024-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-16 | 2024-09-27 | 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 | 2024-08-16 | 2024-09-27 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-08-16 | 2024-09-27 | Y |
| 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 | 2024-08-07 | 2024-09-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-07 | 2024-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-07 | 2024-09-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-07 | 2024-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-07 | 2024-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-18 | 2022-09-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-18 | 2022-09-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-17 | 2022-09-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-17 | 2022-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-17 | 2022-09-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-17 | 2022-09-27 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-01-25 | 2022-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-25 | 2022-03-01 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-07 | 2019-12-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-07 | 2019-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-07 | 2019-12-13 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide or obtain dental services for each resident. | Health | 2019-11-07 | 2019-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-07 | 2019-12-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-07 | 2019-12-13 | N |
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