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Deficiency Records for Bel Vista Healthcare Center

A list of the most recent deficiencies for Bel Vista 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 Bel Vista 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?
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-05-20 2024-06-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-20 2024-06-17 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-20 2024-06-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-20 2024-06-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-20 2024-06-17 N
Assist a resident in gaining access to vision and hearing services. Health 2024-05-20 2024-06-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-05-20 2024-06-17 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-05-20 2024-06-17 N
Provide care or services that was trauma informed and/or culturally competent. Health 2024-05-20 2024-06-17 N
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 2024-05-20 2024-06-17 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-05-20 2024-06-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-05-20 2024-06-17 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-05-20 2024-06-17 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 2024-05-20 2024-06-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-05-20 2024-06-17 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2024-05-20 2024-06-17 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-05-20 2024-06-17 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-05-20 2024-06-17 N
Implement a program that monitors antibiotic use. Health 2024-05-20 2024-06-17 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-05-20 2024-06-17 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 2024-05-20 2024-06-17 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-20 2024-06-17 Y
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2024-05-20 2024-06-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-02-17 2023-03-18 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 2023-02-17 2023-03-18 Y
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2023-02-17 2023-03-18 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-18 2022-08-08 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 2022-03-10 2022-03-23 Y
Provide and implement an infection prevention and control program. Health 2022-03-10 2022-03-23 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-12-19 2022-01-24 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2021-12-19 2022-01-24 N
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 2021-12-19 2022-01-24 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-12-19 2022-01-24 N
Ensure each resident receives an accurate assessment. Health 2021-12-19 2022-01-24 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-12-19 2022-01-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-19 2022-01-24 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-12-19 2022-01-24 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-12-19 2022-01-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-19 2022-01-24 N
Provide appropriate foot care. Health 2021-12-19 2022-01-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-19 2022-01-24 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2021-12-19 2022-01-24 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-12-19 2022-01-24 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-12-19 2022-01-24 N
Post nurse staffing information every day. Health 2021-12-19 2022-01-24 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-12-19 2022-01-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-12-19 2022-01-24 N
Ensure medication error rates are not 5 percent or greater. Health 2021-12-19 2022-01-24 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 2021-12-19 2022-01-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-12-19 2022-01-24 N
Provide and implement an infection prevention and control program. Health 2021-12-19 2022-01-24 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-12-19 2022-01-24 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-12-22 2022-01-20 N
Install an approved automatic sprinkler system. Fire Safety 2021-12-22 2022-01-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-12-22 2022-01-20 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-12-22 2022-01-20 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-12-22 2022-01-20 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-12-22 2022-01-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-12-22 2022-01-20 N
Have power receptacles that are properly grounded. Fire Safety 2021-12-22 2022-01-20 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-12-22 2022-01-20 N
Provide and implement an infection prevention and control program. Health 2022-01-03 2022-01-11 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-08-05 2019-09-03 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-08-05 2019-09-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-08-05 2019-09-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-08-05 2019-09-03 N
Provide and implement an infection prevention and control program. Health 2019-08-05 2019-09-03 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-08-05 2019-09-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-08-12 2019-08-30 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-02-17 Not Fixed Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-17 Not Fixed Y
List the names and contact information of those in the facility. Fire Safety 2024-05-23 Not Fixed N
Conduct testing and exercise requirements. Fire Safety 2024-05-23 Not Fixed N
Implement emergency and standby power systems. Fire Safety 2024-05-23 Not Fixed N
Have properly located and lighted "Exit" signs. Fire Safety 2024-05-23 Not Fixed 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 2024-05-23 Not Fixed N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-05-23 Not Fixed N
Have simulated fire drills held at unexpected times. Fire Safety 2024-05-23 Not Fixed N

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