Deficiency Records for Bel Vista Healthcare Center
Updated as of August 01, 2024
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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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