Bel Vista Healthcare Center

In the surveyor’s words

From the most serious findings on record at Bel Vista Healthcare Center, in the surveyor’s own words.

• Actual harm, isolatedF684May 20, 2024

  45028 Based on interview and record review, the facility failed to: 1. Ensure one of one sampled resident (Resident 38) who with diagnosis type 2 diabetes mellitus (abnormal blood sugar) and receiving Sitagliptin phosphate ( medication to lower blood sugar) received a weekly complete blood count ([CBC] a laboratory test which gives information about the production of all blood cells in the body) and comprehensive metabolic panel ([CMP] a group of blood tests which provide information about the body's metabolism [chemical reaction in the body's cells which change food into energy]) per physician order. 2. […]

• Actual harm, isolatedF690Feb 17, 2023

  Based on observation, interview and record review, the facility failed to ensure the resident, who was awake and alert, continent (ability to control) of bowel and bladder and had a high risk for a pressure ulcer (an injury that breaks down the skin and underlying tissue) development, received care and services to maintain bowel and bladder continence for one of three sampled residents (Resident 1). The facility failed to: 1. Ensure the nursing staff assisted Resident 1 timely to go to the bathroom to maintain the resident's continence of bowel/bladder. 2. Ensure Resident 1 had access to the hallway bathroom or a bedside commode when she needed to urinate and/or have a bowel movement. 3. […]

• Actual harm, isolatedF656Feb 22, 2021

  Based on interview and record review, the facility failed to develop a resident-centered comprehensive care plan with documented staff interventions to prevent a fall incident as per its policy and procedure (P/P) for one of three sampled residents (Resident 1). Resident 1, who was assessed as high risk for falls, was admitted to the facility for rehabilitation status [REDACTED]. This deficient practice resulted in Resident 1 falling and sustaining a right shoulder fracture (broken bone) and required a transfer to a general acute care hospital (GACH). Findings: During a review of Resident 1's Admission Face Sheet, dated 9/11/19, indicated Resident 1 was admitted to the facility on [DATE]. […]

• No harm, potential for more than minimal, widespreadF761May 20, 2024

  Based on observation, interview, and record review, the facility failed to: 1. Ensure medication carts (a moveable (a movable piece of equipment used in healthcare facilities to store, transport, and dispense medicines, medical supplies, and emergency equipment) 1, 2, and the facility's intravenous ([IV] giving medicines or fluids through a needle or tube inserted into a vein) medication carts were locked when unattended. This deficient practice resulted in resident's, visitors, and other staff having immediate access to medications and had the potential for theft, loss, and unauthorized consumption of medications. 2. Ensure the medication cart 2 keys were left unattended on top of medication cart 2. […]

• No harm, potential for more than minimal, patternF755Aug 21, 2026

  Based on observation, interview, and record reviewa) The facility failed to ensure Licensed Vocational Nurse (LVN)1 administered one of one sampled residents (Resident 10) receiving eye drops as the physician ordered. This failure had the potential to result in reduced medical effects or treatment failure.b) The facility failed to ensure one on three hemodialysis ([HD]a treatment to cleanse the blood of wastes and extra fluids artificially through a machine when the kidney[s] have failed) residents (Resident 3) received prescribed medications on dialysis days.These failures had the potential to result in Resident 3's worsening condition. […]