Belhaven Nursing & Rehab Center

In the surveyor’s words

From the most serious findings on record at Belhaven Nursing & Rehab Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF678May 4, 2021

  Based on interview and record review, the facility failed to perform life sustaining cardiopulmonary resuscitation (CPR) on a full code status resident who was unresponsive without breathing or a pulse and failed to notify emergency medical services (EMS) personnel for one (R1) of three residents reviewed. This failure affected R1 who was full code status, did not receive the required CPR and expired and has the potential to affect all 140 residents in the facility. These failures resulted in an Immediate Jeopardy. […]

• Actual harm, isolatedF686Mar 5, 2025

  Based on interview and record review, the facility failed to ensure that one resident (R1) with a pressure ulcer, received the necessary treatment and services to promote wound healing and prevention of new wounds. This failure resulted in R1's wound worsening and requiring hospitalization for wound infection. Findings include: R1's medical diagnoses include but are not limited to hemiplegia and hemiparesis following cerebral infarction, type 2 diabetes mellitus without complications, aphasia, cognitive communication deficit, essential hypertension, pressure ulcer of sacral region. R1's Minimum Data Set (MDS) dated [DATE] has a Cognitive Skills for Daily Decision Making scored as moderately impaired. […]

• Actual harm, isolatedF600Jan 3, 2025

  Based on interview and record review, the facility failed to follow their policy on abuse to protect residents' rights to be free from physical abuse. This failure resulted in: 1-R2 and R3 engaging in a verbal altercation that resulted in R2 pushing R3 causing R3 to fall while in the dining room. 2-R5 hitting R4, resulting in R4 sustaining a swollen lip and R4 was sent to the hospital. Findings Include: On 12/31/24, at 10:34 AM, R3 stated yes, R2 pushed R3 from the wheelchair in the dining room and R3 fell on R3's buttocks. On 12/31/24, at 10:54 AM, R2 stated that R2 has been in this facility for 3 years and R2 has a sitting spot in the dining room. R2 stated that R2 cannot remember the incident on 11/19/24 between R2 and R3, but R2 was sent to [NAME] Park Hospital for eight days. […]

• Actual harm, isolatedF689Jan 3, 2025

  Based on interview and record review, the facility failed to provide appropriate supervision to four (R2, R3, R4, and R5) residents while in the dining room out of four residents reviewed for supervision. This failure resulted in 1-R2 and R3 engaging in a verbal altercation that resulted in R2 pushing R3 causing R3 to fall. 2-R5 hitting R4, resulting in R4 sustaining a swollen lip and R4 was sent to the hospital. Findings Include: On 12/31/24, at 10:34 AM, R3 stated yes, R2 pushed R3 from the wheelchair in the dining room and R3 fell on R3's buttocks. On 12/31/24, at 10:54 AM, R2 stated that R2 has been in this facility for 3 years and R2 has a sitting spot in the dining room. R2 stated that R2 cannot remember the incident on 11/19/24 between R2 and R3. […]

• Actual harm, isolatedF689Oct 24, 2024

  Based on observation, interview, and record review the facility failed to ensure that the medications were safely locked up in the treatment cart when not in use to prevent tampering and accidental hazard; failed to ensure that resident medications were not left at bed side for two residents (R9 and R10); failed to ensure that adequate supervision is offered to one resident (R2) in the sample reviewed for falls. This failure affected R9 and R10 whose medications were left at bedside without physician order, and R2 who had a fall resulting in a laceration to the head. This has the potential to affect all 163 residents residing in the facility. Findings include: On 10/15/24 at 10:17am, R8's bed noted to be placed in high position and not in good working condition. […]