Belknap County Nursing Home

In the surveyor’s words

From the most serious findings on record at Belknap County Nursing Home, in the surveyor’s own words.

• No harm, potential for more than minimal, isolatedF658Sep 4, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to follow professional standards for 1 of 1 resident observed for medication administration via gastrostomy tube (g-tube) (Resident identifier is #2).Findings include:Review on 9/4/25 of [NAME] A. [NAME] and [NAME], Clinical Nursing Skills & Techniques. 10th ed. St. Louis, Missouri: Elsevier, 2022. revealed on Page 617-Administering Medications Through Feeding Tube 12.b. To administer more than one medication, give each separately and flush between medications with 15ml [milliliter] to 30ml of water.Observation on 9/3/2025 at approximately 8:45 a.m. […]

• No harm, potential for more than minimal, isolatedF880Sep 4, 2025

  Based on observation, interview, and record review, it was determined that the facility failed to implement infection control policies and procedures for hand hygiene and glove for 1 of 1 resident reviewed for skin condition in a final sample of 15 residents. (Resident identifier is #33).Findings include:Review on 9/4/25 of Resident #33's physician's order dated 7/2/25 revealed a wound treatment for the right buttocks to gently cleanse area with wound wash, pat dry, apply non-sting barrier wipe, apply santyl to wound bed and cover with small Mepilex border (3x3), change dressing daily.Observation on 9/4/25 at 10:30 a.m. […]

• No harm, potential for more than minimal, isolatedF908Sep 19, 2024

  Based on interview, observation, and record review, it was determined that the facility failed to follow manufacturer's instructions for care and cleaning of the Hydrocollator. Findings include: Review on 9/19/24 of the manufacturer's instructions for the Hydrocollator, undated revealed: .Care and cleaning: .Water is constantly lost during operation due to evaporation. Therefore, it is essential that water be added daily. The tank should also be drained and cleaned systematically, at a minimum interval of every two weeks . Observation on 9/19/24 at approximately 9:00 a.m. in the rehab department revealed that there was a hydrocollator. Interview on 9/19/24 at approximately 9:00 a.m. […]

• No harm, potential for more than minimal, isolatedF658Aug 25, 2022

  Based on observation, interview, and policy review it was determined that the facility failed to insure the storage of expired needles, culture swabs, dressings, and syringes according to professional standards for 2 out of 2 medication rooms and 2 out of 2 treatment carts reviewed for storage of medical supplies. Findings include: Observation on [DATE] at 8:45 a.m. of the East Wing medication room with Staff B (RN Unit Manager) revealed the following: -Ten blue cap culture swabs containing liquid medium with manufacturer's expiration date of [DATE] -Nine red cap culture swabs containing liquid medium with manufacturer's expiration date of [DATE] -Four individual needles with a manufacturer's expiration date of ,d+[DATE]. Observation on [DATE] at 8:50 a.m. […]

• No harm, potential for more than minimal, isolatedF761Aug 25, 2022

  Based on observation, interview, and policy review, it was determined that the facility failed to ensure that expired medications, were not kept longer than the manufacturer's or supplier guidelines, for 1 out of 2 medication rooms and 1 out of 2 treatment carts observed for medication storage. Findings include: Observation on 8/23/22 at 9:00 a.m. of the Ease Wing Treatment cart with Staff B (Registered Nurse) revealed two (2) open bottles of Vashe Wound Solution 4 oz (ounces) one with a manufacturer's expiration date of 3/2022 and one with a manufacturer's expiration date on 1/2022. Further observation revealed an unopened bottle of Mineral Oil Lubricant [MEDICATION(S)] with manufacturer's expiration date of 8/2021. Interview on 8/23/22 at 9:00 a.m. […]