Bell Convalescent Hospital

In the surveyor’s words

From the most serious findings on record at Bell Convalescent Hospital, in the surveyor’s own words.

• Actual harm, isolatedF689Dec 5, 2024

  Based on interview and record review, the facility failed to ensure two of five sampled residents (Resident 17 and Resident 44) were free from avoidable accidents and accident hazards when the facility: 1. Did not conduct an Interdisciplinary Team (IDT, group of different disciplines working together towards a common goal of a resident) assessment following Resident 17's fall on 6/14/2024. 2. Did not develop or implement person-centered interventions to prevent Resident 17 from having repeated falls on 6/21/2024 and 8/3/2024. 3. Did not conduct an IDT in a timely manner, after Resident 44 fell on [DATE], to prevent further falls. 4. […]

• Actual harm, isolatedF689Feb 2, 2024

  Based on interview and record review, the facility failed to provide visual monitoring and prevent accident hazards, as indicated in the resident ' s care plan, for one of seven sampled residents (Resident 1), who had a high risk for fall. This deficient practice resulted in Resident 1 falling, sustaining facial trauma and a right arm fracture (broken bone) which required hospitalization in a general acute care hospital (GACH) for evaluation and treatment. Findings: During a review of Resident 1 ' s admission record (face sheet), dated 1/22/2024, the face sheet indicated Resident 1, was originally admitted to the facility on [DATE] and readmitted on [DATE]. […]

• Actual harm, isolatedF684Nov 16, 2023

  Based on observation, interview, and record review, the facility failed to provide care and services for four of 24 sampled residents (Resident 70, 9, 49, and 68) by failing to: 1a. Ensure the correct dose of Methadone (a powerful drug used for pain relief and treatment of drug addiction) 50 milligrams ([mg]- a unit of measurement) twice a day was transcribed (copy from one place to another) per physician order. 1b. Follow up on the delivery of the Methadone with the pharmacy on 11/8/2023 when ordered by the Physician. 1c. Ensure accurate and complete documentation of the medications administered on the Electronic Medication Administration Record (EMAR, an electronic record of medications administered to a resident) and the Controlled Drug Administration Record. 1d. […]

• No harm, potential for more than minimal, widespreadF812Jan 23, 2026

  Based on observation, interview, and record review, the facility failed to ensure the ice machine was cleaned and sanitized properly. This deficient practice had the potential to result in harmful bacterial growth and cross contamination (transfer of harmful bacteria from one place to another) that could lead to foodborne illness (a disease caused by consuming food or drinks that are contaminated by germs or chemicals) in 91 of 91 medically compromised residents who received food from the kitchen.Findings: During a concurrent observation and interview on 1/20/2026 at 11:15 a.m., with the Dietary Services Supervisor (DSS), observed a combination of dark black/grey dots along with a pink colored slime on a paper towel that was used to wipe underneath where the ice machine dispenses ice… […]

• No harm, potential for more than minimal, widespreadF814Jan 23, 2026

  Based on observation, interview, and record review, the facility failed to dispose of garbage properly when the dumpster lid was overflowing with bags of waste on two consecutive days. This deficient practice had the potential to increase the likelihood of pest and vermin infestation contributing to unsanitary conditions on the facility premises.Findings: During a concurrent observation and interview on 1/20/2026 at 9:30 a.m., with the Administrator, observed the trash dumpster and several smaller bins labeled Soiled Linen located near the parking lot of the facility were filled beyond capacity and overflowing with bags of waste. The trash dumpster was located within a wooden shed which was disheveled with broken roofing. […]