Bellaken Skilled Nursing Center

In the surveyor’s words

From the most serious findings on record at Bellaken Skilled Nursing Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF919Apr 16, 2026

  Based on observation, interview, and record review, facility failed to:Maintain a functional resident call light system for four residents (Residents 2, 3, 4, and 5)Maintain complete and accurate maintenance records for seven residents with broken call lights (Residents 1, 2, 3, 4, 5, 12, and 13)Maintain complete and accurate maintenance records for five call light repairs that affected five (Residents 6, 7, 8, 9, 10) out of 61 residents.These failures placed residents at risk of not having a reliable method to request assistance and increased the risk of delayed response to care needs potentially leading to resident falls or other adverse outcomes.During a concurrent observation and interview on 4/14/26 at 2:52 p.m. […]

• No harm, potential for more than minimal, patternF755Dec 14, 2023

  Based on observation, interview, and record review, the facility failed to ensure safe and accountable medication handling, and implementation of pharmaceutical services procedures when: 1. Quality control tests for blood glucose meters (a device used to measure and display the amount of sugar [glucose] in your blood) used in the facility were not done consistently. 2. There were no remedial actions taken for quality control test results, that were out of range, for a blood glucose meter used in the facility. 3. Unused or discontinued medications were disposed without signatures of a pharmacist or nurse and one other witness. These failures could contribute to unsafe medication use and practices in the facility. Findings: 1. […]

• No harm, potential for more than minimal, patternF812Dec 14, 2023

  Based on observation, interview, and record review, the facility failed to prepare and serve food under safe and sanitary conditions when: 1. Low temperature dishwasher did not reach the proper sanitation level. 2. Dietary staff did not wear hair restraints properly to cover all hair. 3. Dietary staff entered the kitchen did not wash upon entry to the kitchen. 4. Dietary staff dropped food tray on the floor next to sink, picked it up then placed it in the cart intended to deliver food to residents. These failed practices had the potential to place residents at risk for developing foodborne illness. Findings: 1. During an observation on 12/11/23 at 10:25 a.m. […]

• No harm, potential for more than minimal, patternF880Dec 14, 2023

  Based on observation, interview, and record review, the facility failed to implement their infection prevention and control program when: 1. One of 18 sampled residents (Resident 6) had a urinary catheter drainage bag (a device used to empty the bladder and collect urine) that touched the floor. 2. Soiled towels in the laundry room were not stored in a covered, soiled laundry hamper or container. 3. Laundry room daily task checklists were not done by staff. 4. Manufacturer's instructions for use (MIFU) was not followed for cleaning and disinfection of blood glucose meters (a device used to measure and display the amount of sugar [glucose] in your blood) used in the facility. 5. […]

• No harm, potential for more than minimal, patternF883Dec 14, 2023

  Based on interview and record review, the facility failed to provide pneumococcal immunizations for three of five sampled residents (Resident 61, Resident 60, and Resident 9) when the residents did not receive the pneumococcal immunization after it was offered. This failure had the potential to not protect the residents against serious illnesses like pneumonia (lung infection). Findings: During a concurrent interview and record review on 12/13/23 at 2 PM, with the Infection Preventionist (IP), Resident 61's medical records were reviewed. IP stated Resident 61's admitted indicated 11/8/23. IP stated Resident 61 was given pneumococcal vaccine on 4/22/17 at a different facility. […]