Bellbrook Health and Rehab

In the surveyor’s words

From the most serious findings on record at Bellbrook Health and Rehab, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Dec 19, 2023

  Based on of open and closed medical record review, staff interviews, resident representative interview, review of hospital records, review of the death certificate, and review of facility policy, the facility failed to appropriately assess and provide timely intervention for Resident #45 following a change in condition. This resulted in Immediate Jeopardy and placed Resident #45 at risk for serious life-threatening harm, negative health outcomes, and/or death when on [DATE] at approximately 3:06 P.M., Resident #45 complained of lower abdominal pain to Assistant Director of Nursing (ADON) #02 and was unable to tolerate palpation to his abdomen. […]

• No harm, potential for more than minimal, widespreadF921Jan 15, 2026

  Based on observation, staff interview, and review of facility policy, the facility failed to ensure areas of the facility were in good repair. This had the potential to affect all 34 residents residing in the facility. Findings include:Observation of the facility's outdoor courtyard on 01/13/26 at 11:59 A.M. revealed a square raised planter box that was filled with soil had a corner that was broken and coming apart. The broken corner had exposed rusty nails. A small inoperable portable heater was on the concrete next to the planter box. A wooden fence enclosing the courtyard was loose and was falling toward the courtyard. A bag of sand was holding a section of the fence up. […]

• No harm, potential for more than minimal, patternF761Jan 15, 2026

  Based on observations, interviews, record review, and policy review. the facility failed to secure and store medications appropriately. This affected one of two medication carts observed and the facility identified there were four medication carts. This affected Resident #11 and had the potential to affect 13 residents whose medications were stored in the 300-hall medication cart. The facility census was 34.Findings include: 1. Observation on 01/12/26 from 10:39 A.M. to 10:45 A.M. revealed Licensed Practical Nurse (LPN) #141 walked away from medication cart for the 300-hall and rounded the 200-hall corner, and the medication cart was unlocked. The medication cart was not in sight of LPN #141. Interview on 01/12/26 at 10:45 A.M. […]

• No harm, potential for more than minimal, patternF812Jan 15, 2026

  Based on observations, staff interviews and facility policy review, the facility failed to ensure frozen foods were stored at appropriate temperatures. This has the ability to affect all residents except 11 residents (#1, #2, #3, #4, #6, #7, #19, #21, #23, #27, and #43) who did not receive food from the kitchen. The facility census was 34.Finding include:Interview and observations on 01/12/26 from 8:50 A.M. to 8:52 A.M. with Dietary Manager (DM) #127 revealed the kitchen's freezer had quit working the previous afternoon. He shared a repair company was called and the part which went out was under warranty and a new one was ordered. He acknowledged the food remained in the freezer and he stated the plan was to keep the food in the freezer with the door closed to help maintain temperature. […]

• No harm, potential for more than minimal, patternF921Apr 26, 2024

  Based on observation, resident interview, and staff interview, the facility failed to ensure exterior windows in resident rooms were maintained. This affected seven (Residents #03, #09, #11, #25, #26, #30, and #31) of 37 residents residing at the facility. Findings include: Observation of the facility on 04/26/24 at 11:21 A.M. revealed there was plastic covering Resident #09 and Resident #11's windows and blinds, and the blinds could not be opened without poking a hole in the plastic. Further observation of the facility revealed there were no screens in the exterior windows in Resident #03, #25, #26, #30, and #31's rooms. Interview with Maintenance Director #80 on 04/26/24 at 11:21 A.M. […]