Belle View Estates Rehabilitation and Care Center

In the surveyor’s words

From the most serious findings on record at Belle View Estates Rehabilitation and Care Center, in the surveyor’s own words.

• Actual harm, isolatedF689Sep 25, 2023

  Based on observation, interview and record review, the facility failed to properly secure a resident wheelchair in the facility van prior to transport, which resulted in a fall with injury to the head and spinal vertebrae requiring emergency room evaluation for 1 (Resident #1) of three (Resident #1, #2 and #3) sampled residents. The findings are: Review of Resident #1's progress note dated 09/25/2023 showed, a diagnosis of absence of right leg above the knee and absence of the left leg below the knee. Review of Resident #1's care plan dated 08/24/2022 showed limited physical mobility and is unable to walk. Review of the Incident and Accident report dated 09/06/2023 showed the following: a. […]

• No harm, potential for more than minimal, widespreadF812Mar 14, 2024

  Based on observation, interview, and record review, the facility failed to ensure 1 of 1 puree machine was maintained in a clean condition to prevent the potential contamination of residents' food which had the potential to affect 6 residents who received puree meals from the kitchen; food items prepared for meals were covered or sealed to prevent potential cross contamination or food borne illness, and dietary staff washed their hands before handling clean equipment or food items to prevent potential food borne illness for residents who received meals from 1 of 1 kitchen. The failed practices had the potential to affect 64 residents who received meals from the kitchen total census of 68. The findings are: 1. […]

• No harm, potential for more than minimal, widespreadF812Jan 26, 2023

  Based on observation and interview, the facility failed to ensure leftover food items were maintained to promote food quality and/ or prevent potential food borne illness for residents who received meal trays from 1 of 1 kitchen; failed to ensure foods stored in the kitchen areas, freezer and refrigerator were covered, sealed and dated to minimize the potential for food borne illness for residents who received meals from 1 of 1 kitchen; failed to ensure expired food items were promptly removed/discarded on or before the expiration or use by dates; failed to ensure dietary staff washed their hands between dirty and clean tasks and before handling clean equipment or food items to prevent potential for cross contamination; and failed to ensure 1 of 1 ice machine was maintained in a clean and… […]

• No harm, potential for more than minimal, widespreadF803Sep 17, 2021

  Based on observation, record review and interview, the facility to failed to ensure meals were prepared and served in accordance with the planned written menu to meet the nutritional needs of the residents for 1 of 1 meal observed. This failed practice had the potential to affect 3 (Residents #3, #33 and #104) sampled residents who received pureed diets from the kitchen according a list provided by the Administrator 9/16/21. The findings are: 1. On 9/13/21 at 10:46 A.M., the Dietary Menu provided by the Administrator documented the menu items for lunch as, Pork chop, Gravy, White Rice, Dinner Roll Margarine spread 1 0z., Chocolate cake, tea/coffee. 2. On 09/13/21 at 12:45 P.M., there were no pureed dinner rolls or Margarine served with the three pureed diet trays. 3. […]

• No harm, potential for more than minimal, widespreadF812Sep 17, 2021

  Based on observation and interview, the facility failed to ensure expired food items were promptly removed from stock and failed to perform hand hygiene during meal service. These failed practices had the potential to affect all 55 residents in the facility who received meals from the kitchen as documented on a list provided by the Administrator on [DATE]. The findings are: 1. On [DATE] at 11:20 A.M., the surveyor and the Dietary Manager entered the kitchen. In the milk refrigerator there were 31 cartons of 236ml (milliliters) Buttermilk with an expiration date of [DATE]. a. On [DATE] at 12:30 P.M., the Dietary Manager was asked, When should you have disposed of the expired Buttermilk? She replied, On the expiration date. 2. […]