Belleville Healthcare and Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Belleville Healthcare and Rehabilitation Center, in the surveyor’s own words.

• Immediate jeopardy, isolatedF684Apr 19, 2023

  The facility identified a census of 40 residents. The sample included four residents. Based on observations, record review, and interviews, the facility failed to ensure staff implemented care and treatment consistent with standards of care, and physician orders, when staff failed to follow physician orders, and failed to update the physician when the resident did not receive medications and failure to follow physician orders. On 04/04/23 Resident (R)1's urinalysis (examination of urine) revealed a urinary tract infection (UTI) and R1's physician ordered Bactrim DS (antibiotic- medication used to treat infection) twice daily for five days, to start on 04/05/23. On 04/05/23, the Bactrim DS was not administered for both morning and evening doses and was marked as not available. […]

• Actual harm, isolatedF686Jul 28, 2026

  Based on record review, observation, and interview, the facility failed to identify, assess, and implement pressure injury prevention interventions for Resident (R) 1, who developed a painful wound to her buttock, in which the hospital identified as an unstageable (depth of the wound is unknown due to the wound bed being covered by a thick layer of other tissue and pus) pressure ulcer. Staff also failed to assess and document evidence of monitoring the wound once it developed. Findings included:- R1's Electronic Medical Record (EMR) documented R1 admitted on [DATE]. R1's EMR revealed diagnoses of weakness, abnormalities of gait and mobility, repeated falls, chronic pain, and unspecified abdominal pain. […]

• Actual harm, isolatedF688Sep 16, 2025

  The facility identified a census of 48 residents. The sample included 12 residents, with three residents reviewed for restorative nursing services. Based on observation, interview, and record review, the facility failed to provide restorative nursing services to prevent further decrease in range of motion (ROM) for Resident (R) 40's left hand, which had limited mobility. This deficient practice resulted in actual harm when R40 had a significant decrease in ROM to the left hand, could not mobilize her wheelchair without staff assistance, voiced concern that an orthopedic (pertaining to bones) surgeon would have to rebreak her hand to repair it, and voiced pain in her left hand at all times.Findings included:- R40's Electronic Medical Record (EMR) documented diagnoses of depression (a mood… […]

• Actual harm, isolatedF692Dec 17, 2024

  The facility identified a census of 34 residents with three residents reviewed for unintended weight loss. Based on record review, observation, and interview, the facility failed to obtain consistent weights to establish a baseline, failed to identify and respond to progressive weight loss with intervention and increased assistance, and failed to follow the Registered Dietician (RD) recommendations to provide nutritional support for Resident (R)1. Subsequently, R1 had a significant unintended weight loss. […]

• Actual harm, isolatedF689Mar 29, 2022

  The facility identified a census of 40 residents. The sample included three residents with three reviewed for accidents. Based on observation, record review, and interview, the facility failed to ensure Resident (R)1 remained free from accidents and hazards when Certified Nurse's Aide (CNA) M prepared a hot pack and placed it to R1's left hip without consulting the nurse on duty and without assessing the actual temperature of the hot pack. As a result, R1 sustained two second degree [CONDITION(S)] (burn which affects the first and second layers of skin and can cause severe pain) to his left hip. […]