Bellevue Care Center

In the surveyor’s words

From the most serious findings on record at Bellevue Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF921Oct 3, 2024

  Based on observation and staff interview, the facility failed to ensure resident care equipment (fall mats) were maintained in a clean and sanitary condition. This affected four (#5, #26, #28 and #32) of four residents reviewed who use a fall matt for safety. The facility census was 59. Findings include: Observation on 10/03/24 between 11:00 A.M. and 11:34 A.M. with Maintenance Director(MD) #534 revealed the falls mats utilized by Residents #5, #26, #28 and #32 were old bed mattress that were held in place by velcro. Observations of these mattresses noted the velcro that held the mattress in place was brown in color and with numerous areas of stains, dirt and other debris on the velcro its self. The outer areas of the mattress had various levels of other dust, dirty and debris as well. […]

• No harm, potential for more than minimal, isolatedF684Nov 26, 2024

  Based on medical record review, staff interview, physician interview, and policy review, the facility failed to ensure wound care was completed as required. This affected one (#69) of three residents reviewed for wound care. The facility census was 59. Findings Included: Review of Resident #69's medical record revealed an admitted [DATE]. Diagnoses included post operative orthopedic care of the right ankle, rib fracture, sacrum fracture, and cervical fracture due to a motor vehicle accident and congestive heart failure. Review of Resident #69's hospital note dated 09/18/24 revealed the resident was involved in a motor vehicle accident and suffered a fracture and dislocation of the right medial ankle joint. […]

• No harm, potential for more than minimal, isolatedF677Oct 3, 2024

  Based on medical record review, observations, staff interviews, and policy review, the facility failed to provide oral hygiene per physician orders and care plan. This affected one (#5) of one resident reviewed for activities of daily living. The facility census 59. Findings include Review of the medical record revealed Resident #5 had an admitted [DATE]. Diagnoses included diffuse traumatic brain injury, dysphagia, moderate intellectual disabilities, hypertension, cognitive communication deficit, and epilepsy. Review of the quarterly Minimum Data Set (MDS) assessment dated [DATE] revealed the resident had severe cognitive impairment. The resident was dependent on staff for oral hygiene. […]

• No harm, potential for more than minimal, isolatedF689Sep 7, 2023

  Based on record review, staff and resident interview, and review of the facility policy, the facility failed to maintain fall safety interventions to prevent a resident from falling. This affected one (Resident #1) of three residents reviewed for falls. The facility census was 59. Findings include: Review of the medical record for Resident #1 revealed an admitted [DATE]. Diagnoses included multiple sclerosis (MS), moderate protein calorie malnutrition, lymphedema, adult failure to thrive, and anxiety. Review of the comprehensive Minimum Data Set (MDS) assessment, dated 06/30/23, revealed Resident #1 had intact cognition and required extensive assistance of two staff for bed mobility, transfers, and ambulation. […]

• No harm, potential for more than minimal, isolatedF677May 19, 2022

  Based on medical record review, family and staff interviews, and review of facility policy, the facility failed to provide oral care to residents who were dependent upon staff for oral care. This affected one resident (#29) of one residents reviewed for Activities of Daily Living (ADLs). The facility census was 47. Findings included: Review of the medical record for Resident #29 revealed an admitted [DATE]. diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . Review of the annual Minimum Data Set (MDS) assessment, dated 04/08/22, revealed Resident #29 was severely cognitively impaired, required extensive assistance with Activities of Daily Living (ADLs), and did not reject care. […]