Bellevue Post Acute

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Jan 10, 2026

  Based on observation, interview, and record review the facility failed to provide appropriate infection surveillance for 5 of 6 months (July 2025, August 2025, September 2025, October 2025 & November 2025), reviewed for infection control. Additionally, the facility failed to ensure proper sanitization of vital sign (measurements of the body's essential functions) equipment were conducted by 1 of 2 staff (Staff Y), reviewed for medical equipment use, and failed to clean insulin (a medication that helps regulate blood sugar levels) pens (device used to inject insulin) prior to administration for 1 of 1 resident (Resident 4), reviewed for insulin administration. […]

• No harm, potential for more than minimal, widespreadF882Jan 10, 2026

  Based on interview and record review, the facility failed to designate a qualified staff person to serve as an Infection Preventionist (IP) to oversee the facility's infection prevention and control program. This failure placed the residents, staff, and visitors at risk for unmet infection control issues and lack of oversite of infection control practices.Findings included.Review of the facility's policy titled, Infection Prevention and Control Program, revised in October 2018, showed that The infection prevention and control program is coordinated and overseen by an infection prevention specialist (infection preventionist), or designee.In an interview on 01/05/2026 at 9:03 AM, Staff A, Administrator, stated that the facility did not currently have an IP and that Staff B, Director of… […]

• No harm, potential for more than minimal, widespreadF732Oct 17, 2024

  Based on observation, interview, and record review, the facility failed to ensure nurse staffing information postings were posted in prominent locations for 1 of 2 floors (Second Floor), reviewed for Nurse Staffing Information. This failure placed residents and visitors at risk for not being fully informed of current nurse staffing levels and resident census information. Findings included . Review of the facility's policy titled, Posting Direct Care Daily Staffing Numbers, dated August 2018, showed that within two hours of the beginning of each shift, the number of Licensed Nurses and the number of unlicensed nursing personnel directly responsible for patient care will be posted in prominent location (accessible to patients and visitors) and in a clear and readable format. […]

• No harm, potential for more than minimal, widespreadF812Oct 17, 2024

  Based on observation, interview, and record review, the facility failed to ensure foods were handled appropriately in accordance with professional standards of food safety for 1 of 1 kitchen, for 4 of 5 staff (Staff O, P, Q & C), and for 2 of 2 floors (First Floor and Second Floor), reviewed for food services. The failure to date and discard food items, perform hand hygiene, use appropriate hair covering and ensure food items were covered during meal delivery placed the residents at risk for food borne illness (caused by the ingestion of contaminated food or beverages), cross contamination, and a diminished quality of life. Findings included . […]

• No harm, potential for more than minimal, widespreadF812Jun 23, 2021

  Based on observation, interview and record review, the facility failed to ensure foods were prepared, cooled properly, and stored under sanitary conditions. Failure to ensure foods were properly prepared, cooled and stored properly placed the residents receiving foods prepared and served by the kitchen at risk for food borne illness. Findings included . Failure to ensure foods were properly cooled: On [DATE] during the initial tour of the kitchen between 8:40 AM and 9:15 AM, three pans of food (meat balls, spaghetti and chopped meat) were unlabeled and uncovered on the shelf in the walk-in cooler. Staff U, Food Service Manager (FSM) stated the pans contained left over food from the evening meal served the previous day (which were served more than 16 hours earlier). […]