Bellhaven Center for Rehab and Nursing Care

In the surveyor’s words

From the most serious findings on record at Bellhaven Center for Rehab and Nursing Care, in the surveyor’s own words.

• Immediate jeopardy, patternF700Sep 5, 2025

  Based on observation, record review, and staff interview during the abbreviated survey (NY00375947) the facility did not review the risks and benefits of bed rails with the resident or resident representative and obtain informed consent prior to installation of bed rails for four (4) of 27 residents (Resident #1, #2 and #3, #4) reviewed. Specifically, the facility failed to assess the residents for risk of entrapment from bed rails prior to installation and failed to ensure the bedrails did not pose a risk of entrapment, asphyxiation, suffocation or injury. The facility failed to protect all four (4) residents from the likelihood of entrapment. […]

• Actual harm, isolatedF689Jul 28, 2023

  Based on observation, record review and interviews during the Recertification and Abbreviated Survey (NY00303374) initiated on [DATE] and completed on [DATE] the facility did not ensure that each resident receive adequate supervision and assistance to prevent accidents. This was identified for one (Resident #82) of two residents reviewed for falls. Specifically, Resident #82 required total assistance of two staff members for all areas of Activities of Daily Living (ADLs) including bed mobility as per the Comprehensive Care Plan (CCP). During morning care on [DATE] Resident #82 fell in their room, when the Temporary Nursing Assistant (TNA) #1 turned the resident on their right side away from them (TNA #1) without the assistance of another staff member. […]

• No harm, potential for more than minimal, patternF725May 20, 2026

  Based on record review and interviews during the survey, the facility failed to ensure sufficient nursing staff were available to provide nursing services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident. This was identified for three (3) (unit A1, B2, and C2) of six (6) units during the sufficient and competent nurse staffing review task. Specifically, a review of the Payroll-Based Journal Staffing Data Report, the facility assessment, and the daily staffing revealed that on multiple days the facility did not have adequate staffing to meet the residents' needs as indicated in the Facility Assessment. […]

• No harm, potential for more than minimal, patternF725Jun 21, 2021

  Based on record review and interviews during the Recertification and Abbreviated (Complaint # NY 419) survey completed on 6/21/2021, the facility did not ensure sufficient nursing staff to provide nursing services to attain or maintain the highest practicable physical, mental and psychosocial well-being for 3 of 6 nursing units. Specifically, review of the facility staffing indicated the facility did not have the recommended number of Certified Nursing Assistants (CNAs) as indicated on the Staffing Sheets. The Facility Assessment did not document the acuity level of care and specific number of staff required to care for the residents based on the level of care needed on each unit. […]

• No harm, potential for more than minimal, isolatedF550May 20, 2026

  Based on observations, interviews and record review during the survey, the facility failed to ensure that each resident was treated with respect and dignity in a manner and in an environment that promotes maintenance or enhancement of their quality of life. This was identified for one (1) (Resident #9) of one (1) resident reviewed for dignity. Specifically, Resident #9 had a Foley catheter and was observed in the dining room without a privacy cover on the Foley catheter drainage bag. The Foley catheter drainage bag was filled with yellow colored urine and was visible to other residents and staff. […]