Belltower Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Belltower Health & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF686Mar 23, 2023

  Based on observation, record review and interviews, the facility failed to ensure preventative pressure ulcer measures were implemented consistently and pressure ulcer treatments were completed as ordered for 2 of 3 residents reviewed for pressure ulcers and/or skin issues (Resident D and F). This deficient practice resulted in the development of an unstageable and Stage 3 new pressure ulcer for Resident F. Findings include: 1. During an observation on 3/22/2023 at 9:51 A.M., Resident F was observed to be lying in bed with on an air mattress. […]

• Actual harm, isolatedF684Jul 13, 2021

  Based on interview and record review, the facility failed to monitor a central line for 1 of 1 residents reviewed for central line maintenance, resulting in a hospitalization . (Residents 43) Finding includes: During an interview, on 7/8/2021 at 2:36 P.M., Resident 43 indicated she had been recently hospitalized with [CONDITION(S)] from her PICC line. A clinical record review was conducted on 7/8/2021 at 2:50 P.M. Resident 43's diagnoses [MEDICAL RECORD OR PHYSICIAN ORDER] . A Nurses' Note, dated 4/25/2021, indicated Resident was readmitted to the facility with a PICC to her left upper extremity. […]

• No harm, potential for more than minimal, widespreadF812Jun 9, 2025

  Based on observation, interview and record review, the facility failed to store food in a sanitary manner related to undated and unlabeled foods and drinks for 1 of 1 kitchen areas observed. (Main kitchen) This issue had the potential to affect 82 of 83 residents who consumed food from the kitchen. Finding includes: During an initial tour of the kitchen, on 6/2/2025 at 9:50 A.M. with the Dietary Manager (DM), the following foods were observed in the walk-in cooler undated, unlabeled or expired: -a container of blue liquid, undated and unlabeled. -2 unopened packages of bologna with a use or freeze by date of 5/1/2025. -half a turkey breast, wrapped in saran wrap, undated and unlabeled. […]

• No harm, potential for more than minimal, widespreadF812Jul 29, 2024

  Based on observation, interview and record review, the facility failed to store and prepare food in a sanitary manner related to expired leftovers, open and undated food in the walk-in cooler and skillets with missing Teflon for 1 of 1 kitchens reviewed. This had the potential to affect 69 of 69 residents who received their meals from the kitchen. Findings include: During the initial kitchen tour on [DATE] at 9:00 A.M with the Certified Dietary Manager (CDM), the following was observed in the walk-in cooler: -A plastic container with pasta noodles dated, [DATE]. -An opened jar of jalapenos with no opened on or use by dates. -An opened jar of enchilada sauce with no opened on or use by dates. -An opened bag of whipped topping with no opened on or use by dates. […]

• No harm, potential for more than minimal, widespreadF755Mar 9, 2022

  Based on observation, record review and interview, the facility failed to ensure there was documentation, on the Medication Administration Record (MAR), for 5 of 5 residents reviewed, for narcotic administration. In, addition, the facility failed to ensure there was a procedure for ensuring any medications taken from the EDK kit were reconcilled at the end of each shift. (Resident A, B, C, D and E) Findings include: 1. On 3/7/22 at 10:45 A.M., a review of the clinical record for Resident D was conducted. The resident's diagnoses included, but were not limited to: [CONDITION(S)] (CAD), [CONDITION(S)], diabetic and [CONDITION(S)]. […]