Belmont Bay Rehabilitation and Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Jun 6, 2024

  Based on observation, resident interview, staff interview, clinical record review and facility document review, the facility staff failed to provide assessments and supervision for smoking for three of 50 residents in the survey sample, Residents #80, (R80), R85 and R45. For R80, the facility staff failed to ensure that smoking materials were not stored in the resident's room. For R85 and R45, the facility staff failed to conduct a safety assessment for smoking. The facility's deficient practice placed the facility's residents at risk for burns, fire, and respiratory distress. This resulted in a determination of Immediate Jeopardy (IJ), cited at a level J. […]

• No harm, potential for more than minimal, patternF803Jun 6, 2024

  Based on observation, staff interview, and facility document review, the facility staff failed to follow the prescribed menu in one of one kitchen. The findings include: On 6/3/24 at 4:41 p.m., observation was made of tray line service for the dinner meal. After reviewing the menu, the observation revealed there was no garden pasta salad. Instead, the pasta salad consisted only of pasta, and included no vegetables. There was no seasonal soup available for residents. There was no lettuce or tomatoes available for resident sandwiches. […]

• No harm, potential for more than minimal, patternF804Jun 6, 2024

  Based on observation, staff interview, and facility document review, the facility staff failed to serve palatable food in one of one kitchen. The findings include: On 6/3/24 at 5:15 p.m., a test tray was requested at the conclusion of dinner service. Two surveyors and OSM (other staff member) #1, the regional food services director, tested all the food served to residents. The pureed tomato and onion salad, and the pureed egg salad, had no flavor, and were sticky in texture. OSM #1 agreed these two items were not appetizing or palatable. On 6/3/24 at 1:27 p.m., OSM (other staff member) #1, the regional food services director, and OSM #6, a regional dietary manager, were interviewed. […]

• No harm, potential for more than minimal, patternF805Jun 6, 2024

  Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to serve food at the consistency ordered by the physician for one of 50 residents in the survey sample, Resident #26. The findings include: For Resident #26 (R26), the facility staff served the resident a plate of pureed food, instead of food at a regular texture, as ordered by the physician. On 6/3/24 at 1:08 p.m., R26 was observed sitting up in his bed with the overbed table across the bed; the overbed table contained R26's meal tray. The meal tray contained spaghetti noodles and tomato sauce. R26 had spaghetti noodles in multiple places on his shirt. He was observed attempting to feed himself the spaghetti, but spilled it onto his shirt. […]

• No harm, potential for more than minimal, patternF806Jun 6, 2024

  Based on observation, staff interview, facility document review, and clinical record review, the facility staff failed to serve food according to a resident's preference for four of 50 residents in the survey sample, Residents #4, #22, #66, and #68 The findings include: For Residents #4, #22, #66, and #68, the facility failed to serve what the residents had chosen for the dinner meal on 6/3/24. On 6/3/24 at 4:41 p.m., observation was made of tray line service for the dinner meal. For Resident #4, the resident's meal ticket indicated the resident wanted tomato and onion salad, savory summer soup, egg salad on a croissant, and lettuce and tomato for the sandwich. […]