Belmont Care and Rehabilitation

In the surveyor’s words

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

• Actual harm, isolatedF689May 23, 2023

  Based on interview and record review it was determined the facility failed to ensure resident care equipment was in proper working order to prevent accidents for 1 of 3 sampled residents (#139) reviewed for accidents. This failure resulted in the resident experiencing fractured ribs and increased pain. Findings include: Resident 139 was admitted to the facility in 6/2017 with diagnoses including high blood pressure. Resident 139's ADL Self Care Deficit Care Plan, last revised 12/20/19, indicated the resident was able to move from side to side and sit up while in bed with limited assistance of one person and used the mobility bar to turn from side to side independently. Resident 139's 9/26/21 Quarterly MDS indicated the resident required the assistance of two staff for bed mobility. […]

• No harm, potential for more than minimal, widespreadF727Aug 7, 2026

  Based on interview and record review it was determined the facility failed to ensure a registered nurse was available for at least eight consecutive hours for 3 of 46 days reviewed for RN coverage. This placed residents at risk for delayed nursing assessments. Findings include:A review of the Direct Care Staff Daily Reports for 1/31/26 through 3/17/26 revealed the following dates without the required RN coverage:-1/31/26-2/25/26-3/17/26On 8/6/26 at 3:22 PM Staff 1 (Administrator) acknowledged the identified dates without the required RN coverage.

• No harm, potential for more than minimal, widespreadF880Feb 5, 2021

  Based on observation, interview and record review it was determined facility failed to follow appropriate infection control practices in a manner to reduce and/or prevent the potential contamination and spread of the COVID-19 virus in 1 of 1 laundry services, 1 of 2 units and annually revise immunization policy and procedures reviewed for infection control. This placed residents at risk for cross contamination and possible exposure to infectious agents. Findings include: 1. Review of CDC Preparing for COVID-19 in Nursing Homes, dated 6/25/20, under Environmental Cleaning and Disinfection showed Develop a schedule for regular cleaning and disinfection of shared equipment, frequently touched surfaces in resident rooms and common areas; Ensure EPA-registered, hospital-grade disinfectants are… […]

• No harm, potential for more than minimal, patternF812Aug 7, 2026

  Based on observation and interview it was determined the facility failed to ensure an ice machine had the required air gap for 1 of 1 facility ice and water machine reviewed for kitchen sanitation. This placed residents at risk for cross contamination and foodborne illness. Findings include:On 8/6/26 at 11:00 AM a flexible hose drain line was observed coming into the kitchen through a hole in the wall. The drain hose was resting along the edge of the drain and approximately six inches were coiled around and in contact with the bottom of the kitchen drain. […]

• No harm, potential for more than minimal, patternF880Aug 7, 2026

  Based on observation, interview, and record review it was determined the facility failed to implement appropriate contact precautions for 2 of 3 sampled residents (#s 1 and 32) reviewed for contact precautions. This placed residents at risk for the spread of infection. Findings include1. Resident 1 admitted to the facility in 2024 with diagnoses including urinary tract infection. A 7/29/26 care plan indicated Resident 1 had a multidrug-resistant organism (type of bacteria resistant to multiple antibiotics) urinary tract infection and staff were to follow Contact Precautions.On 8/3/26 at 12:47 PM a Contact Precautions sign was posted by Resident 1's door, which directed staff to wear gloves and a gown each time they entered the room.On 8/6/26 at 12:12 PM Staff 7 (CNA) entered Resident 1's… […]