Belmont Health & Rehabilitation

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF582Jan 17, 2025

  Based on record review and staff interviews, the facility failed to provide Skilled Nursing Facility Advanced Beneficiary Notices (SNF ABN) prior to discharge from Medicare Part A skilled services for 3 of 3 residents reviewed for beneficiary notification review (Residents #57, #90 and #92). The Findings Included: 1. Resident #57 was admitted to the facility on [DATE]. Review of a Notice of Medicare Non-Coverage (NOMNC) revealed the notice was discussed with Resident #57's Responsible Party (RP) on 08/20/24 which indicated Resident #57's Medicare Part A coverage for skilled services would end on 08/23/24. Resident #57 remained in the facility. Review of Resident #57's medical record revealed no evidence a SNF ABN was reviewed with or provided to Resident #57 or Resident #57's RP. […]

• No harm, potential for more than minimal, patternF584Jan 17, 2025

  Based on observations and staff interviews, the facility failed to maintain residents' wardrobe closets in good repair by not replacing knobs on the drawers which left exposed screws sticking out from the drawer that had the potential to cut residents when entering and exiting their rooms (rooms 202, 208, 215, 223, and 225); failed to ensure a resident's wardrobe closet had functioning drawers (room [ROOM NUMBER]); failed to maintain a clean and sanitary wheelchair (room [ROOM NUMBER]-A); and failed to ensure a call light cover was secured to the wall in a resident's bathroom to prevent it from coming loose when the cord was pulled to engage the call light (room [ROOM NUMBER]) for 8 of 31 rooms on 1 of 2 resident halls (200 hall) reviewed for environment. The findings included: 1. a. […]

• No harm, potential for more than minimal, patternF727Jan 17, 2025

  Based on record review and staff interviews, the facility failed to ensure Registered Nurse (RN) coverage was provided for at least 8 consecutive hours per day for 4 of the 91 days reviewed for RN Coverage (5/04/24, 5/18/24, 5/25/24, and 6/08/24). Findings included: The Payroll Based Journal (PBJ) report for third quarter of 2024 (April, May, and June) reported the facility without RN coverage for 8 consecutive hours per day for 5/04/24, 5/18/24, 5/25/24, and 6/08/24. a. Review of the daily staffing assignment sheet for Saturday, 5/04/24 revealed no RN assigned. Review of the timecard record for 5/04/24 revealed the former Director of Nursing (DON) had a clock in time of 6:45 AM and a clock out time of 3:15 PM. […]

• No harm, potential for more than minimal, patternF812Jan 17, 2025

  Based on observations and staff interviews the facility failed to maintain a clean floor in 1 of 1 walk-in cooler, 1 of 1 walk-in freezer, and 1 of 1 kitchen; label and date open food items and discard food with signs of spoilage or use-by date in 1 of 1 walk-in cooler; restrain facial hair during food preparation; and label and date food items in 2 of 2 nourishment room refrigerators and freezer (first and second floor nourishment rooms). Findings included: 1. An initial tour of the walk-in cooler, walk-in freezer, and kitchen on 01/13/25 at 11:10 AM revealed multiple dried white stains and debris scattered on the floor of the walk-in cooler, dried brown stains and scattered debris on the floor of the walk-in freezer, and a dried blue substance to the kitchen floor near the 3 compartment… […]

• No harm, potential for more than minimal, patternF814Jan 17, 2025

  Based on observations and staff interviews the facility failed to ensure the area surrounding dumpsters remained free of garbage and debris and failed to close the doors to the dumpsters that contained waste for 3 of 3 dumpsters reviewed. These failures had the potential to attract pests and rodents. Findings included: An observation of the dumpster area with [NAME] #1 on 01/13/25 at 11:25 AM revealed the side doors of all 3 dumpsters were open and the door on top of the middle dumpster was open, with multiple cardboard boxes hanging out the top of the dumpster. Further observation of the dumpster area revealed there were 3 gloves, a plastic drinking cup, pieces of tape, a straw, and various condiment packets scattered on the ground around the dumpster area. […]