Belmont Health & Rehabilitation, The

In the surveyor’s words

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

• Actual harm, isolatedF600Apr 15, 2021

  Based on interview and record review the facility failed to ensure a resident was free from physical and verbal abuse resulting in an immediate change of behavior. (Resident B) Using the reasonable person concept, it is likely this would lead to recurrent fear, anxiety or depression. Findings include: During an interview on 4/15/21 at 9:40 a.m., the Director of Nursing (DON) indicated there was a staff to resident incident on the locked memory unit. On 4/15/21 at 10:00 a.m., the Administrator provided an Incident Report dated 4/8/21 at 7:15 p.m. The report indicated Certified Nursing Aide (CNA) 2 had witnessed Registered Nurse (RN) 3 strike Resident B. The clinical record for Resident B was reviewed on 4/15/21 at 10:28 a.m. […]

• No harm, potential for more than minimal, patternF692Sep 30, 2025

  Based on record review and interview, the facility failed to document meal consumption values for 8 of 10 residents reviewed for nutrition. (Residents E, F, G, H, J, B, K, and L)Finding include:1. The clinical record for Resident E was reviewed on 09/29/2025 at 10:35 A.M. A Significant Change Minimum Data Set (MDS) assessment, dated 08/21/2025, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, heart failure, hypertension, stroke, and Chronic Obstructive Pulmonary Disease (COPD). […]

• No harm, potential for more than minimal, patternF684Sep 24, 2024

  Based on record review and interview, the facility failed to follow physician's orders related to hold parameters for medications for 5 of 24 residents reviewed for Quality of Care. (Residents 76, 4, 65, 98, and 38) Finding include: 1. The clinical record for Resident 76 was reviewed on 09/23/24 at 9:21 A.M. A Quarterly MDS (Minimum Data Set) assessment, dated 08/28/24, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, diabetes, heart failure, and hypertension. An open-ended physician's order, with a start date of 01/23/24, indicated the resident was to take Humalog (an insulin) 10 units before meals. The staff were to hold the Humalog if the blood sugar was less than 120. […]

• No harm, potential for more than minimal, patternF757Jul 13, 2023

  Based on record review and interview, the facility failed to follow the physician's orders related to hold parameters for hypertension medications for 3 of 7 residents reviewed for unnecessary medications. (Residents 43, 18, and 24) Findings include: 1. The clinical record for Resident 43 was reviewed on 07/10/23 at 10:17 A.M. A Quarterly MDS (Minimum Data Set) assessment, dated 04/06/23, indicated the resident was cognitively intact. The diagnoses included, but were not limited to, vertigo, hypertension, epistaxis (nose bleed), anxiety, and diabetes. […]

• No harm, potential for more than minimal, patternF732Aug 22, 2022

  Based on observation and interview, the facility failed to post nurse staffing daily for 5 of 7 days during the survey period. Findings include: During an observation on 08/16/22 at 10:00 A.M., the nurse staffing was posted by the main entrance and dated for 07/25/22. During an observation on 08/17/22 at 3:12 P.M., the nurse staffing was posted by the main entrance and dated for 08/16/22. During an observation on 08/18/22 at 3:08 P.M., the nurse staffing was posted by the main entrance and dated for 08/17/22. During an observation on 08/19/22 at 8:35 A.M., the nurse staffing was posted by the main entrance and dated for 08/17/22. During an observation on 08/19/22 at 3:23 P.M., the nurse staffing was posted by the main entrance and dated for 08/17/22. […]