Belmont Healthcare Center

In the surveyor’s words

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

• Immediate jeopardy, patternF600May 21, 2024

  b) Resident # 64 On 05/20/24 at 12:00 PM a record review of the facility reported incident dated 04/01/24 was performed. During the review, it was noted that on 04/01/24 at approximately 12:00 PM, Resident #64 was in the facility dining room. She requested to be taken back to her room stating she needed to have a bowel movement. Employee #56 reported she took Resident #64 down the hall to Employee #70. Employee #56 informed Employee #70 that Resident #64 wanted to be put in bed and placed on the bed pan to have a bowel movement. Employee #56 stated that Employee #70 stated she would, get her. Employee #56 reported that she also informed Employee #71 and that Employee #71 also stated she would get her. […]

• Immediate jeopardy, isolatedF742May 21, 2024

  Based on record review and resident and staff interview, the facility failed to ensure the psychosocial wellbeing of a resident was met following a traumatic event, due to failing to follow up with Resident #1 to assess her psychosocial wellbeing and make necessary referrals for Resident #1 to maintain her psychosocial wellbeing. Multiple incidents took place in which Resident #2 was physically abusive to other residents in the facility. The facility failed to take necessary action to prevent further abuse. This created an immediate jeopardy situation. Resident identifiers: #1,and #2. Facility census: 65 Findings included: a) Resident #1 On 05/20/24 at approximately 11:30 am, a record review was conducted of a facility reported incident dated 03/28/24. […]

• Actual harm, isolatedF695May 21, 2024

  Based on resident facility record review, medical record review, and staff interview, the facility failed to ensure that a resident's respiratory care was provided consistent with professional standards of practice. A resident's oxygen concentrator was set at a lower liter than ordered. This was a random opportunity for discover identified during a complaint survey. Resident identifier: #66. Facility census: 65. Findings included: a) Resident #66 On 05/20/24 at approximately 7:00 PM during a record review of the facility reported incident involving the allegation of neglect on 04/12/24 for Resident #66, it was identified that the daughter of Resident #66 found the resident lying flat in bed, lethargic and difficult to arouse. […]

• No harm, potential for more than minimal, widespreadF812Apr 29, 2026

  Based on observation and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional food safety standards. Additionally, the facility failed to follow proper sanitation practices for food preparation equipment. This practice had the potential to affect all residents. Facility census: 60.Findings include: a) Healthcare Services Group (HCSG) policy #28 titled Environment states: All food preparation areas, food service areas, and the dining areas will be maintained in a clean and sanitary condition.The Dining Services Director will ensure that all employees are knowledgeable in the proper procedures for cleaning and sanitizing all of the food service equipment and surfaces.The Dining Services Director will ensure that a routine cleaning… […]

• No harm, potential for more than minimal, widespreadF814Apr 29, 2026

  Based on observation and staff interview, the facility failed to store, prepare, distribute and serve food in accordance with professional food safety standards. Additionally, the facility failed to follow proper sanitation practices for food preparation equipment. This practice had the potential to affect all residents. Facility census: 60.Findings include:a) Healthcare Services Group (HCSG) policy #28 titled Environment, states:All trash will be contained in a covered, leak proof containers that prevent cross contamination.b) HCSG Policy #30, titled Dispose of Garbage and Refuse, states: The Dining Services Director will ensure that appropriate lids are provided for all containers.On 04/27/26 at 11:06 AM this surveyor completed an initial walkthrough of the kitchen with the Director of… […]