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.

• No harm, potential for more than minimal, patternF812Jun 22, 2026

  Based on observation, interview and record review the facility failed to ensure food were stored and prepared in a sanitary manner when these were observed during kitchen tour:There was a dirty window screen next to an interior air conditioning (A/C) unit.There was a water collection tray under an interior A/C unit.There was a dirty filter screen on an interior A/C unit.Floors were not cleaned when: A. Two packets of creamers and four packets of sugar were found on the floor under a storage shelve; B. […]

• No harm, potential for more than minimal, patternF656Jun 18, 2024

  Based on interview and record review, the facility failed to implement fall care plans for two of 3 sampled residents (Resident 1 and Resident 2) when there was no evidence of frequent monitoring. This failure had the potential to delay the identification of needs, functional and health status for Resident 1 and Resident 2. Findings: 1. Review of Resident 1's clinical record indicated, Resident 1 was [AGE] year-old female, and admitted to the facility with diagnoses including hypertension (high blood pressure), diabetes (high blood sugar), hyperlipidemia (an excess of lipids or fats in your blood). Review of Resident 1's Minimum Data Set (MDS, resident assessment tool), dated 6/10/22, indicated, Resident 1 was cognitively moderately impaired. […]

• No harm, potential for more than minimal, patternF600Jun 14, 2023

  Based on interviews and record reviews, facility staff failed to protect Residents 1, 2, 3, 4, and 5, five out of five sample residents from inappropriate touching by Resident 6 and wandering unsupervised into other resident ' s room. Review of facility documents indicated Resident 6 touched these residents inappropriately: 1. Resident 1 on 07/12/2021. 2. Resident 2 on 01/29/2022. 3. Resident 3 on 06/23/2022. Review of facility documents indicated Resident 6 was found unsupervised in these resident ' s room: 1. Resident 4 ' s room on 08/02/2022. 2. […]

• No harm, potential for more than minimal, patternF689Jun 1, 2023

  Based on interview and record review, the facility failed to ensure a resident (Resident A) with a known history of inappropriate sexual behaviors was consistently supervised and monitored by staff according to his care plan. This failure resulted in Resident A to be found unsupervised inside the room of another resident (Resident B) on 5/7/23. This failure did not ensure Resident B and other residents at the facility were protected from a potential and/or actual sexual abuse by Resident A. This failure resulted in a potential violation of Resident B's rights to privacy and dignity. Findings: During a review of Resident A's Admission Record (AR), the record indicated, Resident A's diagnoses included Dementia (loss of mental functions) and Depression (mood disorder). […]

• No harm, potential for more than minimal, patternF842Jun 1, 2023

  Based on interview and record review, the facility failed to ensure medical records related to provision of care and services to 1 resident (Resident A) were complete and accurately documented, in accordance with accepted professional standards and practices, including the facility's policy and procedures when: 1.Resident A had two non-identical One-on-One Monitoring (is the term used by the Facility when assigning a staff member or other individual to provide close observation of a resident for a specific period of time) records completed by staff on 5/11/23. […]