Belmont Manor

In the surveyor’s words

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

• Immediate jeopardy, isolatedF563Jan 25, 2021

  Based on medical record review, family interview, staff interview, review of the facility's policy on visitation and review of a Department of Health and Human Services, Centers for Medicare and Medicaid (CMS) Memo ,d+[DATE], the facility failed to permit family visitation for one resident (Resident #26) who had a decline in her health status due to a Covid-19 infection and was near the end of her life. This resulted in Immediate Jeopardy on [DATE] when Resident #26's family had requested visitation with their mother who was experiencing a significant decline in her health status and her family was not permitted to visit. This resulted in the likelihood of serious psychosocial harm when Resident #26 expired on [DATE] without visitation from her family. […]

• No harm, potential for more than minimal, widespreadF812Mar 3, 2026

  Based on observation, interview, and policy review the facility failed to ensure food that was expired and noted with mold. This affected all 52 residents in the facility. The facility census was 52.Findings include:Observations on 02/23/26 between 8:40 A.M. and 8:57 A.M. during the initial tour of the facility kitchen revealed an open cardboard box of on the bottom shelf in the pantry area with large Idaho potatoes. Several potatoes appeared to have a dusty fuzzy brownish blue film on them and some of the potatoes were cut in half with the dusty fuzzy brownish blue film on the open side of the potato. Further observation revealed a gallon of chocolate milk about one quarter full with an expiration date of 02/22/26 in the walk-in refrigerator. Interview on 02/23/26 at 8:58 A.M. […]

• No harm, potential for more than minimal, widespreadF812Aug 16, 2024

  Based on observation, record review, policy review and interview, the facility failed to ensure sanitary kitchen practices. This had the potential to affect all the individuals in the facility except for Resident #9 who did not receive nutrition from the kitchen. The facility census was 51. Findings include: 1. Observation of the kitchen [DATE] at 8:26 A.M. of Dietary #572 revealed she was washing dishes. Interview at the time of the observation revealed Dietary #572 thought the facility had a high temperature dishwasher. There were dishes that have been run through the dishwasher on the draining board. Dietary #576 did not know if they had a high or low temperature dishwasher. The surveyor noticed the facility had a low temperature chemical dishwasher. […]

• No harm, potential for more than minimal, patternF567Mar 3, 2026

  Based on record review, and interview, the facility failed to ensure residents or resident representatives knew in advance what charges a facility may impose against a resident's personal funds. This affected four residents (#8, #5, #22, #35 ) of five residents reviewed for personal funds. The facility census was 52. Findings include:1.Record review revealed Resident #8 was admitted to the facility on [DATE] with diagnoses including congestive heart failure, insomnia, diabetes, and transient ischemic attack.Review of Resident #8's quarterly banking statement revealed a charge in the amount of $7.05 titled bank service charge dated 01/31/26.2. […]

• No harm, potential for more than minimal, patternF550Aug 16, 2024

  Based on observation, interview and policy review, the facility failed to ensure resident dignity was maintained during use of indwelling urinary catheters for three residents (#6, #12, and #22) and when dining for five residents (#3, #19, #21, #44 and #46). This affected eight residents (#3, #6, #12, #19, #21, #22, #44, and #46). The census was 51. Findings include: 1. Review of Resident #12's medical record revealed a 10/16/19 admission with diagnoses including Parkinson disease, end stage renal disease, Tourette's disorder, schizoaffective disorder, rheumatoid arthritis, neuromuscular dysfunction of bladder, benign prostatic hyperplasia with lower urinary tract symptoms, and moderate intellectual disability. […]