Belmont Terrace

In the surveyor’s words

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

• Actual harm, isolatedF689May 9, 2023

  Based on interview and record review, the facility failed to provide the amount of supervision 1 of 3 (Resident 1) sampled residents who was at risk for falls was care planned to require. This failure resulted in harm when Resident 1 was left unattended in the bathroom, fell , and sustained a hip fracture. Findings included . Resident 1 was admitted to the facility on [DATE] with diagnoses to include stroke and left sided weakness. Review of the Minimum Data Set assessment, dated 01/03/2023, showed the resident was cognitively impaired and required extensive assistance with toileting. Resident 1's care plan, revised on 02/03/2022, showed that Resident 1 was not to be left unattended on the toilet due to impulsiveness. […]

• No harm, potential for more than minimal, widespreadF880Jan 5, 2024

  Based on observation, interview and record review, the facility failed to ensure staff were compliant with Infection Prevention and Control (IPC) guidelines and standards of practice for 4 of 4 units (Mountain View, Crystal Mountain, Medicare A and Medicare B) reviewed for IPC procedures when the facility failed to ensure staff followed standards of practice related to donning (placing on) recommended Personal Protective Equipment (PPE) prior to entering a room with resident(s) who were positive for COVID-19 (a highly transmissible respiratory virus) and following recommendations to keep doors closed to rooms with residents on aerosol precautions due to COVID-19, and source control masking. […]

• No harm, potential for more than minimal, patternF582Mar 2, 2026

  Based on interview and record review, the facility failed to ensure that Skilled Nursing Facility (SNF) Advanced Beneficiary Notices (ABN: a notification that provides an estimated cost of continuing services which may no longer be covered by Medicare. Beneficiaries may choose to continue the services but may be financially liable) were provided, as required, for 2 of 2 residents (Residents 18 & 56) reviewed for provision of SNF ABN. This failure placed residents at risk of not having adequate information to make care and financial decisions during their continued stay.Findings included . Resident 56Record review showed Resident 56's Medicare Part A stay started on 11/07/2025 and had a last covered day of 01/21/2026. Resident 56 remained in the facility after the services ended. […]

• No harm, potential for more than minimal, patternF584Mar 2, 2026

  Based on observation, interview and record review the facility failed to maintain a homelike environment regarding noise levels for 1 of 4 halls (Mountain View Hall) reviewed for a homelike environment. The failure to ensure appropriate noise levels placed residents at risk for not having a homelike environment, a decreased quality of life, and potential health concerns. Findings included .On 02/23/2026 at 10:33 AM, Resident 30 said the kitchen door was always slamming and the kitchen staff were very loud and she could hear the conversation from across the hall. Resident 30 said the facility was always telling us this is our home, but this does not feel like my home, because there would not be all the yelling and slamming of the doors in my home. […]

• No harm, potential for more than minimal, patternF628Mar 2, 2026

  Based on interview and record review, the facility failed to offer a bed hold upon transfer to the hospital for 1 of 2 residents (Resident 7 ), and to communicate required/necessary information to the receiving hospital to ensure continuity of care for 2 of 2 residents (Resident 7 & 80) and 4 of 4 discharges reviewed for hospitalization. Failure to offer bed holds placed residents and their representatives at risk of not being informed of their right to, and the cost of holding the resident's bed while hospitalized . […]