Belpre Landing Nursing and Rehabilitation

In the surveyor’s words

From the most serious findings on record at Belpre Landing Nursing and Rehabilitation, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Sep 8, 2021

  Based on observation, closed medical record review, review of a facility investigation, review of the facility Elopement policy and procedure, employee file review, local weather reporting and interview with facility staff, Physician #325 and Visitor #600, the facility failed to provide adequate supervision to prevent Resident #51, who had diagnoses of dementia, [CONDITION(S)], chronic obstructive pulmonary disease ([CONDITION(S)]) and was at high risk for elopement from eloping from the facility. This resulted in Immediate Jeopardy on 08/12/21 at 9:28 P.M. when Resident #51 exited the front door of the facility without staff knowledge. […]

• Actual harm, isolatedF684Jan 30, 2026

  Based on observation, record review, hospital record review and interview, the facility failed to ensure Resident #2, with a known history of hypothermia, was comprehensively monitored for a change in condition to ensure timely notification to the resident's medical provider to prevent a delay in treatment. This affected one resident (#2) of three sampled residents reviewed for quality of care. The facility census was 49.Actual Harm occurred on 01/17/26 when Resident #2 was noted to exhibit decreased consciousness and was transported to the hospital for evaluation where she was admitted with hypothermia (body temperature of 91 degrees F) and multiple infections requiring treatment in the intensive care unit and antibiotic therapy. […]

• No harm, potential for more than minimal, widespreadF838Jan 30, 2026

  Based on review of the facility assessment and interview, the facility failed to ensure the facility assessment was completed accurately. This had the potential to affect all residents in the facility. The facility census was 49. Findings include:Review of the facility assessment dated [DATE] revealed the facility treats a wide range of patients transitioning from hospital to home. Prior to the admission of any resident, the Director of Nursing (DON) along with the interdisciplinary team would assess the physical and psychosocial needs to determine if placement is appropriate. Prior to a new admission arriving at the facility, all care related items not currently in the facility are ordered. […]

• No harm, potential for more than minimal, widespreadF868Jan 8, 2025

  Based on record review, policy review and interviews, the facility failed to meet at least quarterly to coordinate and evaluate activities under the Quality Assurance and Performance Improvement (QAPI) program. This had the potential to affect all 52 residents residing in the facility. Findings include: Review of the facility QAPI program revealed no documented evidence, such as meeting minutes or sign-in sheets, that quarterly Quality Assessment and Assurance (QAA) committee meetings were held. In an interview on 01/08/25 at 10:16 A.M. Administrator #582 verified the facility had no documented evidence, such as meeting minutes or sign-in sheets, that quarterly QAA committee meetings were held. […]

• No harm, potential for more than minimal, widespreadF880May 10, 2024

  Based on observation, medical record review, policy review and interview, the facility failed to initiate enhanced barrier precautions as required. This affected one (Resident #37) of three sampled residents and the potential to affect all 48 residents. The facility identified 21 residents on enhanced barrier precautions (EBP). Findings include: Medical record review revealed Resident #37 was admitted on [DATE] with diagnoses including Parkinson's disease, diabetes mellitus and a history of Extended-spectrum beta-lactamases (ESBL). […]