Bezalel Rehabilitation and Nursing Center

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF801Mar 24, 2026

  Based on record review and interviews the facility failed to ensure that they employed a qualified staff member to serve as the Director of Food and Nutrition. This was identified during the kitchen task. Specifically, the current Director of Food Service did not meet the minimum qualifications of being a certified dietary manager or similar national certification for food service management and safety.The finding is: A review of the Facility Assessment documented the services of a Registered Dietitian as part-time, three days per week. The facility appointed Employee #11 as the Food Service Director. […]

• No harm, potential for more than minimal, widespreadF812Mar 15, 2022

  Based on observation and interview conducted during the Recertification survey, the facility did not ensure that food was stored, prepared, distributed, and served in accordance with professional standards for food service safety to prevent foodborne illness. Specifically, 1) nutrition supplements/paper goods storage room was not maintained in a clean sanitary manner, and 2) staff did not change contaminated gloves after disposing garbage. This was observed during the Kitchen facility task. The findings are: The facility's undated policy and procedure titled Paper Storage Room, documented nutrition supplements and paper goods will be stored in an area that is clean, dry, and free from contaminants. […]

• No harm, potential for more than minimal, widespreadF814Mar 15, 2022

  Based on observations and interviews conducted during the Recertification survey conducted from 3/8/22 to 3/15/22, the facility did not ensure that garbage and refuse were disposed of properly. Specifically, garbage dumpsters located outside adjacent to the parking lot were observed to be uncovered, overflowing with garbage and the area surrounding was scattered with debris and trash. This was observed during the Kitchen task. The findings are: The facility's policy and procedure for Waste Disposal dated 1/1/22 documented all waste shall be kept in leak-proof, non-absorbent, fireproof container. Trash bags shall be sealed prior to removing them from the facility. Trash will be deposited into a sealed container outside the premises. […]

• No harm, potential for more than minimal, widespreadF880Mar 15, 2022

  Based on observation, record review, and staff interviews during the Recertification/Complaint survey, the facility did not ensure that infection prevention control practices were followed to help prevent the spread, development, and transmission of communicable diseases and infections. Specifically, the facility did not have (1) a facility-specific water management plan for Legionella with mandatory components including but not limited to: a description of the facility's water distribution system; temperature profile of the water system; control measures and actions to be taken if control measures not met; or (2) a sampling plan for the potable water system. In addition, the facility (3) environmental risk assessment was not reviewed within the last year, as required. […]

• No harm, potential for more than minimal, patternF686Mar 24, 2026

  Based on observation, record review, and interviews, the facility failed to ensure that each resident with pressure ulcers received care, consistent with professional standards of practice, promote healing, prevent infection, and prevent new ulcers from developing for three (Resident #34, #1, and #79) of three (3) residents reviewed for Pressure Ulcers. Specifically, 1) Resident #34 had an air mattress to help heal pressure ulcers. The resident weighed 201 pounds; however, the air mattress weight setting was set at 450 pounds; 2) Resident #1 utilized an air mattress due to pressure ulcer to the sacrum. The air mattress weight setting for Resident #1was not set consistent with the resident's actual weight. […]