Gardens of Belden Village

In the surveyor’s words

From the most serious findings on record at Gardens of Belden Village, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Jan 14, 2022

  Based on the unprecedented global pandemic that resulted in the Presidential declaration of a State of National Emergency dated [DATE], review of Nursing Home Guidance from the Centers for Disease Control (CDC), review of the Centers for Medicare and Medicaid Services (CMS) Quality Safety and Oversight (QSO) Memo, review of the facility COVID-19 visitation policy, mask policy, hand hygiene policy and handling of medical waste policy, observations, interviews and medical record review the facility failed to implement effective and recommended infection control practices to prevent the transmission of COVID-19 in the facility. […]

• Immediate jeopardy, isolatedF678May 24, 2022

  Based on closed medical record review, staff interview and review of the facility policy, the facility failed to initiate Cardiopulmonary Resuscitation (CPR) or call 911 for Emergency Medical Services (EMS) for Resident #1, who was found unresponsive, without a pulse/heartbeat and was identified as a full code status. This resulted in Immediate Jeopardy that was actual harm when Resident #1 did not receive CPR and EMS was not contacted for medical services. Resident #1 subsequently expired. This affected one resident (Resident #1) of four residents reviewed for death in the facility. […]

• Actual harm, isolatedF689Nov 4, 2024

  Based on observation, record review, facility policy review and interview, the facility failed to ensure effective measures/systems were in place to prevent resident falls with injury. The facility failed to ensure Resident #38 was transferred appropriately using a gait belt and failed to ensure Resident #48's bed U-bar side rail was maintained in good repair. This affected two residents (#38 and #48) of four residents reviewed for accidents and hazards. Actual harm occurred on 09/25/24 at 9:40 A.M. to Resident #38, when Certified Nursing Assistant (CNA) #831 attempted to transfer Resident #38 from a bedside commode to the wheelchair without using a gait belt as care planned. Resident #38 and STNA #831 fell to the floor. […]

• No harm, potential for more than minimal, widespreadF812Apr 7, 2026

  Based on observation and interview, the facility failed to dispose of expired foods in a timely manner which resulted in expired food being served to residents. This had the potential to affect all 80 residents that received food from the kitchen. The facility census was 80.Findings include: On 04/01/26 at 11:00 A.M., an observation of the kitchen revealed one unopened case of Thick and Easy apple juice that expired on 02/17/26, one unopened case of Thick and Easy cranberry juice that expired on 02/19/26, and one opened case of Thick and Easy orange juice that expired on 03/14/26. An interview at the time of observation with Dietary Manager #887 verified the expired thickened beverages. […]

• No harm, potential for more than minimal, widespreadF921Apr 7, 2026

  Based on observation and interview, the facility failed to ensure the laundry cart used to transport clean clothing/linens from the washing machines to the dryers did not have water dripping into them from a leak in the ceiling. This had the potential to affect all 80 residents residing in the facility. Findings include:An observation on 04/01/26 at 9:04 A.M. revealed there was water dripping from the ceiling above the washing machines. The ceiling tiles had brownish color, and the metal crossbars were rusted. Some of the water dripping was pooling in a cart used to transport clean laundry from the washers to the dryers. Several damp looking bath towels were lying on the floor. […]