Heritage of Bel Air

In the surveyor’s words

From the most serious findings on record at Heritage of Bel Air, in the surveyor’s own words.

• Actual harm, isolatedF689Jul 25, 2023

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7 Based on interview and record review; the facility failed to implement interventions to protect Resident 153 from aspiration (breathing foreign material into the lungs) and/or choking as a puree diet was not provided in accordance with physician's orders. In addition, the facility failed to determine causal factors, to develop and/or revise interventions and failed to implement assessed fall prevention interventions for Residents 79 and 88. The sample size was 10 and the facility census was 101. Findings are: A. […]

• No harm, potential for more than minimal, widespreadF812Jul 31, 2025

  S483.60(i) Food safety requirements. The facility must - S483.60(i)(2) - Store, prepare, distribute and serve food in accordance with professional standards for food service safety. This REQUIREMENT is not met as evidenced by LICENSURE REFERENCE NUMBER 175 NAC 12-006.11E Based on observation, record review and interview; the facility failed to serve food in a manner to prevent potential food borne illnesses. The facility failed to ensure bare hands were not used to touch ready-to-eat food items. This practice had the potential to affect all residents in the facility who ate meals from the kitchen. The facility staff identified a census of 98. Findings are:A. […]

• No harm, potential for more than minimal, patternF804Jul 31, 2025

  S483.60(d) Food and drink Each resident receives and the facility provides- S483.60(d)(1) Food prepared by methods that conserve nutritive value, flavor, and appearance; S483.60(d)(2) Food and drink that is palatable, attractive, and at a safe and appetizing temperature.Licensure Reference Number 175 NAC 12-006.11D Based on observation, record review and interview; the facility failed to serve room trays at a palatable temperature. The sample size was 9 and the facility census was 98. […]

• No harm, potential for more than minimal, patternF880May 17, 2022

  LICENSURE REFERENCE NUMBER: 175 NAC 12-006.17B and 12-006.17D Based on observations, interviews, and record reviews the facility failed to prevent the potential for cross contamination related to: 1) completion of hand hygiene at appropriate intervals and for required duration during the provision of toileting and incontinence cares for Residents 37, 45, 54 and 84; 2) handling of Resident 37's urinary catheter drainage bag; and 3) cleaning of re-useable resident care equipment for use with Resident 75. The total sample size was 34 and the facility census was 98. Findings are: A. […]

• No harm, potential for more than minimal, isolatedF759Jul 31, 2025

  S483.45(f) Medication Errors. The facility must ensure that its- S483.45(f)(1) Medication error rates are not 5 percent or greater;This REQUIREMENT is not met as evidenced by Licensure Reference Number 175 NAC 12-006.10(D)Based on observation, record review and interview; the facility staff failed to ensure a medication error rate of less than 5 percent (%). Observations of 25 medications administered revealed 2 errors resulting in an error rate of 8%. The medication errors were related to 1 (Resident 6) of 5 residents sampled. The facility identified a census of 98.Findings are:A. Review of the facility policy Medication Errors with a revision date of 2/18 revealed the facility was to ensure residents were free of medication error rates of 5% or greater. […]