La Belle Manor Care Center

In the surveyor’s words

From the most serious findings on record at La Belle Manor Care Center, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF641May 30, 2025

  Based on interview and record review, the facility failed to accurately code the Minimum Data Set (MDS), a federally mandated assessment completed by staff, according to the Resident Assessment Instrument (RAI) manual for three sampled residents (Resident #4, #8 and #20), in a review of 13 sampled residents. The facility census was 35. Review of the Resident Assessment Instrument (RAI) Manual, version 1.18.11, dated October 2023, showed the following: -Medicare and Medicaid participating long-term care facilities are required to conduct comprehensive, accurate, standardized and reproducible assessments of each resident's functional capacity and health status; -The RAI process has multiple regulatory requirements. […]

• No harm, potential for more than minimal, patternF656May 30, 2025

  Based on interview and record review, the facility failed to develop a comprehensive, person-centered care plan for four residents (Resident #3, #10, #14 and #26), in a review of 13 residents. The facility census was 35. Review of the undated facility policy, Comprehensive Care Plan Policy, showed the following: -A comprehensive care plan is a detailed document outlining a resident's agreed-upon goals of care and the planned activities for their medical, nursing and allied health care. It reflects shared decisions made with the resident, their caregivers and family, about tests, interventions, treatments and other activities needed to achieve these goals. […]

• No harm, potential for more than minimal, patternF657May 30, 2025

  Based on observation, interview and record review, the facility failed to update and revise problems and interventions on resident care plans to reflect current care needs for three residents (Resident #10, #4 and #1) in a sample of 13 residents and failed to include Resident #20's responsible party and Durable Power of Attorney (DPOA) in his/her care planning decision making. The facility census was 35. Review of the undated facility policy, Resident Plan of Care, showed the following: -It is the policy of the facility to initiate a resident's plan of care on admission, by charge nurse, that is located in the electronic health record; -The MDS Coordinator follows electronic health record for date of plan of care to be completed. The facility did not provide a care plan revisions policy. […]

• No harm, potential for more than minimal, patternF688May 30, 2025

  Based on observation, interview, and record review, the facility failed to provide restorative nursing services as recommended to assist one resident (Resident #3), in a review of 13 residents, and two additional residents (Resident #18 and #24), with mobility and/or limited range of motion (ROM) to attain or maintain their highest level of functioning. The facility census was 35. Review of the undated facility policy, Restorative Nursing Program Policy, showed the following: -Non-skilled rehabilitation: Restorative nursing provides non-skilled rehabilitative care with focus on maintaining or improving daily living skills; -Restorative aides and nurses must be trained. […]

• No harm, potential for more than minimal, patternF700May 30, 2025

  Based on observation, interview, and record review, the facility failed to assess seven residents (Residents #10, #3, #20, #189, #9, #36, and #35), in a review of 13 sampled residents, for risk of entrapment from bed rails prior to installation, and failed to review the risk and benefits of the bed rails with the resident or resident representative and obtain consent prior to installation. The facility census was 35. Review of the Food and Drug Administration's Guide of Bed Safety, Bed Rails in Hospitals, Nursing Homes and Home Health Care: The Facts, revised April 2010, showed the following: -Patients who have problems with memory, sleeping, incontinence, pain, uncontrolled body movement, or who get out of bed and walk unsafely without assistance, must be carefully assessed for the best… […]