Slate Belt Health & Rehabilitation Center

In the surveyor’s words

From the most serious findings on record at Slate Belt Health & Rehabilitation Center, in the surveyor’s own words.

• Actual harm, isolatedF600May 28, 2026

  Based on clinical record review, facility policy review, review of facility documentation, standards of nursing practice, and resident and staff interviews, it was determined the facility failed to prevent resident neglect that resulted in actual harm of a serious injury (fractured ribs and right patella - knee) for one of 12 residents reviewed. (Resident 10)Findings include: Review of Mosby's Textbook for Nursing Assistants, 11th edition dated January 2025, (comprehensive text used in nursing assistant training programs) revealed, when turning a person in bed you should turn the person toward you. […]

• No harm, potential for more than minimal, widespreadF812Feb 2, 2024

  Based on facility policy review, observation, and staff interview, it was determined that the facility failed to properly store food and maintain sanitary conditions in the dietary department. Findings include: Review of the facility's policy entitled, Use-By Guide-Quick Reference, last reviewed [DATE], revealed that the use-by date marked on a container should be followed and that time/temperature control for safety directed that foods (milk and meat items) would not be held more than seven days. Review of the facility's policy entitled, Storage of Dry Food Policy, last reviewed [DATE], revealed that containers holding food removed from the original packaging were to be labeled and dated. […]

• No harm, potential for more than minimal, widespreadF812Apr 1, 2021

  Based on observation and review of facility documentation it was determined that the facility failed to ensure equipment was in clean operating condition and food was stored under sanitary conditions in the kitchen. Findings include: Observation of the kitchen on March 30, 2021, at 10:23 a.m., revealed a brown substance was identified on the surface of the deflector in the ice machine. Dietary Employee 1 wiped the substance with a paper towel and confirmed the deflector needed to be cleaned. During the same observation period, three cartons of thickened water with an expiration date of March 1, 2021 were observed in a reach in refrigerator. […]

• No harm, potential for more than minimal, patternF761Jun 3, 2025

  Based on a review of facility policy, observation, and staff interview, it was determined that the facility failed to ensure that medications/biologicals were securely stored in a manner that prevented unauthorized access on one of two nursing units. (Second floor) Findings include: Review of the facility policy entitled, Storage and Expiration Dating of Medications and Biologicals, last reviewed August 1, 2024, revealed that medications and biologicals, including treatment items, were to be securely stored in a locked cabinet/cart or locked medication room that is unaccessible by residents and visitors. […]

• No harm, potential for more than minimal, isolatedF550Jan 13, 2026

  Based on clinical record review and observation, it was determined that the facility failed to provide assistance with dining in a manner that promoted and maintained dignity for two residents in one of two dining rooms. (Residents 77, 106)Findings include: Clinical record review revealed that Resident 77 had diagnoses that included Parkinson's disease, dementia, and dysphagia (difficulty swallowing). Review of the Minimum Data Set (MDS) assessment, dated January 4, 2026, revealed that the resident had cognitive impairment and required assistance from staff with eating. Review of Resident 77's care plan revealed that the resident was at increased nutrition and hydration risk with an intervention for staff to encourage oral intake and assist with dining. On January 12, 2026, 12:05 p.m. […]