The Belmont at Twin Creeks

In the surveyor’s words

From the most serious findings on record at The Belmont at Twin Creeks, in the surveyor’s own words.

• Actual harm, isolatedF600Jan 30, 2025

  Based on observation, interviews, and record review, the facility failed to ensure the right to be free from abuse was provided for 1 (Resident #1) of 6 residents reviewed for abuse and neglect. The facility failed to protect Resident #1 from abuse when CNA A was witnessed being verbally and physically abusive to Resident #1, resulting in Resident #1 becoming fearful of CNA A. The noncompliance was identified as PNC. The noncompliance began on 12/23/24 and ended on 12/27/24. The facility had corrected the noncompliance before the survey began. This failure could place residents at risk for abuse and neglect. […]

• No harm, potential for more than minimal, widespreadF812Mar 22, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, distribute and serve food in accordance with professional standards for food service safety in the facility's only kitchen. The facility failed to ensure foods were properly stored, labeled, and expired foods were discarded. This failure could have affected 83 of the 87 residents at the facility by placing them at risk for food exposed to adulteration or contaminantes. Adulterated foods have had severe health effects. […]

• No harm, potential for more than minimal, patternF572Jul 16, 2026

  Based on interview and record review, the facility failed to ensure residents were informed orally of their rights for 4 (Resident # 106, Resident #102, Resident #33 and Resident #52) of 7 residents interviewed during the confidential group meeting. Residents were not provided on going communication of their rights, during their stay in the facility. This failure could place residents at risk of a decreased quality of life, decreased awareness of their rights and decreased execution of their rights.During a confidential group meeting on 07/15/2026 at 11:35 a.m., Resident # 106, Resident #102, Resident #33 and Resident #52 stated they did not know what their rights were. […]

• No harm, potential for more than minimal, patternF583Jul 16, 2026

  Based on observations, interviews, and record reviews, the facility failed to ensure the residents had the right to personal privacy and confidentiality of his or her personal space for 2 of 4 residents (Resident #103 & Resident #90) reviewed for privacy.The facility failed to ensure that that the roommates of residents with AEM had signed consents in the active section of the EHR from the roommate or their RP acknowledging the AEM in the shared room since 01/28/2026.This failure could place residents at risk of having medical or personal information or conversations recorded or exposed to others, and cause residents to feel a loss of privacy, dignity, and decreased self-worth and self-esteem.Findings Included: Record Review of Resident # 103 admission Record dated 07/16/2026, revealed a… […]

• No harm, potential for more than minimal, patternF695May 30, 2026

  Based on observations, interviews, and record review the facility failed to ensure that residents who needed respiratory care, were provided such care consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for three of six residents (Residents #2, #3, and #4) reviewed for respiratory care. 1.The facility failed to ensure Resident #2's BiPAP (bilevel positive airway pressure: normalizes breathing by delivering pressurized air into the upper airway leading into the lungs) mask was properly stored when not in use on 05/29/2026.2.The facility failed to ensure Resident #3's CPAP (continuous positive airway pressure: machine used to deliver pressurized air through a mask to keep airways open) mask was properly… […]