The Oaks at Belmont

In the surveyor’s words

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

• Actual harm, isolatedF686Aug 11, 2025

  This citation pertains to intakes 2576923 & 1361498.Based on observation, interview and record review, the facility failed to ensure residents received thorough assessments and monitoring of skin impairments consistent with professional standards of practice in 2 (Resident #101 & Resident #104) of 3 residents reviewed for pressure ulcers, resulting in Resident #101 being hospitalized for sepsis (a life-threatening complication of an infection) due to an unidentified newly developed Stage 3 pressure wound on the sacrum (tailbone) and Resident #104 did not receive adequate incontinence care and skin treatments were not administered per physician orders.Findings include:Resident #101Review of an admission Record revealed Resident #101 was originally admitted to the facility on [DATE], with… […]

• No harm, potential for more than minimal, widespreadF812Oct 24, 2024

  Based on observation, interview, and record review, the facility failed to prepare food in accordance with professional standards for food service safety. This deficient practice has the potential to result in food borne illness among all residents that consume food in the kitchen. Findings include: During a tour of the kitchen, starting at 9:10 AM on 10/22/24, an interview with Assistant Food Service Director (AFSD) U, found that the facility routinely cools and uses a log for cooled items. A review of the log found items that have cooled the past couple days, but nothing on the log that is currently cooling. […]

• No harm, potential for more than minimal, widespreadF812Sep 9, 2022

  Based on observation, interview, and record review the facility failed to maintain sanitary conditions in the kitchen resulting in an increased potential for cross contamination of food and foodborne illness, potentially affecting all residents who receive meal services out of the facility's total census of 42 residents. Findings include: 1. On 9/7/2022 at 11:12 AM, the designated handwashing sink next to the three-compartment sink was observed with dried mint chocolate chip ice cream in its basin (confirmed at this time by Dietary Manager, staff O). On 9/7/2022 at 11:13 AM, the surveyor asked staff A if it was normal for staff to use the designated handwashing sink for purposes other than handwashing to which they responded, sometimes, but they really shouldn't. […]

• No harm, potential for more than minimal, isolatedF880Jan 8, 2026

  Based on observation, interview and record review the facility failed to properly implement Contact Precautions (infection control measures used to prevent the spread of infections that can be transmitted through direct or indirect contact with residents or their environment) for 1 resident (Resident #56) of 6 residents reviewed for infection control, resulting in the potential for cross contamination of conjunctivitis (redness and swelling of the eye, very contagious, commonly known as pink eye) to a vulnerable resident population. Findings include: Review of a Face Sheet revealed Resident #56 was originally admitted to the facility on [DATE].Review of Resident #56's Physician Orders revealed, Contact Precautions Special Instructions: Conjunctivitis .Start date: 1/7/25. […]

• No harm, potential for more than minimal, isolatedF880Oct 24, 2024

  Based on observation, interview, and record review, the facility failed to maintain infection control measures during incontinence care related to hand hygiene and glove use in 2 of 5 residents (Resident #6 & #28) reviewed for infection control, resulting in the potential for cross-contamination and the development and spread of infection. Findings include: Review of the policy/procedure Handwashing/Hand Hygiene, dated 12/31/23, revealed .Handwashing is the single most important factor in preventing transmission of infections. […]