Facility profile · CCN 185090
Belmont Terrace Nursing And Rehabilitation Center
54 federal citations on record , including 6 at the Immediate Jeopardy level, and 7 federal enforcement actions totaling $35,980.
Record summary
Federal record · Q1 202654
Total citations
36
Last 3 years
8
Actual harm+
7
Federal penalties
$35,980
Total fines
1
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
54 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Apr 24, 2025 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | E | Standard |
| Apr 24, 2025 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Apr 24, 2025 | F623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Complaint |
| Apr 24, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Mar 8, 2024 | F803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Complaint |
| Mar 8, 2024 | F725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | F | Complaint |
| Mar 8, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Complaint |
| Mar 8, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Mar 8, 2024 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Complaint |
| Mar 8, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | H | Complaint |
| Mar 8, 2024 | F610 | Respond appropriately to all alleged violations. | D | Complaint |
| Mar 8, 2024 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | E | Complaint |
| Mar 8, 2024 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Complaint |
| Mar 8, 2024 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint |
| Mar 8, 2024 | F887 | Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | E | Standard |
| Mar 8, 2024 | F883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard |
| Mar 8, 2024 | F881 | Implement a program that monitors antibiotic use. | E | Standard |
| Mar 8, 2024 | F880 | Provide and implement an infection prevention and control program. | F | Standard |
| Mar 8, 2024 | F867 | Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | F | Standard |
| Mar 8, 2024 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| Mar 8, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| Mar 8, 2024 | F804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | D | Standard |
| Mar 8, 2024 | F800 | Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | D | Standard |
| Mar 8, 2024 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | D | Standard |
| Mar 8, 2024 | F760 | Ensure that residents are free from significant medication errors. | D | Standard |
| Mar 8, 2024 | F759 | Ensure medication error rates are not 5 percent or greater. | D | Standard |
| Mar 8, 2024 | F726 | Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | E | Standard |
| Mar 8, 2024 | F692 | Provide enough food/fluids to maintain a resident's health. | D | Standard |
| Mar 8, 2024 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard |
| Mar 8, 2024 | F679 | Provide activities to meet all resident's needs. | D | Standard |
| Mar 8, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Mar 8, 2024 | F603 | Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | D | Standard |
| Mar 8, 2024 | F578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | D | Standard |
| Mar 8, 2024 | F558 | Reasonably accommodate the needs and preferences of each resident. | E | Standard |
| Mar 8, 2024 | F552 | Ensure that residents are fully informed and understand their health status, care and treatments. | D | Standard |
| Mar 8, 2024 | F550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard |
| May 14, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| May 14, 2021 | F835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | F | Standard |
| May 14, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard |
| May 14, 2021 | F761 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | F | Standard |
| May 14, 2021 | F758 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | D | Standard |
| May 14, 2021 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard |
| May 14, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| May 14, 2021 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| May 14, 2021 | F695 | Provide safe and appropriate respiratory care for a resident when needed. | J | Standard |
| May 14, 2021 | F686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | J | Standard |
| May 14, 2021 | F677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | D | Standard |
| May 14, 2021 | F661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | J | Standard |
| May 14, 2021 | F657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | J | Standard |
| May 14, 2021 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | J | Standard |
| May 14, 2021 | F602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Standard |
| May 14, 2021 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | Standard |
| May 14, 2021 | F584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | F | Standard |
| May 14, 2021 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Standard |
Federal enforcement history
Federal regulators have imposed 7 enforcement actions against this facility, including 6 civil money penalties totaling $35,980 and 1 payment-denial actions spanning 59 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Mar 8, 2024 | Fine | $5,346 | — |
| Mar 8, 2024 | Fine | $6,682 | — |
| Mar 8, 2024 | Fine | $16,801 | — |
| Mar 8, 2024 | Payment Denial | — | Apr 7, 2024 · 59 days |
| Jan 8, 2024 | Fine | $2,258 | — |
| Jan 2, 2024 | Fine | $1,748 | — |
| Dec 11, 2023 | Fine | $3,145 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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