Inspection Results » Belleville Health Care Center

Health Inspection on October 16, 2018 ^[1]

1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. (Corrected 2018-11-15)
   • Administer the facility in a manner that enables it to use its resources effectively and efficiently. (Corrected 2018-11-10)
   • Provide and implement an infection prevention and control program. (Corrected 2018-11-15)
   • Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. (Corrected 2018-11-10)
   • Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. (Corrected 2018-11-10)
   • Ensure residents have reasonable access to and privacy in their use of communication methods. (Corrected 2018-11-10)
   • Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. (Corrected 2018-11-10)

2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-11-10)

3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. (Corrected 2018-11-10)
   • 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. (Corrected 2018-11-10)
   • Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Corrected 2018-11-10)
   • Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. (Corrected 2018-11-10)
   • Ensure that residents are free from significant medication errors. (Corrected 2018-11-10)
   • Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. (Corrected 2018-11-10)
   • Ensure each resident receives an accurate assessment. (Corrected 2018-11-10)
   • Provide enough food/fluids to maintain a resident's health. (Corrected 2018-11-10)
   • Provide routine and 24-hour emergency dental care for each resident. (Corrected 2018-11-10)
   • Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. (Corrected 2018-11-10)

4. Widespread: No actual harm with potential for minimal harm

   • The resident has the right to receive notices in a format and a language he or she understands. (Corrected 2018-11-10)