Inspection Reports for
Belle View Estates Rehabilitation and Care Center
1052 Old Warren Road, Monticello, AR, 71655
Back to Facility ProfileDeficiencies (last 3 years)
Deficiencies (over 3 years)
5.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
2% worse than Arkansas average
Arkansas average: 5.2 deficiencies/yearDeficiencies per year
12
9
6
3
0
Inspection Report
Annual Inspection
Deficiencies: 0
Date: Jun 5, 2025
Visit Reason
The inspection was conducted as a routine annual survey of Belle View Estates Rehabilitation and Care Center to assess compliance with health and safety regulations.
Findings
No health deficiencies were found during the inspection.
Inspection Report
Routine
Deficiencies: 7
Date: Mar 14, 2024
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, medication administration, infection control, food safety, and antibiotic stewardship at Belle View Estates Rehabilitation and Care Center.
Findings
The facility was found deficient in multiple areas including inadequate personal hygiene care (nail care), improper catheter tubing securement, medication errors, unsecured refrigerated narcotics, poor food safety and sanitation practices, improper linen handling and hand hygiene, and failure to consistently implement an antibiotic stewardship program.
Deficiencies (7)
Failed to ensure fingernails were cleaned and trimmed to promote good personal hygiene and grooming for residents requiring assistance.
Failed to ensure catheter tubing was secured to prevent trauma for a resident with a catheter.
Failed to maintain medication error rate less than 5%, including wrong dose and missed medications.
Failed to ensure refrigerated narcotic medications were stored in a permanently affixed locked compartment.
Failed to maintain clean condition of puree machine and ensure food items were covered and handled hygienically to prevent contamination.
Failed to transport clean linens covered to prevent contamination and failed to perform proper hand hygiene; ice scoop improperly placed inside ice cart.
Failed to implement a consistent Antibiotic Stewardship Program; antibiotic prescribed without confirmation of culture report.
Report Facts
Residents affected: 2
Residents affected: 1
Residents affected: 3
Residents affected: 64
Residents affected: 67
Residents affected: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| CNA #5 | Certified Nursing Assistant | Named in nail care deficiency observation and interview |
| Director of Nursing | Director of Nursing | Interviewed regarding nail care policy and catheter securement |
| LPN #1 | Licensed Practical Nurse | Named in medication error findings |
| LPN #2 | Licensed Practical Nurse | Named in medication error findings |
| LPN #3 | Licensed Practical Nurse | Named in narcotic storage deficiency |
| LPN #4 | Licensed Practical Nurse | Named in catheter securement and narcotic storage deficiency |
| Dietary Manager | Dietary Manager | Interviewed regarding food safety and sanitation deficiencies |
| CNA #6 | Certified Nurse Assistant | Observed placing ice scoop inside ice cart |
| Assistant Director of Nursing | Assistant Director of Nursing | Interviewed regarding antibiotic stewardship program |
| Administrator | Administrator | Provided antibiotic stewardship policy and resident antibiotic list |
Inspection Report
Complaint Investigation
Deficiencies: 1
Date: Sep 25, 2023
Visit Reason
The inspection was conducted due to a complaint regarding the facility's failure to properly secure a resident's wheelchair during transport, which resulted in a fall and injury to the resident.
Complaint Details
The complaint investigation found that Resident #1 was not secured properly during transport by the Maintenance Director, resulting in a fall and injury. The Maintenance Director admitted forgetting how to secure the resident. A witness confirmed no straps were in place. The injury included a fracture of the thoracic spine vertebrae and scalp abrasion.
Findings
The facility failed to properly secure Resident #1's wheelchair in the facility van prior to transport, causing the wheelchair to flip and resulting in a head and spinal injury requiring emergency room evaluation. Staff admitted to not securing the resident properly, and training on proper securing procedures was documented.
Deficiencies (1)
Failure to properly secure a resident wheelchair in the facility van prior to transport, resulting in a fall with injury to the head and spinal vertebrae.
Report Facts
Residents sampled: 3
Date of incident: Sep 6, 2023
Date of care plan: Aug 24, 2022
Date of staff training: Jan 26, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maintenance Director | Admitted failure to properly secure Resident #1 during transport and signed staff training attendance | |
| Certified Nursing Assistant (CNA) #1 | Reported the Maintenance Director did not buckle Resident #1's wheelchair and described the incident |
Inspection Report
Routine
Deficiencies: 8
Date: Jan 26, 2023
Visit Reason
The inspection was conducted to assess compliance with regulatory requirements related to resident care, safety, and facility operations at Belle View Estates Rehabilitation and Care Center.
Findings
The facility was found deficient in multiple areas including failure to keep call lights within reach for residents needing assistance, failure to honor resident self-determination regarding wake-up times, inconsistent implementation of fall prevention interventions, failure to ensure accurate documentation of residents' code status, inadequate assistance with activities of daily living, improper storage and handling of respiratory equipment, improper preparation of pureed food, and multiple food safety and sanitation violations in the kitchen.
Deficiencies (8)
Failed to provide reasonable accommodations by not having call lights within reach for 2 residents requiring assistance.
Failed to promote and facilitate resident self-determination through support of resident choices for 2 residents who chose not to get up before 5:00 am daily.
Failed to ensure resident's wishes regarding CPR were accurately conveyed in the resident's chart for 1 resident.
Failed to ensure planned fall prevention interventions were consistently implemented to promote safety and prevent falls for 1 resident with history of falls.
Failed to ensure activities of daily living were carried out to promote good health and wellbeing for 1 resident.
Failed to ensure respiratory equipment was properly stored and dated to prevent contamination for 1 resident receiving nebulizer treatments.
Failed to ensure pureed food items were blended to a smooth, lump free consistency for residents requiring pureed diets.
Failed to ensure leftover food items were maintained properly, food stored covered, sealed and dated, expired food removed, proper hand hygiene by dietary staff, and ice machine cleanliness to prevent contamination.
Report Facts
Residents affected by call light deficiency: 2
Residents affected by self-determination deficiency: 2
Residents affected by CPR documentation deficiency: 1
Residents affected by fall prevention deficiency: 1
Residents affected by ADL care deficiency: 1
Residents affected by respiratory equipment storage deficiency: 1
Residents affected by pureed food preparation deficiency: 4
Residents affected by food safety and sanitation deficiencies: 54
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Assistant Director of Nursing | ADON | Interviewed regarding call light policy, resident self-determination, CPR documentation, fall prevention, and respiratory equipment storage. |
| Licensed Practical Nurse #2 | LPN | Interviewed regarding fall prevention interventions for Resident #54. |
| Minimum Data Set Coordinator | MDS Coordinator | Interviewed regarding care plan updates and fall prevention for Resident #54. |
| Certified Nursing Assistant #3 | CNA | Interviewed regarding fall prevention interventions for Resident #54. |
| Certified Nursing Assistant #4 | CNA | Interviewed regarding fall prevention interventions for Resident #54. |
| Licensed Practical Nurse #3 | LPN | Interviewed regarding proper storage of nebulizer masks and mouthpieces. |
| Dietary Employee #1 | Observed and interviewed regarding food preparation and hygiene practices. | |
| Dietary Employee #2 | Observed and interviewed regarding food preparation and hygiene practices. | |
| Dietary Supervisor | Provided policies and interviewed regarding food safety and sanitation. |
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