Inspection Reports for
The Oaks at Belmont

F 0880 Provide and implement an infection prevention and control program: staff failed to wear gowns and gloves and did not perform hand hygiene when entering and exiting the room of Resident #56 who was on Contact Precautions.

F 0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards: the facility failed to properly cool food items, including sausages and cheese sauce, which were found at unsafe temperatures and improperly covered.

F 0812 Equipment, food-contact surfaces, nonfood-contact surfaces, and utensils: accumulation of dried debris and dust was found on mixers, pots, pans, utensils, and preparation areas, indicating inadequate cleaning.

F 0812 Mechanical warewashing equipment: the dish machine was operating below required wash temperature and had a leaking pressure relief valve and rusted pressure gauge, compromising sanitization.

F 0880 Provide and implement an infection prevention and control program: staff failed to perform hand hygiene between glove changes during incontinence care for Residents #6 and #28, risking cross-contamination and infection spread.

F 0658 Ensure services provided by the nursing facility meet professional standards of quality: Licensed Practical Nurse (LPN) N identified a pressure ulcer on Resident #503's coccyx upon admission but did not document a description of the wound or wound dimensions.

F 0558 Reasonably accommodate the needs and preferences of each resident: the facility failed to ensure call lights were left within reach for Residents #42 and #22, risking unmet care needs.

F 0658 Ensure services meet professional standards of quality: Licensed Practical Nurse did not document description or measurements of Resident #503's pressure ulcer upon admission.

F 0698 Provide safe, appropriate dialysis care/services: the facility failed to ensure post dialysis assessment and monitoring were completed for Resident #4, with no documentation verifying completion.

F 0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents: the facility failed to ensure safe transfers for Resident #3 requiring 2 staff assistance, resulting in unsafe transfers and resident discomfort.

F 0880 Provide and implement an infection prevention and control program: the facility failed to ensure proper use of Personal Protective Equipment in a resident room with droplet precautions, risking increased cross contamination.