BELMONT NUR REHAB CTR - MADISON, WI

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Staff Information

Quality Measures

Complaint Deficiency

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Few (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Few (Minimal harm or potential for actual harm)

Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed: Few (Minimal harm or potential for actual harm)

Make sure that each resident who enters the nursing home without a catheter is not given a catheter, and receive proper services to prevent urinary tract infections and restore normal bladder function: Few (Minimal harm or potential for actual harm)

Signs that state that exit doors are to be kept closed: Few (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Few (Immediate jeopardy to resident health or safety)

Properly working alarms on sprinkler valves: Few (Immediate jeopardy to resident health or safety)

Keep each resident free from physical restraints, unless needed for medical treatment: Some (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm)

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents: Some (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Some (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs: Few (Minimal harm or potential for actual harm)

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards: Few (Minimal harm or potential for actual harm)

Exits that are accessible at all times: Some (Minimal harm or potential for actual harm)

Approved construction type or materials: Some (Minimal harm or potential for actual harm)

Fire-resistant room wall surfaces: Some (Minimal harm or potential for actual harm)

Corridor and hallway doors that block smoke: Few (Minimal harm or potential for actual harm)

Proper stairway enclosures and vertical shafts: Some (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

At least two remote exits on each floor or fire section of the building: Few (Minimal harm or potential for actual harm)

Did not have a written emergency evacuation plan: Many (Potential for minimal harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

An automatic smoke detection system in all hallways: Some (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Automatic sprinkler systems that have been maintained in working order: Some (Minimal harm or potential for actual harm)

Portable fire extinguishers: Some (Minimal harm or potential for actual harm)

Heating and ventilation systems that have been properly installed according to the manufacturer's instructions: Many (Minimal harm or potential for actual harm)

Properly protected cooking facilities: Few (Minimal harm or potential for actual harm)

Properly constructed linen or trash chutes: Few (Minimal harm or potential for actual harm)

Exits that are free from obstructions and can be used at all times: Few (Minimal harm or potential for actual harm)

Restrictions on the use of flammable curtains: Many (Minimal harm or potential for actual harm)

Properly sized and located linen or trash receptacles: Few (Minimal harm or potential for actual harm)

A separate and independent backup electrical power source: Many (Minimal harm or potential for actual harm)

Properly installed electrical wiring and equipment: Some (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Few (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Some (Minimal harm or potential for actual harm)

Protected exits that allow the resident to escape the building: Few (Minimal harm or potential for actual harm)

Emergency lighting that can last at least 1 1/2 hours: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Many (Minimal harm or potential for actual harm)

An approved automatic sprinkler system connected to the fire alarm system: Many (Minimal harm or potential for actual harm)

Posted No-smoking signs in areas where smoking is not permitted or did not provide ashtrays where smoking was allowed: Few (Minimal harm or potential for actual harm)

Weekly inspections and monthly testing of generators: Many (Minimal harm or potential for actual harm)

Back-up procedures in place for a faulty automatic sprinkler system: Many (Minimal harm or potential for actual harm)

An approved back-up procedure for a faulty fire alarm system: Many (Minimal harm or potential for actual harm)

Provide a safe, clean, comfortable and homelike environment: Few (Minimal harm or potential for actual harm)

Conduct initial and periodic assessments of each resident's functional capacity: Few (Minimal harm or potential for actual harm)

Make sure services provided by the nursing facility meet professional standards of quality: Some (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Some (Minimal harm or potential for actual harm)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Minimal harm or potential for actual harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Construction that can resist fire for one hour or an approved fire extinguishing system: Few (Minimal harm or potential for actual harm)

Properly located and lighted Exit signs: Few (Minimal harm or potential for actual harm)

An approved installation, maintenance and testing program for fire alarm systems: Many (Minimal harm or potential for actual harm)

Properly maintained smoke detectors: Many (Minimal harm or potential for actual harm)

Proper facilities for the use and storage of combustible liquids: Few (Minimal harm or potential for actual harm)

Immediately tell the resident, the resident's doctor and a family member of the resident of situations (injury/decline/room, etc.) that affect the resident: Few (Minimal harm or potential for actual harm)

Keep each resident's personal and medical records private and confidential: Some (Minimal harm or potential for actual harm)

Determine if it is safe for the resident to self-administer drugs: Few (Minimal harm or potential for actual harm)

Provide care for residents in a way that keeps or builds each resident's dignity and respect of individuality: Few (Minimal harm or potential for actual harm)

Review or revise the resident's care plan after any major change in a resident's physical or mental health: Few (Minimal harm or potential for actual harm)

Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured: Few (Minimal harm or potential for actual harm)

Provide care by qualified persons according to each resident's written plan of care: Few (Minimal harm or potential for actual harm)

Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores: Few (Immediate jeopardy to resident health or safety)

Make sure that the nursing home area is free from accident hazards and risks and provides supervision to prevent avoidable accidents: Few (Actual harm)

Develop policies and procedures for influenza and pneumococcal immunizations: Many (Potential for minimal harm)

Store, cook, and serve food in a safe and clean way: Many (Minimal harm or potential for actual harm)

Dispose of garbage and refuse properly: Many (Potential for minimal harm)

Safely provide drugs and other similar products available, which are needed every day and in emergencies, by a licensed pharmacist: Some (Minimal harm or potential for actual harm)

Have a program that investigates, controls and keeps infection from spreading: Some (Minimal harm or potential for actual harm)

1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation: Few (Minimal harm or potential for actual harm)

Keep accurate, complete and organized clinical records on each resident that meet professional standards: Some (Minimal harm or potential for actual harm)

Keep clinical record information safe, so that it will not be lost, destroyed or used by the wrong person: Many (Potential for minimal harm)

Other nearby nursing homes

• CITY VIEW NUR HOME (2.97 miles)
• HOME HLTH UNITED VNS (2.93 miles)
• KARMENTA CENTER (0.48 miles)
• MONONA DRIVE REST HOME (1.54 miles)
• WI DIALYSIS INC - EAST (3.77 miles)