Belair Care Center Inc

Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 5/1/2025 and completed on 5/7/2025, the facility did not develop and implement a baseline care plan for each resident that includes the instructions needed to provide effective and person-centered care of the resident that meets professional standards of quality care. This was identified for one (Resident #192) of two residents reviewed for Urinary Catheter. Specifically, Resident #192 had a physician's order on admission for an external urinary catheter to be applied each evening. There was no documented evidence that a baseline care plan was initiated. The finding is: [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 5/1/2025 and completed on 5/7/2025, the facility did not ensure 1) each resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for one (Resident #242) of two residents reviewed for Pressure Ulcers; and 2) did not ensure each resident received care, consistent with professional standards of practice, to prevent pressure ulcers for one (Resident #60) of four residents reviewed for Skin Conditions. Specifically, 1) Resident #242 was admitted to the facility with a Stage 3 (a deep wound where full thickness skin loss has occurred) pressure ulcer to the sacrum (triangular bone in lower back). [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 5/1/2025 and completed on 5/7/2025, the facility did not ensure that each resident who needs respiratory care is provided such care consistent with professional standards of practice and the comprehensive person-centered care plan. This was identified for one (Resident #80) of two residents reviewed for Respiratory care. Specifically, Resident #80 had a diagnosis of Chronic Obstructive Pulmonary Disease and a Physician's Order to administer oxygen therapy at 2 liters per minute via a nasal cannula (tubing used to deliver supplemental oxygen) continuously. On 5/2/2025, Resident #80 was observed in their room wearing a nasal cannula to receive oxygen from the oxygen tank; [...]

Inspectors wroteBased on observations, record review, and staff interviews during the Recertification Survey initiated on [DATE] and completed on [DATE], the facility did not ensure that drugs and biologicals were stored in a locked compartment. This was identified for three (Resident #60, #41, and #340) of five residents reviewed for Accident Hazards. Specifically, 1) Resident #60 was observed with an unlabeled Breztri inhaler (a triple combination inhaler used for long-term treatment of chronic lung disease) and an Albuterol-Budesonide inhaler (medication used to treat difficulty breathing) on their overbed table. The resident did not have a physician's order for the use of the Albuterol inhaler or a self-administration assessment until [DATE]. There was no Nursing staff within the vicinity of Resident #60's room. [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 5/1/2025 and completed on 5/7/2025, the facility did not ensure that it provided a safe environment for each resident for one (Resident #23) of the five residents reviewed for Accidents. Specifically, on 5/1/2025, a can of highly flammable aerosol hairspray was observed on Resident #23's bedside table. The resident also receives continuous oxygen (also flammable) via an oxygen concentrator for Chronic Obstructive Pulmonary Disease. The finding is: The facility's policy, titled [NAME] of Rights Policy, dated 2/2024, documented you have the right to treat your living quarters as your home subject to rules designed to protect the privacy, health and safety of other residents of the facility; [...]

Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 2/21/2024 and completed on 2/27/2024 the facility did not ensure that all residents had a safe, clean comfortable, and homelike environment. This was identified for four (Resident #10, Resident #19, Resident #240, and Resident #241) of four residents reviewed for the environment. Specifically, Resident #10 was observed to have a poorly patched hole on the wall to the left of the bed and ripped wallpaper. Resident #19 was observed having a bed control with frayed wires exposed and a headboard that was taped together with surgical tape. Resident #240 was observed to have a patched hole in the wall with cracks within the patch to the left of the bed. Resident #241 was observed to have a hole in the wall to the right of the bed.

Inspectors wroteBased on record review and interviews during the Recertification Survey and Abbreviated Survey (Complaint # NY00315743), initiated on 2/21/2024 and completed on 2/27/2024 the facility did not ensure that all incidents were investigated thoroughly. This was identified for one (Resident #238) of three residents reviewed for accidents. Specifically, Resident #238 required extensive assistance of one person for transfers and toilet use. The resident was found on the floor on 7/11/2022 on the bathroom lying on the floor on her right side. The facility investigation did not include statements from Resident #238 or the staff member who was assigned to care for the resident to identify the root cause of the incident. The finding is: [...]

Inspectors wroteBased on observations, record review, and interviews during the Recertification Survey initiated on 2/21/2024 and completed on 2/27/2024, the facility did not develop and implement a comprehensive person-centered care plan that includes measurable objectives and time frames to meet the resident's medical and nursing needs. This was identified for one (Resident #5) of one resident reviewed for Bladder and Bowel Incontinence. Specifically, Resident #5 did not have a comprehensive care plan initiated for the use of the Pure Wick Urine Collection System (a non-invasive system that uses a flexible fabric external catheter that draws urine away from the body into the collection canister). The finding is: [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 2/21/2024 and completed on 2/27/2024, the facility did not ensure that a resident received treatment and care in accordance with professional standards of practice. This was identified for one (Resident #294) of three residents reviewed for Skin Conditions. Specifically, Resident #294 had a Physician's Order to wear the left-hand splint at all times. Resident #294 was observed without wearing a left-hand splint on 2/22/2024 and 2/26/2024. Additionally, the facility did not initiate a follow-up orthopedic consultation as per the discharge instructions from the hospital. The finding is: The facility's policy titled, Transcription of Orders dated 1/2024, documented that orders from an authorized licensed independent practitioner are accepted by a Registered Nurse or a Licensed Practical Nurse. [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification Survey initiated on 6/30/2022 and completed on 7/7/2022, the facility did not ensure that a Comprehensive person-centered Care Plan was developed for each resident that includes measurable objectives and timeframes to meet each resident's medical, nursing, and mental and psychosocial needs that are identified in the comprehensive assessment. Specifically, Resident #61 was hard of hearing and had a history of utilizing hearing aids in the community prior to their admission to the facility on [DATE]. There was no documented evidence of a Comprehensive Care Plan (CCP) developed to address the resident's hearing difficulty. The finding is: [...]

Inspectors wroteBased on observation, record review, and interviews during the Recertification survey initiated on 6/30/2022 and completed on 7/7/2022, the facility did not ensure that each resident received proper treatment and assistive devices to maintain hearing abilities for one (Resident #61) of two residents reviewed for Hearing and Vision. Specifically, Resident #61, who was hard of hearing had previously utilized hearing aids in the community prior to their admission to the facility on [DATE]. Resident #61 was observed during an activity without the use of hearing aids and exhibited difficulty hearing. There was no documented evidence that the facility obtained audiology services/consultations to assess the resident's hearing capabilities and provide hearing aides to meet the resident's communication needs. The finding is: [...]

Inspectors wroteBased on observation, record review and interviews during the Recertification Survey initiated on 6/30/2022 and completed on 7/7/2022, the facility did not ensure that residents who use Psychotropic drugs received behavioral interventions in an effort to discontinue these drugs prior to the administration of the as-needed (PRN) Psychotropic medication. This was identified for one (Resident #8) of five residents reviewed for Unnecessary Medications. Specifically, Resident #8 received Xanax (Alprazolam-an antianxiety medication) PRN with no documented evidence that non-pharmacological interventions were attempted prior to the administration of the antianxiety medication. In addition, the Xanax PRN medication order did not have a duration documented on the Physician's Order. The finding is: [...]