Bello Gardens Assisted Living

Admission agreements must be signed and dated within seven days of admission. One resident file reviewed was missing a signed Admissions Agreement and Signed Personal Rights.

The facility did not ensure that bathrooms and bedrooms were clean and sanitary. Specifically, feces smear marks were observed on the floor under a toilet, and urine was smelled and found in a bedside commode.

Individual privacy was not provided in all toilet, bath, and shower areas. One instance was noted where a resident's bedroom opened onto a communal bathroom.

The facility did not maintain complete and accurate personnel records for all staff. This deficiency poses a potential health, safety, or personal rights risk to persons in care.

The facility did not ensure that all staff have the required initial training. This deficiency poses a potential health, safety, or personal rights risk to persons in care.

The facility did not maintain proof of disaster drills completed quarterly. This deficiency poses a potential health, safety, or personal rights risk to persons in care.

The facility did not ensure that all staff who assist residents with medication administration have proof of all required initial medication administration training completed.

The facility did not observe procedures protecting the safety, acceptability, and nutritive values of food. This was evidenced by multiple instances of expired and unlabeled/unsealed food items in freezers and refrigerators.

The facility was observed storing cleaning supplies, vitamins, razors, and toxins in residents' bathroom and on the back patio, which are accessible to residents with dementia. This poses an immediate health, safety, or personal rights risk to persons in care.

The facility was found to have Lysol, Comet, and rust remover stored with food supplies, which poses a potential health, safety, or personal rights risk to persons in care.

When the LPA entered the facility, an auditory alarm was going off, but staff did not respond for five minutes, which poses a potential health, safety, or personal rights risk to persons in care.

Hot water temperature tested in 6 out of 9 resident bathrooms was between 100.4 and 104.3 degrees F, failing to meet the required temperature range of 105 to 120 degrees F.

The facility was observed with a strong foul odor of urine in the downstairs common bathroom and a resident's bedroom, indicating a failure to ensure the facility remains free of odors from incontinence.

The facility was found with three hand and body towels in the joint bathrooms, violating the prohibition against using common wash cloths and towels.

The side door window was observed to be shattered and taped together, which poses a potential health, safety, or personal rights risk to persons in care.

Facility personnel must always be sufficient in number and competent to provide necessary services to meet resident needs.

Facility staff did not respond to a resident's elopement in an appropriate amount of time or follow facility's Plan of Operation by contacting Law Enforcement.

The facility failed to arrange or assist in arranging appropriate medical and dental care for the resident. This was evidenced by the delay in seeking emergency medical attention for a head wound.

Staff did not seek emergency medical attention immediately following the resident's fall, resulting in an approximate two-hour delay in care for a head wound requiring stitches. This posed an immediate risk to the resident's health.