US Nursing Home Finder: BELMONT NUR REHAB CTR MADISON WI

General Information: BELMONT NUR REHAB CTR
Nursing home name	BELMONT NUR REHAB CTR
Address	110 BELMONT RD MADISON, WI 53714
Phone number	(608) 249-7391
Located within a hospital	No
Type of ownership	Non profit - Other
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	BOTH
Certified number of beds	90
Total number of residents	83
Perc of occupied beds	92
Sprinkler status	fully sprinklered
Last health survey date	12/16/2009
Fire survey date:	12/15/2009

Ratings Summary: BELMONT NUR REHAB CTR
Overall rating	1 out of 5 stars
Nursing Home Staffing	Not Available Not Available
Registered Nurses only	Not Available Not Available
Health Inspections	1 out of 5 stars
Quality Measures	3 out of 5 stars

Nursing Home Staffing Info: BELMONT NUR REHAB CTR
	National Average	BELMONT NUR REHAB CTR
Overall staff rating	Not Available.	Not Available Not Available
Registered Nurses only rating	Not Available	Not Available Not Available
Total Number of Residents	94.2	83
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	Not Available hours
Registered Nurses Hours per Residents per Day	0.6 hours	Not Available hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	Not Available hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	Not Available hours

Health Inpections: BELMONT NUR REHAB CTR
Inspection Results: 12/16/2009
Corrected	Category	Deficiency	Severity
01/19/2010	Environmental Deficiencies	Have a program to keep infection from spreading.	D
01/19/2010	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	F
Inspection Results: 10/01/2008
Corrected	Category	Deficiency	Severity
10/30/2008	Mistreatment Deficiencies	Keep each resident free from physical restraints, unless needed for medical treatment.	D
10/30/2008	Environmental Deficiencies	Have a program to keep infection from spreading.	E
10/30/2008	Pharmacy Service Deficiencies	Have drugs and other similar products available, which are needed every day and in emergencies, and give them out properly.	D
10/30/2008	Administration Deficiencies	post nurse staffing information.	C
10/30/2008	Pharmacy Service Deficiencies	1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects.	D
10/30/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	D
10/30/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
10/30/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	E
10/30/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
10/30/2008	Environmental Deficiencies	Provide needed housekeeping and maintenance.	E
10/30/2008	Mistreatment Deficiencies	1) Hire only people who have 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.	E
10/30/2008	Environmental Deficiencies	Keep a resident apart from the others if the resident has an infection that can spread.	D
Inspection Results: 11/29/2007
Corrected	Category	Deficiency	Severity
01/16/2008	Environmental Deficiencies	Make sure that staff members wash their hands when needed.	D
01/16/2008	Administration Deficiencies	1) Review the work of each nurse aide every year; or 2) give regular training for the nurse aides.	E
01/16/2008	Pharmacy Service Deficiencies	Properly mark drugs and other similar products.	E
01/16/2008	Resident Assessment Deficiencies	Make sure that doctors visit residents regularly, as required.	D
01/16/2008	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	E
01/16/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	G
01/16/2008	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
01/16/2008	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
01/16/2008	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E
01/16/2008	Environmental Deficiencies	Keep safe, clean and homelike surroundings.	E
01/16/2008	Resident Rights Deficiencies	Provide care in a way that keeps or builds each resident's dignity and self respect.	D
01/16/2008	Mistreatment Deficiencies	Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property.	K
01/16/2008	Mistreatment Deficiencies	1) Hire only people who have 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.	J
01/16/2008	Mistreatment Deficiencies	Protect each resident from all abuse, physical punishment, and being separated from others.	J

Fire Safety Inpections: BELMONT NUR REHAB CTR
Inspection Results: 12/15/2009
Corrected	Category	Deficiency	Severity
01/16/2010	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
01/16/2010	Electrical Deficiencies	a separate and independent backup electrical power source.	F
01/16/2010	Furnishings and Decorations Deficiencies	properly sized and located linen or trash receptacles.	D
01/16/2010	Furnishings and Decorations Deficiencies	restrictions on the use of flammable curtains.	F
01/16/2010	Furnishings and Decorations Deficiencies	exits that are free from obstructions and can be used at all times.	D
02/18/2010	Building Service Equipment Deficiencies	properly constructed linen or trash chutes.	D
01/16/2010	Building Service Equipment Deficiencies	properly protected cooking facilities.	D
01/16/2010	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F
01/16/2010	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	E
01/16/2010	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	E
01/16/2010	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	F
01/16/2010	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	F
01/29/2010	Fire Alarm Systems Deficiencies	an automatic smoke detection system in all hallways.	E
02/18/2010	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	F
	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	C
	Exit and Exit Access Deficiencies	at least two remote exits on each floor or fire section of the building.	D
01/29/2010	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
01/16/2010	Vertical Openings Deficiencies	proper stairway enclosures and vertical shafts.	E
01/16/2010	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	D
01/16/2010	Interior Finish Deficiencies	fire-resistant room wall surfaces.	E
01/16/2010	Building Construction Deficiencies	approved construction type or materials.	E
Inspection Results: 09/30/2008
Corrected	Category	Deficiency	Severity
10/30/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
10/30/2008	Electrical Deficiencies	weekly inspections and monthly testing of generators.	F
10/30/2008	Furnishings and Decorations Deficiencies	properly sized and located linen or trash receptacles.	E
10/30/2008	Furnishings and Decorations Deficiencies	restrictions on the use of flammable curtains.	F
10/30/2008	Building Service Equipment Deficiencies	properly constructed linen or trash chutes.	D
10/30/2008	Building Service Equipment Deficiencies	properly protected cooking facilities.	D
10/30/2008	Automatic Sprinkler Systems Deficiencies	portable fire extinguishers.	E
10/30/2008	Fire Alarm Systems Deficiencies	properly maintained smoke detectors.	C
10/30/2008	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	C
10/30/2008	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	C
10/30/2008	Interior Finish Deficiencies	fire-resistant interior walls.	F
10/30/2008	Smoke Compartmentation and Control Deficiencies	smoke barrier doors that can resist smoke for at least 20 minutes.	E
10/30/2008	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	E
10/30/2008	Interior Finish Deficiencies	fire-resistant room wall surfaces.	F
10/30/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	E
Inspection Results: 11/14/2007
Corrected	Category	Deficiency	Severity
01/16/2008	Electrical Deficiencies	properly installed electrical wiring and equipment.	E
01/16/2008	Medical Gases and Anesthetizing Areas Deficiencies	proper fire barriers, ventilation and signs for the transport of oxygen.	D
01/16/2008	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F
01/16/2008	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	E
01/16/2008	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	D
01/16/2008	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	D

Resident Complaints: BELMONT NUR REHAB CTR
Date Complaint Substantiated: 09/16/2009
Corrected	Category	Deficiency	Severity
10/16/2009	Resident Rights Deficiencies	Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged.	D
10/16/2009	Quality Care Deficiencies	Give professional services that meet a professional standard of quality.	D
10/16/2009	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	D
10/16/2009	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
Date Complaint Substantiated: 06/24/2008
Corrected	Category	Deficiency	Severity
07/21/2008	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
Date Complaint Substantiated: 10/04/2007
Corrected	Category	Deficiency	Severity
10/31/2007	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
Date Complaint Substantiated: 08/22/2007
Corrected	Category	Deficiency	Severity
10/04/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	D
10/04/2007	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
10/04/2007	Mistreatment Deficiencies	1) Hire only people who have 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.	D
10/04/2007	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	D

Quality Measures: BELMONT NUR REHAB CTR
Quality Measures	National Average	BELMONT NUR REHAB CTR
Overall quality rating	Not Available	3 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who lose too much weight	8%	3%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	4%
Percent of high-risk long-stay residents who have pressure sores	11%	12%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents whose need for help with daily activities has increased	14%	14%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	5%
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who have moderate to severe pain	3%	4%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	34%
Percent of long-stay residents who had a urinary tract infection	9%	5%
Percent of low-risk long-stay residents who have pressure sores	2%	1%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	13%
Percent of long-stay residents who are more depressed or anxious	14%	13%
Short-Stay Residents
Percent of short-stay residents who have pressure sores	13%	6%
Percent of short-stay residents given influenza vaccination during the flu season	83%	90%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents who have delirium	2%	2%
Percent of short-stay residents who had moderate to severe pain	19%	25%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: BELMONT NUR REHAB CTR MADISON WI