Belmont Health & Rehabilitation, The
BELMONT HEALTH & REHABILITATION, THE in COLUMBUS, IN — inspection on September 30, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
During an interview, on 09/29/2025 at 10:25 A.M., Licensed Practical Nurse (LPN) 9 indicated the nurses assessed the residents' skin weekly and it was documented in the EMAR/ETAR.
The Certified Nurse Aides (CNAs) would check the residents' skin daily and would let the nurse know of any new skin impairments.
The CNAs also completed shower sheets and would document the new skin impairments and let the nurse know.
Once a new skin impairment was identified the nurse would measure the wound, document it in wound management and in a nurse's note, let the wound nurse know, and get a new treatment order.
During an interview, on 09/29/2025 at 2:25 P.M., the Facility Wound Nurse indicated the resident's right ankle wound developed in February 2025.
The wound was a Stage 3 when it was first identified.
The nurses assessed residents' skin weekly in the EMAR/ETAR. If a new wound was identified, then it should be documented in a skin event and a progress note.
The CNAs would document skin impairments on the shower sheets and would notify the nurse.
The resident's ankle wound should have been identified before it was a Stage 3.
The current facility policy, titled SKIN MANAGEMENT PROGRAM, most recently revised in 2025, was provided by the Regional Director of Operations on 09/30/2025 at 3:48 P.M.
The policy indicated, .The facility will assess/identify the presence of risk factors that may contribute to the development of pressure ulcers.in an effort to prevent skin breakdown and/or further deterioration.Residents who receive assistance with bathing and/or pericare will be observed daily by nursing staff and any observance of red areas, open areas .will be reported to the licensed nurse for further assessment .
This citation relates to intake 2617395. 3.1-49(a)(2)
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/30/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Belmont Health & Rehabilitation, The
540 Belmont Drive Columbus, IN 47201
SUMMARY STATEMENT OF DEFICIENCIES
During an interview, on 09/29/2025 at 10:19 A.M, QMA (Qualified Medication Aide) 5 indicated all resident meals, that included breakfast, lunch, and dinner were documented in the resident's clinical record on the computer. If the residents refused a meal or were out of the facility during the meal they were able to document, it also.
The current facility policy titled, Meal Consumption Record was provided by the Assistant Director of Nursing on 09/29/25 4:35 P.M.
The policy indicated, .To provide means to monitor the resident's daily intakes.Percentage of meals consumed daily will be recorded on the document designated by the facility.
This citation relates to Intake 2617395. 3.1-46(a)(1)
Facility ID: