The Oaks At Belmont
The Oaks at Belmont in Belmont, MI — inspection on August 11, 2025.
Found 1 citation. 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
pressure ulcer on the left lower buttocks that were both documented as resolved on 5/7/25.
There
PM, Assistant Director of Nursing (ADON) C reported that staff are required to wear gloves and a
cream is a topical medication that the nurse should apply twice daily to Resident #104's buttocks and should be kept in the medication cart. ADON C reported that at that time Resident #104's Triad cream was not found in her room and/or the medication cart. ADON C reported that the facility had implemented a new process after Resident #101's pressure ulcer finding, requiring the CNA's to document any skin concerns on a skin observation form and submit it to the nurse and to the DON.
ADON C reported that Resident #104 did not have any skin observation forms on record at that time.
Review of the Fundamentals of Nurse ([NAME] and [NAME]) revealed, When you identify the presence of a skin wound or pressure injury, closer assessment is required.
Assess the type of tissue in the wound base so that you can plan appropriate interventions.
The assessment includes the amount (percentage) and appearance (color) of viable and nonviable tissue .
Soft yellow or white tissue is characteristic of slough (stringy substance attached to wound bed), and it must eventually be removed by a qualified clinician or by an appropriate wound dressing before the wound is able to heal.
Black, brown, tan or necrotic tissue is eschar, which also needs to be removed before healing can occur .
Assessment of wound exudate should describe the amount, color, consistency, and odor of wound drainage.
Excessive exudate indicates the presence of infection.
Wound pain, including the location, distribution, type, quality and intensity, and any aggravating or relieving factors, also should be assessed ([NAME], 2016).
Examine the skin around the wound (periwound) for redness, warmth, and signs of maceration, and palpate the area for signs of pain or induration.
The presence of any of these factors on the periwound skin indicates wound deterioration. [NAME], [NAME] A.; [NAME], [NAME] Griffin; Stockert, [NAME] A.; Hall, [NAME].
Fundamentals of Nursing - E-Book (p. 1247).
Elsevier Health Sciences.
Kindle Edition.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.