Belmont Terrace
Inspection Findings
F-Tag F0757
F 0757 Level of Harm - Minimal harm or potential for actual harm Residents Affected - Few
FORM CMS-2567 (02/99) Previous Versions Obsolete
had episodes of being terribly upset and crying. As needed medications given.Progress notes, dated 08/08/2025, documented Resident 1 was given orders to restart escitalopram. When staff called Resident 1's Guardian for consent to restart escitalopram, the Guardian voiced they were upset the medication was ever stopped and to not stop it again and said the resident was on hospice and should be happy and comfortable.On 10/07/2025 at 4:07 pm, Staff B, Registered Nurse and Director of Nursing, said he could not explain why they discontinued the escitalopram. Staff B said they should have made sure the provider had a discussion with the Guardian to discuss the GDR or discussed keeping the resident on the medication. Either way there should have been a discussion.Resident 2Resident 2 was admitted to the facility on [DATE REDACTED] with diagnoses of chronic obstructive pulmonary disease and Alzheimer's disease. The quarterly MDS, dated [DATE REDACTED], documented Resident 2 has no cognitive impairment and was dependent on staff with assistance with ADL.The care plan, dated 09/03/2025, document Resident 2 had a history of anxiety and depression. Staff would monitor the residents' target behaviors of no appetite or refusing food and negative verbalizations.The Consultation Report, dated 06/13/2025, documented Resident 2 was due for a GDR on aripiprazole (an anti-psychotic used to treat bipolar disease and Schizophrenia). The recommendation included reducing the amount of aripiprazole to 2 mg daily. The Physician's Response was checked I accept the recommendations above, please implement as written. No directions on the medication were written by the medical provider. The provider signed the document on 06/26/2025.Order summary reported, dated 09/16/2025, showed aripiprazole 10 mg daily had been ordered since 08/15/2024.The MAR, dated July, August, and September 2025, documented Resident 1 was administered aripiprazole 10 mg daily.At 4:07 pm, Staff B, verified the medication was not reduced as recommended by
the Consulting Pharmacist. Staff B said this GDR should have been acted on per the recommendations.Resident 3Resident 3 was admitted to the facility on [DATE REDACTED] with diagnoses of congestive heart failure and morbid obesity. The annual MDS dated [DATE REDACTED], documented Resident 3 has no cognitive impairment and required supervision with ADL.The care plan, dated 09/09/2025, documented Resident 3 required the use of bupropion for depression and insomnia. Staff would monitor social isolation, tearfulness, and heightened awareness.The Consultation Report, dated 06/16/2025, documented Resident 3 was due for a GDR on bupropion (an antidepressant used to treat major depressive disorder) with a trial to discontinue the medication. Under physician's response, the provider noted I accept the recommendations above, please implement as written of bupropion. No instructions for staff to discontinue
the medication were noted. The document was signed 06/27/2025.Order summary reported, dated 10/08/2025, showed Resident 3 had been receiving bupropion 75 mg daily since 08/31/2024.The MAR, dated July and August 2025, documented Resident 3 was administered bupropion daily by staff.At 4:07 pm, Staff B, said the order should have been clarified and acted on. Staff B said this should have been followed up on.Reference: (WAC) 388-97-1060 (3)(k)(i)
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BELMONT TERRACE in BREMERTON, WA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
Frequently Asked Questions
- What is an F-tag violation?
- F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
- Were these violations corrected?
- Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
- How often do nursing home inspections happen?
- CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
- What should families do about these violations?
- Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in BREMERTON, WA, (5) Report new concerns to state authorities.
- Where can I see the full inspection report?
- Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from BELMONT TERRACE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.