Belmont Terrace
BELMONT TERRACE in BREMERTON, WA — inspection on November 18, 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
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] with diagnoses of chronic obstructive pulmonary disease and Alzheimer's disease.
The quarterly MDS, dated [DATE], 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] with diagnoses of congestive heart failure and morbid obesity.
The annual MDS dated [DATE], 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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