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Belle Reve Health Care Center
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404 East Harford Street
Milford, PA 18337
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0 Recommendations
Details
| Type of Ownership | For profit - Corporation |
| Participates in Medicare? | Yes |
| Participates in Medicaid? | Yes |
| Certified Beds | 30 |
| Continuing Care? | No |
| Resident Council? | Yes |
| Family Council? | No |
| Multi-Home Chain? | No |
| Located in a Hospital? | No |
| Special Focus Facility? | No |
View: Health Inspections | Quality Measures | Staffing | Fire Inspections
Health Inspections
Most Recent Inspection: 06/03/2011
| Date of last standard health inspection: | 06/03/2011 |
| Quality Indicator Survey | No |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Health Deficiencies for this nursing home: | 0 |
| Average number of Health Deficiencies in PA: | 2 |
| Average number of Health Deficiencies in US: | 3 |
| Range of Health Deficiencies in PA: | 0 - 5 |
Inspection, 02/04/2011
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 02/04/2011 | 01/04/2012 | 2 | Few |
Inspection, 00/01/2007
Administration Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | 00/01/2007 | 02/04/2009 | 2 | Few |
Environmental Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide housekeeping and maintenance services. | 00/01/2007 | 02/04/2009 | 2 | Some |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/01/2007 | 00/03/2009 | 3 | Few |
| Have a program that investigates, controls and keeps infection from spreading. | 00/01/2007 | 00/03/2009 | 2 | Few |
Mistreatment Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | 00/01/2007 | 00/03/2009 | 2 | Few |
Nutrition and Dietary Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | 00/01/2007 | 02/04/2009 | 2 | Many |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | 00/01/2007 | 02/04/2009 | 2 | Some |
| Store, cook, and serve food in a safe and clean way. | 00/01/2007 | 02/04/2009 | 2 | Many |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/01/2007 | 02/04/2009 | 2 | Some |
| Ensure residents maintain acceptable nutritional status. | 00/01/2007 | 00/03/2009 | 2 | Some |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | 00/01/2007 | 00/03/2009 | 2 | Some |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/01/2007 | 00/03/2009 | 2 | Few |
Resident Rights Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 00/01/2007 | 02/04/2009 | 2 | Few |
| Reasonably accommodate the needs and preferences of each resident. | 00/01/2007 | 00/03/2009 | 2 | Some |
Inspection, 00/03/2006
Environmental Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | 00/03/2006 | 02/02/2007 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | 00/03/2006 | 02/02/2007 | 2 | Few |
Quality Care Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide necessary care and services to maintain or improve the highest well being of each resident. | 00/03/2006 | 02/02/2007 | 2 | Few |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | 00/03/2006 | 02/02/2007 | 2 | Some |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/03/2006 | 02/02/2007 | 2 | Some |
Resident Rights Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give residents a notice of rights, rules, services and charges. | 00/03/2006 | 02/02/2007 | 1 | Some |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | 00/03/2006 | 02/02/2007 | 2 | Some |
Inspection, 00/04/2005
Administration Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | 00/04/2005 | 00/03/2007 | 2 | Few |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | 00/04/2005 | 00/03/2007 | 2 | Many |
Nutrition and Dietary Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide food in a way that meets a resident's needs. | 00/04/2005 | 00/03/2007 | 2 | Few |
| Store, cook, and serve food in a safe and clean way. | 00/04/2005 | 00/03/2007 | 2 | Some |
Pharmacy Service Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | 00/04/2005 | 00/03/2007 | 2 | Some |
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Ensure services provided by the nursing facility meet professional standards of quality. | 00/04/2005 | 00/03/2007 | 2 | Some |
| Provide routine and 24-hour emergency dental care for each resident. | 00/04/2005 | 00/03/2007 | 2 | Few |
| Provide or obtain dental services for each resident. | 00/04/2005 | 00/03/2007 | 2 | Few |
Resident Assessment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | 00/04/2005 | 00/03/2007 | 2 | Few |
Inspection, 02/00/2004
Quality Care Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | 02/00/2004 | 03/01/2005 | 2 | Few |
Nursing Home Staffing
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
| National Average | Average in PA | Golden Living Center, Asheville | |
| RN Staff Only1 | N/A | N/A | 5 out of 5 stars |
| Total Number of Residents | 85 | 112 | 28 |
|
Total, Licensed Nurse Staff Hours per Resident per Day |
15 hours 26 minutes | 5 hours | 1 hour 31 minutes |
|
RN Hours per Resident per Day |
14 hours 37 minutes | 4 hours 11 minutes | 1 hour 31 minutes |
|
LPN/LVN Hours per Resident per Day |
14 hours 52 minutes | 4 hours 16 minutes | |
|
CNA Hours per Resident per Day |
16 hours 21 minutes | 5 hours 41 minutes | 2 hours 15 minutes |
1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.
Quality Measures
Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.
Long-Term Residents
Short-Term Residents
Fire Safety Inspections
Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.
Most Recent Inspection: 06/21/2011
| Automatic Sprinkler Systems in all required areas | Yes |
| Date of last standard fire safety inspection: | 06/21/2011 |
| Dates of Complaint Investigations: | 04/01/2011 - 03/31/2012 |
| Total number of Fire Safety Deficiencies for this nursing home: | 0 |
| Average number of Fire Safety Deficiencies in PA: | 0 |
| Average number of Fire Safety Deficiencies in US: | 2 |
| Range of Fire Safety Deficiencies in PA: | 0 - 0 |
Inspection, 01/05/2007
Building Construction Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 01/05/2007 | 01/05/2010 | 2 | Few |
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 01/05/2007 | 01/05/2010 | 2 | Many |
Corridor Walls and Doors Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 01/05/2007 | 01/05/2010 | 2 | Few |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 01/05/2007 | 01/05/2010 | 2 | Few |
Exits and Egress Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Exit stairways and towers that are smoke proof. | 01/05/2007 | 01/05/2010 | 2 | Few |
Hazardous Area Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | 01/05/2007 | 01/05/2010 | 2 | Few |
Miscellaneous Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Other fire safety features required by fire safety codes. | 01/05/2007 | 01/05/2009 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 01/05/2007 | 01/05/2010 | 2 | Few |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | 01/05/2007 | 01/05/2009 | 2 | Few |
Inspection, 02/01/2006
Building Construction Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Approved construction type or materials. | 02/01/2006 | 01/09/2008 | 2 | Some |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/01/2006 | 01/09/2008 | 2 | Some |
Electrical Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Properly installed electrical wiring and equipment. | 02/01/2006 | 01/09/2008 | 2 | Some |
Medical Gases and Anesthetizing Areas Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper medical gas storage and administration areas. | 02/01/2006 | 01/09/2008 | 2 | Some |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/01/2006 | 01/09/2008 | 2 | Many |
Inspection, 02/03/2005
Building Service Equipment Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 02/03/2005 | 02/02/2007 | 2 | Few |
| Properly protected cooking facilities. | 02/03/2005 | 02/02/2007 | 2 | Few |
| Properly constructed linen or trash chutes. | 02/03/2005 | 02/02/2008 | 2 | Few |
Corridor Walls and Doors Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Corridor and hallway doors that block smoke. | 02/03/2005 | 02/02/2007 | 2 | Some |
Illumination and Emergency Power Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Emergency lighting that can last at least 1 1/2 hours. | 02/03/2005 | 02/02/2007 | 2 | Few |
Smoke Compartmentation and Control Deficiencies |
||||
| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | 02/03/2005 | 02/02/2007 | 2 | Some |
Vertical Openings Deficiencies |
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| Deficiency | Inspection Date | Correction Date | Level of Harm | Residents Affected |
| Proper stairway enclosures and vertical shafts. | 02/03/2005 | 02/02/2007 | 2 | Some |
| Protected exits that allow the resident to escape the building. | 02/03/2005 | 02/02/2007 | 2 | Few |
