Belmont Health & Rehabilitation, The

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

55.6% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 161 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 49.6% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 127 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.29 therapist hours per resident per day in 2026Q1 — more than 44% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 23% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 180 beds and averages 136.7 residents a day — about 76% occupied, or roughly 43 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.74 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.31 is below the 0.55-hour RN benchmark and nurse-aide staffing of 2.80 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 2.96 hrs/resident/day on weekends vs 4.05 on weekdays — 27% thinner on weekends — a notable drop. RN hours go from 0.35 to 0.19 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 46% is about the same as the national median of 45%. 1 administrator has left in the past year.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

21 citations, most serious first. The 10 most serious are shown; the remaining 11 are one tap away and print in full.

• Potential for harm · E2025-09-30 · tag F0692 — failed to prevent malnutrition and dehydration — pattern
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview, the facility failed to document meal consumption values for 8 of 10 residents reviewed for nutrition. (Residents E, F, G, H, J, B, K, and L)Finding include:1. The clinical record for Resident E was reviewed on 09/29/2025 at 10:35 A.M. A Significant Change Minimum Data Set (MDS) assessment, dated 08/21/2025, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, heart failure, hypertension, stroke, and Chronic Obstructive Pulmonary Disease (COPD). The August and September 2025 Meal Consumption Record lacked documented meal intake values for the following dates: - 08/27/2025 at dinner, - 08/28/2025 at dinner, - 08/29/2025 at breakfast, lunch, and dinner, - 08/30/2025 at dinner, - 08/31/2025 at breakfast and lunch, - 09/05/2025 at dinner, - 09/06/2025 at dinner, - 09/07/2025 at breakfast, lunch, and dinner, - 09/08/2025 at dinner, and - 09/09/2025 at breakfast, lunch, and dinner. 2. The clinical record for Resident F was reviewed on 09/29/2025 at 4:19 P.M. A Quarterly MDS assessment, dated…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-30 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to store medications appropriately and ensure a resident was assessed to self-administer medications for 1 of 25 residents reviewed for medications. (Resident 55)Findings include:Resident 55 was observed in her room sitting in her chair on 09/24/2025 at 11:41 A.M. A medication cup with three Tums (an antacid medication) tablets was observed on the overbed table near the resident. The resident indicated she had the medication because she had heartburn.The resident's clinical record was reviewed on 09/28/2025 at 12:05 P.M. A Comprehensive Minimum Data Set (MDS) assessment, dated 07/02/2025, indicated the resident was moderately cognitively impaired. The resident's diagnoses included, but were not limited to, cerebrovascular accident, coronary artery disease, and gastroesophageal reflux disease (GERD).The resident's record lacked a physician's order for the Tums medication and lacked a physician's order to self-administer medications.The resident was observed in her room sitting in her chair on 09/24/2025 at 12:16…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-09-30 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, record review, and interview, the facility failed to identify and treat pressure ulcers before they progressed to Stage III (full thickness skin loss that may extend into the subcutaneous tissue) pressure ulcers for 2 of 4 residents reviewed for pressure ulcers. (Residents C and B)Findings include:1. Resident C's coccyx wound was observed on 09/26/2025 at 2:58 P.M. The wound was pea-sized, with a dark pink wound bed and lighter pink skin around the wound. There was no drainage or signs of infection. The resident's clinical record was reviewed on 09/26/2025 at 11:11 A.M. A Quarterly Minimum Data Set (MDS) assessment, dated 09/04/2025, indicated the resident was severely cognitively impaired. The resident's diagnoses included, but were not limited to, heart disease, cancer, peripheral vascular disease, and malnutrition. The resident was receiving hospice services. Both of the resident's lower extremities were impaired and the resident depended on nursing staff for all Activities of Daily Living (ADLs). The resident was at risk for developing pressure ulcers and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-09-30 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to store medications appropriately for 1 of 4 medication carts observed (300 Hall Medication Cart).Findings include:The 300 Hall Medication Cart was observed with RN 2 on 09/30/2025 at 9:35 A.M. The following were observed in the top drawer:- A half full insulin glargine pen belonging to Resident 77 with an opened date of 09/01/2025, and - A three-fourths full insulin Aspart pen belonging to Resident 108 with an opened date of 09/01/2025. During an interview, on 09/30/2025 at 9:39 A.M., RN 2 indicated insulin pens should be dated when placed in the medication cart and once opened were good for 30 days at room temperature. The manufacture's package insert for Insulin Glargine was provided on 09/30/2025 at 10:00 A.M., by the Regional Director of Operations (RDO). The insert indicated, .Throw away the pen you are using after 28 days, even if it still has insulin left in it.The manufacture's package insert for Insulin Aspart was provided on 09/30/2025 at 10:00 A.M., by the RDO. The insert indicated, .Unused Insulin Aspart FlexPen…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-08-01 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to ensure residents were adequately assessed after a change in condition for 1 of 4 residents reviewed for Quality of Care. (Resident B).Findings include: During an interview, on 7/31/2025 at 2:39 P.M., LPN 3 indicated she was taking care of Resident B on the morning of 6/26/2025. She indicated Resident B was not feeling well, and LPN 3 recorded a very low blood pressure reading. LPN 3 contacted the on-call Nurse Practitioner (NP). The NP prescribed a medication to raise Resident B's blood pressure and staff were to start some continuous intravenous fluids to help raise the residents blood pressure. During an interview, on 7/31/2025 at 4:08 P.M., LPN 2 indicated that he was the nurse caring for Resident B on 6/26/2025 from 2:00 P.M. until 10:00 P.M. He never received anything significant in report about Resident B. He recalled Resident B was restless and was hollering out. The CNA reported to LPN 2 that Resident B was hollering out. LPN 2 checked on the resident and believed he took vitals due to Resident B being in distress.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-05-15 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed follow the physician's orders related to administration parameters for cardiac medications and complete neurological assessments after a fall for 2 of 5 residents reviewed for quality of care. (Residents C and E) Findings include: 1. The clinical record for Resident C was reviewed on 05/15/25 at 11:00 A.M. An admission Minimum Data Set (MDS) assessment, dated 04/16/25, indicated the resident was moderately cognitively impaired. The resident's diagnoses included, but were not limited to, heart failure, hypertension, and coronary artery disease. The physician's orders included, but were not limited to, an order with a start date of 04/14/25 that was discontinued on 04/28/25, indicated staff were to administer the resident's midodrine (a medication for low blood pressure) 7.5 milligrams (mg) three times a day for hypotension. The medication was to be administered if the resident's systolic (the top number) blood pressure was below 90. The resident's Electronic Medication Administration Record (EMAR) for April 2025 indicated the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2025-05-15 · tag F0842 — failed to keep accurate, complete medical records — isolated
  Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on record review and interview, the facility failed to transcribe resident records for 1 of 3 residents' records reviewed. (Resident B) Findings include: The clinical record for Resident B was reviewed on 05/15/25 at 10:20 A.M. The resident was admitted to the facility on [DATE]. The resident's diagnosis included, but was not limited to, Displaced comminuted fracture of shaft of humerus, left arm, subsequent encounter for fracture with routine healing. An After Visit Summary, dated 04/21/25, indicated the instructions for wound care included, but were not limited to, the following: - Icing Protocol: Use 10 to 14 hours per day until the follow-up appointment or use ice packs for 20 minutes per hour while awake. Do not put the ice pad directly against your skin (use a thin towel/clothing). The resident's clinical record lacked an order for the resident to have ice on her wound until 04/28/25. During an interview, on 05/15/25 at 11:57 A.M., Licensed Practical Nurse (LPN) 2 indicated when a resident was a new…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Past Non-Compliance
• Potential for harm · Ecited before2024-09-24 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  3a. The clinical record for Resident 98 was reviewed on 09/19/24 at 10:24 A.M. A Quarterly MDS assessment, dated 07/01/24, indicated the resident was cognitively intact. The resident's diagnoses included, but were not limited to, a stroke, hypertension, diabetes, heart failure, Parkinson's disease, and depression. An open-ended physician's order, with a start date of 07/19/24, indicated the resident was to take aspart niacinamide (an insulin) 5 units before meals. The staff were to hold the insulin if the blood sugar was less than 120. The August and September 2024 EMAR indicated the resident received the medication on the following dates and times when the blood sugar was less than 120: - 08/06/24 at 11:00 A.M., when the blood sugar was 109, - 08/11/24 at 7:30 A.M., when the blood sugar was 112, - 08/12/24 at 4:00 P.M., when the blood sugar was 116, - 08/22/24 at 7:30 A.M., when the blood sugar was 112, - 09/12/24 at 4:00 P.M., when the blood sugar was 107, - 09/17/24 at 7:30 A.M., when the blood sugar was 97, - 09/17/24 at 4:00 P.M., when the blood sugar was 114, - 09/20/24 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure pressure ulcers were accurately assessed, monitored, and treated for 1 of 8 residents reviewed for pressure ulcers. (Resident 40) Findings include: Resident 40 was observed in his room on 09/19/24 at 1:37 P.M. The resident was sitting up on the side of his bed with his overbed table in front of him. The resident was wearing thin, mid-calf length socks that covered his ankles. A pressure ulcer dressing was not visible. The resident indicated he had a wound on his left outer ankle and lowered his sock to expose the wound dressing. The dressing was clean, dry, and intact, and dated for that day. The resident's wound was observed with RN 9 on 09/20/24 at 11:50 A.M. The RN removed the resident's sock and dressing on his left outer ankle. The wound was nickel-sized, with a red wound bed and a small amount of slough (moist, non-viable tissue) present. There were no signs of infection. RN 9 indicated the resident had been laying in bed on his left side a lot when the wound was identified. They determined the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2024-09-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to provide a safe environment related to a resident's bed position for 1 of 6 residents reviewed for accidents. (Resident 15) Findings include: Incontinence care for Resident 15 was observed on 09/19/24 at 1:30 P.M., with providers CNA (Certified Nurse Aide) 6 and CNA 7. The CNAs washed their hands, prepared a basin of water, had clean linens at the bedside, and raised the resident's bed to the high position to perform the task. During the process, CNA 6 left the bedside and went into the resident's adjoining bathroom. After putting a bag in a trash can, CNA 7, left the bedside as well, walked around the edge of the bed and pulled privacy curtain, and was standing approximately three feet from the foot of the bed while the bed was in the high position. CNA 7 spoke to CNA 6, who was in the bathroom, for about a minute, then both CNAs returned to the bedside and continued with care. During an observation on 09/23/24 at 10:22 A.M., the resident was in their room in bed. The bed was in the high position, chest…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

No federal fines in the current CMS record.

Who owns this facility

CMS files one row per role, so the 29 rows in the source record cover these 20 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $2.3M paid to related parties — landlords or management companies under common ownership — equal to about 15% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in IN