Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Belle Grande Nursing And Rehabilitation Center during CMS and state inspections, most recent first.
A resident with multiple comorbidities who required a two-person assist and a specific sling size for transfers fell from a mechanical lift when staff used the wrong size sling and failed to attach the sling loops correctly. This resulted in the resident sustaining a femur fracture and subarachnoid hemorrhage.
A resident with multiple medical conditions and total dependence for toileting did not receive incontinence care for approximately eight hours, despite physician orders and a care plan requiring checks and care at least every two hours. Facility records and interviews confirmed that two CNAs failed to provide the necessary care during their shifts, and the DON verified the lapse in required services.
The facility was found to have improperly stored food items in the walk-in freezer/cooler, including corn dogs, biscuits, squash, and breadsticks, which were open to air and undated. This was against the facility's policy requiring all frozen foods to be tightly wrapped or packaged. S4 DM confirmed that staff should label, date, and store opened food items properly, which was not done in this instance.
The facility failed to implement Enhanced Barrier Precautions (EBP) for residents with chronic wounds, as there was no signage or PPE outside their rooms. Additionally, an LPN did not follow proper hand hygiene protocols during wound care, using the same gloves for different wounds. These deficiencies indicate a lack of adherence to infection control policies.
A facility failed to transmit a resident's MDS Assessment within the required 14 days. The resident, with conditions including Cerebral Infarction and Hemiplegia, had a completed Quarterly MDS Assessment that was not transmitted until over a month later. An LPN/MDS Nurse acknowledged forgetting to notify the ADON to close and transmit the assessment, resulting in the delay.
A resident with dementia and an above-the-knee amputation did not receive necessary grooming assistance, specifically shaving, despite requiring substantial help with ADLs. The resident was observed with long facial hair, and staff interviews confirmed the oversight, with CNAs responsible for ADL care and nurses for monitoring.
Failure to Follow Lift Transfer Protocols Results in Resident Fall and Serious Injury
Penalty
Summary
A deficiency occurred when staff failed to ensure proper practices were followed during a mechanical lift transfer, resulting in a resident falling from the lift. The resident, who had multiple diagnoses including schizoaffective disorder, bipolar disorder, diabetes mellitus, muscle wasting with atrophy, and Parkinson's disease, was dependent on staff for transfers and required a two-person assist with a specific size and color of sling as indicated on her care plan and wall care sheet. Despite these clear instructions, staff used a sling that was the wrong size and did not attach the sling loops correctly to the lift, with one strap being hooked in a different loop position than the others. On the day of the incident, two CNAs were responsible for transferring the resident using the mechanical lift. The sling used was a large, blue-trimmed pad instead of the required medium, red-trimmed pad. The top right strap of the sling was attached to a higher notch, while the other three straps were attached to the lowest level, closest to the pad. Staff involved in the transfer admitted to not checking the care sheet for the correct sling size and instead used the sling that was already in the room. Both CNAs had previously received training and check-offs on proper lift use, sling size selection, and correct attachment procedures, but failed to follow these protocols during the transfer. As a result of these failures, the resident fell from the lift, sustaining a complete displacement fracture of the proximal left femur and a subarachnoid hemorrhage. The incident was witnessed by other staff, and immediate first aid was provided before the resident was sent to the hospital. The facility's investigation confirmed that the wrong sling size was used and the sling was not properly attached, directly leading to the resident's fall and injuries.
Removal Plan
- The administrative team in-serviced all CNAs and nurses on proper lift technique and correct sling use.
- The administrative nursing team checked-off all CNAs and nurses on the lift and slings, using return demonstration technique.
- All lifts were inspected by the assistant administrators to ensure they were in safe working order.
- S3 CNA and S4 CNA received individual counseling and in-service. Skills check-off was completed, with follow-up questions, to ensure complete understanding.
- S3 CNA and S4 CNA were to ensure a nurse was present during any transfer of a resident with a lift. The nurse completed a check-off sheet, documenting use of the correct sling size and correct connection of the sling to the lift.
- S2 ADON ensured all residents requiring use of the Vander-Lift had the correct sling size indicated on the care sheet in their room. The size/color of sling to be used was added to each order for the Vander-Lift.
- The housekeeping supervisor checked all the slings in the building, ensuring they were not frayed or torn, and were in good working condition.
- The medical equipment company inspected all lifts in the facility to ensure they were in safe use.
- S1 ADM provided an in-service to all Laundry staff regarding proper laundering of lift slings.
- The Assistant Administrator ensured all resident rooms provided enough space for safe transfer with a lift.
- The DON or designee will monitor a random sample of residents being transferred with a lift to ensure the correct procedure was followed. This monitor will be completed 3x a week for 6 weeks, and then monthly until compliance is reached. Any noncompliance will be addressed.
- The DON or designee will monitor, ensuring any lift sling in a resident's room was the correct size for the resident. This monitor will be completed on a random sample of residents with lift orders 3x a week for 6 weeks, and then monthly until compliance is reached. Any noncompliance will be addressed.
- Administration was responsible for oversight of all the implemented actions, which would be reviewed during the weekly Quality Meeting for 6 weeks.
Failure to Provide Timely Incontinence Care for Dependent Resident
Penalty
Summary
A deficiency occurred when a resident with significant medical conditions, including traumatic subdural hemorrhage, muscle wasting, overactive bladder, and lack of coordination, did not receive required incontinence care. The resident was fully dependent on staff for toileting hygiene and was always incontinent of urine, as documented in the Minimum Data Set (MDS) and care plan. Physician orders and the care plan specified that incontinence care was to be provided at least every two hours and as needed, with a two-person assist, to maintain skin cleanliness and dryness. On the date in question, the resident did not receive incontinence care from 10:40 a.m. until 6:44 p.m., a period of approximately eight hours. Facility records and interviews confirmed that two CNAs failed to provide the required care during their respective shifts. The Director of Nursing verified that the resident should have received incontinence care at least every two hours, but this did not occur during the specified timeframe.
Improper Food Storage in Freezer
Penalty
Summary
The facility failed to maintain a clean and sanitary environment in its food service operations, as observed during a survey. Specifically, the walk-in freezer/cooler contained several food items that were improperly stored. These items included a box of corn dogs, a bag of biscuits, a bag of squash, and a bag of breadsticks, all of which were open to the air and undated. According to the facility's policy on freezer storage, all frozen foods should be tightly wrapped or packaged to prevent freezer burn. During an interview, S4 DM confirmed that staff are expected to label, date, and properly store opened food items, acknowledging that the observed items did not meet these standards.
Inadequate Infection Control and EBP Implementation
Penalty
Summary
The facility failed to maintain an effective infection prevention and control program, as evidenced by the lack of communication and implementation of Enhanced Barrier Precautions (EBP) for residents with specific wound care needs. Observations revealed that there was no EBP signage or personal protective equipment (PPE) available outside the rooms of four residents who required such precautions due to their chronic wounds. The Infection Preventionist admitted to being unaware of the necessity for EBP in cases involving pressure ulcers, venous stasis ulcers, or diabetic foot ulcers, indicating a gap in the facility's adherence to its own policies. Additionally, the facility did not ensure proper hand hygiene during wound care procedures, as observed in the care of a resident with multiple wounds. The LPN responsible for the resident's wound care failed to change gloves or sanitize hands between handling different wounds, despite the facility's policy requiring such actions. This lapse in protocol was confirmed by the LPN, who acknowledged the mistake during an interview. The deficiencies highlight a significant oversight in both the communication of necessary precautions and the execution of proper infection control practices during wound care. These failures were observed during a survey, which included interviews and record reviews, and were directly linked to the facility's inability to provide a safe and sanitary environment for its residents.
Delayed Transmission of MDS Assessment
Penalty
Summary
The facility failed to transmit a Minimum Data Set (MDS) Assessment within the required 14 days of completion for a resident. The resident, who was admitted with diagnoses including Cerebral Infarction, Essential Hypertension, and Hemiplegia and Hemiparesis following cerebral infarction affecting the right dominant side, had a Quarterly MDS Assessment with an Assessment Reference Date (ARD) of June 26, 2024. Although the assessment was completed, it was not transmitted until July 31, 2024, exceeding the 14-day requirement. During an interview, the LPN/MDS Nurse admitted to forgetting to notify the Assistant Director of Nursing (ADON) to close and transmit the assessment, confirming the delay in transmission.
Failure to Provide Grooming Assistance
Penalty
Summary
The facility failed to provide necessary grooming services to a resident who was unable to perform activities of daily living (ADLs) independently. The resident, who had a history of dementia and an above-the-knee amputation, required substantial assistance with personal hygiene, including shaving. Despite the resident's request for a shave and the facility's policy to assist with grooming, the resident was observed multiple times with facial hair approximately half an inch long, indicating that the grooming assistance was not provided. Interviews with staff revealed that the responsibility for providing and documenting ADL care, including grooming, fell to the CNAs, while nurses were responsible for monitoring these tasks. However, the resident did not receive the necessary grooming care, as confirmed by both the resident and the Director of Nursing (DON). The resident expressed a desire to be shaved, and the DON acknowledged the oversight, confirming the resident's facial hair had not been attended to as required.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Alexandria
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Regency House Of Alexandria | 1.5 mi | — | 16 | 0 |
| Lexington House | 1.7 mi | — | 2 | 0 |
| The Summit | 2.2 mi | — | 1 | 0 |
| Matthews Memorial Health Care Center | 3.9 mi | — | 10 | 0 |
| Legacy Nursing At St. Christina | 5.4 mi | — | 17 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release August 2026) and official state health department websites.