Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

BELMONT MANOR NURSING HOME, IN

BELMONT, MA · 156 certified beds · Last Life Safety survey December 31, 2025

CMS Certification Number 225419 · first certified July 1990

Ownership

Independently operated (no chain recorded by CMS) · For profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

20
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
2
Tags cited more than once
Across separate surveys
9
Inspection & testing records
Of the citations on file

Position within MA

20 citations — more than 79% of the 341 certified nursing homes in MA. Compared within MA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 3 citations; the earlier surveys in the window averaged 8.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens December 2026 — about 3 months from now. This facility’s last Life Safety survey was December 2025. Facilities in MA are typically surveyed 12–15 months after the last one (median 13), measured over 556 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

6 of the 20 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

5 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 20 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  • F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

Compared with the median facility in MA, and nationally. Surveyors differ markedly between states, so the MA figure is the meaningful one.

This facility20MA median11National median11
Citations on file over three years, compared
MeasureCitations
This facility20
Median facility in MA11
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-12132024-1232025-12
Citations at each Life Safety survey
Survey dateCitations
December 29, 20234
December 5, 202413
December 31, 20253

Most-cited tags

Most-cited tags at this facility
K-09183K-03242K-07811E-00061E-00041E-00411E-00131E-00361
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0918Have generator or other power source capable of supplying service within 10 seconds.32025-12-31
K-0324Provide properly protected cooking facilities.22025-12-31
K-0781Have restrictions on the use of portable space heaters.12024-12-05
E-0006Conduct risk assessment and an All-Hazards approach.12024-12-05
E-0004Develop and maintain an Emergency Preparedness Program (EP).12024-12-05
E-0041Implement emergency and standby power systems.12024-12-05
E-0013Develop Emergency Preparedness policies and procedures.12024-12-05
E-0036Establish emergency prep training and testing.12024-12-05

What the citations cover

Citations by CMS category
  • Emergency Preparedness Deficiencies 6
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 4
  • Gas, Vacuum, and Electrical Systems Deficiencies 3
  • Other 2
Citations by CMS category
CategoryCitations
Emergency Preparedness Deficiencies6
Smoke Deficiencies5
Miscellaneous Deficiencies4
Gas, Vacuum, and Electrical Systems Deficiencies3
Services Deficiencies1
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

December 31, 2025 — 3 citations

Citations issued on December 31, 2025
TagWhat the surveyor checksStatus
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (February 27, 2026)
K-0541Install properly constructed and protected linen or trash chutes.Deficient, Provider has date of correction (March 19, 2026)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (March 19, 2026)

December 5, 2024 — 13 citations

Citations issued on December 5, 2024
TagWhat the surveyor checksStatus
E-0004Develop and maintain an Emergency Preparedness Program (EP).Deficient, Provider has date of correction (December 30, 2024)
E-0006Conduct risk assessment and an All-Hazards approach.Deficient, Provider has date of correction (December 30, 2024)
E-0013Develop Emergency Preparedness policies and procedures.Deficient, Provider has date of correction (December 30, 2024)
E-0029Develop a communication plan.Deficient, Provider has date of correction (December 30, 2024)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (December 30, 2024)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (December 30, 2024)
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 30, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 30, 2024)
K-0352Properly install and monitor supervisory attachments on automatic sprinkler systems.Deficient, Provider has date of correction (January 6, 2025)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (December 30, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (December 30, 2024)
K-0781Have restrictions on the use of portable space heaters.Deficient, Provider has date of correction (December 30, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (December 30, 2024)

December 29, 2023 — 4 citations

Citations issued on December 29, 2023
TagWhat the surveyor checksStatus
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (February 6, 2024)
K-0351Install an approved automatic sprinkler system.Deficient, Provider has date of correction (February 6, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (February 6, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (February 6, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.