Deficiency Records for Bethany Home Society San Joaquin County
Updated as of April 01, 2022
This is not the most recent data for Bethany Home Society San Joaquin County. For the most recent information, click here.
A list of the most recent deficiencies for Bethany Home Society San Joaquin County. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-01-24 | 2022-02-16 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-03-17 | 2021-04-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-09 | 2021-01-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-02 | 2019-07-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-07-02 | 2019-07-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-02 | 2019-07-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-02 | 2019-07-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-02 | 2019-07-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-02 | 2019-07-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-02 | 2019-07-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-02 | 2019-07-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-09 | 2019-06-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-09 | 2019-06-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-09 | 2019-06-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-09 | 2019-06-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-09 | 2019-06-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-09 | 2019-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-06-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-29 | 2018-04-16 | N |
| 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. | Health | 2017-02-10 | 2017-04-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-02-10 | 2017-04-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-10 | 2017-04-05 | N |
| Keep all essential equipment working safely. | Health | 2017-02-10 | 2017-04-05 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-02-10 | 2017-04-05 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-02-22 | 2017-03-20 | N |
