A list of the most recent deficiencies for Bethesda Home. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-06 | 2023-11-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-06 | 2023-11-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-06 | 2023-11-29 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-11-06 | 2023-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-06 | 2023-11-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-06 | 2023-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-06 | 2023-11-29 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-02 | 2023-11-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-02 | 2023-11-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-11-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-02 | 2023-11-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-26 | 2022-11-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-21 | 2022-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-21 | 2022-11-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-21 | 2022-11-17 | N |
| 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. | Health | 2022-10-21 | 2022-11-17 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-10-21 | 2022-11-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-10-21 | 2022-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-21 | 2022-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-21 | 2022-11-17 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-10-21 | 2022-11-17 | 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 | 2019-05-28 | 2019-06-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-28 | 2019-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-13 | 2019-03-21 | N |
