Deficiency Records for Bethany Rehab and Hcc
Updated as of January 01, 2022
This is not the most recent data for Bethany Rehab and Hcc. For the most recent information, click here.
A list of the most recent deficiencies for Bethany Rehab and Hcc. 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? |
|---|---|---|---|---|
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-30 | 2021-12-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-07 | 2021-10-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-10 | 2021-08-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-03-24 | 2021-04-16 | 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 | 2021-03-24 | 2021-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-24 | 2021-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-24 | 2021-04-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-24 | 2021-04-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-17 | 2021-04-07 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-03-17 | 2021-04-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-17 | 2021-04-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-03-17 | 2021-04-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-17 | 2021-04-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-03-17 | 2021-04-05 | 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 | 2021-03-17 | 2021-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-17 | 2021-04-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-03-24 | 2021-03-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-02 | 2021-03-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-02 | 2021-03-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-01-27 | 2021-01-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-27 | 2021-01-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-12-09 | 2020-12-24 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-08-14 | 2020-08-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-08-14 | 2020-08-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-11 | 2019-12-12 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-20 | 2019-08-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-20 | 2019-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-20 | 2019-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-20 | 2019-08-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-20 | 2019-08-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-14 | 2019-08-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-08-14 | 2019-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-14 | 2019-08-22 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-14 | 2019-08-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-14 | 2019-08-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-08-14 | 2019-08-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-20 | 2019-08-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-28 | 2019-03-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-01-15 | 2019-01-16 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-13 | 2018-07-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-07-13 | 2018-07-31 | N |
| 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 | 2018-07-13 | 2018-07-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-07-13 | 2018-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-13 | 2018-07-31 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-07-13 | 2018-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-13 | 2018-07-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-18 | 2018-07-25 | N |
