CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bethel Manor
View the most recent health deficiencies and inspection results for Bethel Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bethel Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-16 | 2026-04-08 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-22 | 2025-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-22 | 2025-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-22 | 2025-09-21 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2025-08-22 | 2025-09-21 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-08-22 | 2025-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-22 | 2025-09-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-05 | 2025-04-03 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2024-07-26 | 2024-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-26 | 2024-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-26 | 2024-09-26 | N |
| Post nurse staffing information every day. | Health | 2024-07-26 | 2024-09-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-26 | 2024-09-05 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-26 | 2024-09-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-26 | 2024-09-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-26 | 2024-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-26 | 2024-09-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-26 | 2024-09-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-26 | 2024-09-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-26 | 2024-09-05 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-07-26 | 2024-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-26 | 2024-09-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-07-26 | 2024-09-05 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-07-26 | 2024-09-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-26 | 2024-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-09-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-26 | 2024-09-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-26 | 2024-09-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Develop a communication plan. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-21 | 2023-06-02 | 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 | 2023-04-21 | 2023-06-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-21 | 2023-06-02 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-21 | 2023-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-21 | 2023-05-22 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-21 | 2023-05-22 | N |
| Post nurse staffing information every day. | Health | 2023-04-21 | 2023-05-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-04-21 | 2023-05-22 | 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 | 2023-04-21 | 2023-05-22 | N |