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Deficiency Records for Bethany Lutheran Home
View the most recent health deficiencies and inspection results for Bethany Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bethany Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-10-02 | 2025-11-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-10-02 | 2025-11-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-10-02 | 2025-11-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-10-02 | 2025-11-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-02 | 2025-11-25 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-10-02 | 2025-11-25 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-10-02 | 2025-11-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-10-02 | 2025-10-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-10-02 | 2025-10-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-10-02 | 2025-10-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-10-02 | 2025-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-10-02 | 2025-07-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-30 | 2025-05-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-30 | 2025-04-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-13 | 2025-03-24 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-03-13 | 2025-03-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-03-13 | 2025-02-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-03-13 | 2025-02-14 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-10-31 | 2025-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-31 | 2025-01-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-10-31 | 2025-01-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-31 | 2025-01-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-10-31 | 2025-01-02 | 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 | 2024-10-31 | 2025-01-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-10-31 | 2025-01-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-31 | 2025-01-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-10-31 | 2024-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-31 | 2024-11-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-10-31 | 2024-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-31 | 2024-11-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-10-31 | 2024-11-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-12 | 2024-08-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-12 | 2024-08-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-14 | 2024-05-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-14 | 2024-05-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-02 | 2023-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-11-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-21 | 2023-09-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-21 | 2023-09-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-21 | 2023-09-14 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-21 | 2023-09-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-21 | 2023-09-14 | Y |
| 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 | 2023-08-21 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-09-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-21 | 2023-09-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-21 | 2023-09-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-21 | 2023-09-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-21 | 2023-09-14 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-21 | 2023-09-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-21 | 2023-09-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-21 | 2023-09-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-21 | 2023-09-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-21 | 2023-09-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-21 | 2023-09-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-21 | 2023-09-06 | N |