A list of the most recent deficiencies for Bethany 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-04 | 2023-04-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-04 | 2023-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-30 | 2023-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-04-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-12-14 | 2022-01-14 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-14 | 2021-12-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-14 | 2021-12-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-12-14 | 2021-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-14 | 2021-12-15 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-14 | 2021-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-14 | 2021-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-14 | 2021-12-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-06 | 2019-11-22 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-31 | 2019-11-01 | 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 | 2019-10-31 | 2019-11-01 | N |
