Deficiency Records for Bethesda Home
Updated as of July 01, 2021
This is not the most recent data for Bethesda Home. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-05 | 2019-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2019-12-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-05 | 2019-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2019-12-16 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-01-18 | 2019-02-14 | 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 | 2019-01-18 | 2019-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-18 | 2019-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-18 | 2019-02-14 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Develop a communication plan. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-11-20 | 2018-12-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-04 | 2018-10-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-10-18 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2017-06-14 | 2017-06-21 | N |
| Use approved construction type or materials. | Fire Safety | 2017-06-14 | 2017-06-21 | 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 | 2017-06-14 | 2017-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-14 | 2017-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-14 | 2017-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-06-14 | 2017-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-14 | 2017-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-14 | 2017-06-21 | N |
