A list of the most recent deficiencies for Bethel 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-09-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-02-01 | 2023-03-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-01 | 2023-03-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-01 | 2023-03-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-01 | 2023-03-04 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-02-01 | 2023-03-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-01 | 2023-03-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-13 | 2023-01-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-13 | 2022-12-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-03-24 | 2021-04-09 | 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 | 2019-08-08 | 2019-08-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-08 | 2019-08-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-08 | 2019-08-20 | 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 | 2019-08-08 | 2019-08-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-23 | 2019-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-23 | 2019-01-31 | N |
