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Deficiency Records for Bethesda
View the most recent health deficiencies and inspection results for Bethesda. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bethesda. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-12-10 | 2026-02-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-12-10 | 2026-02-02 | 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 | 2025-12-10 | 2026-02-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-10 | 2026-02-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-10 | 2026-02-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-10 | 2026-02-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-12-10 | 2026-02-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-12-10 | 2026-02-02 | 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 | 2025-12-10 | 2026-02-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-12-10 | 2026-01-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-10 | 2026-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-10 | 2026-01-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-10 | 2026-01-23 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-12-10 | 2026-01-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-05 | 2024-12-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-05 | 2024-12-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-05 | 2024-12-12 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-25 | 2024-12-06 | 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 | 2024-10-25 | 2024-12-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-25 | 2024-12-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-25 | 2024-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-25 | 2024-12-06 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-10-25 | 2024-12-06 | 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 | 2024-10-25 | 2024-11-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-25 | 2024-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-25 | 2024-11-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-10-25 | 2024-11-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-03 | 2024-06-19 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-24 | 2024-03-01 | 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 | 2024-01-24 | 2024-02-23 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-24 | 2024-02-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-24 | 2024-02-23 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-24 | 2024-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-24 | 2024-02-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-24 | 2024-02-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-24 | 2024-02-23 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-01-24 | 2024-02-23 | N |