A list of the most recent deficiencies for Bethesda. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-10-19 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-29 | 2022-02-07 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-01-27 | 2022-02-02 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-26 | 2021-10-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-08-26 | 2021-10-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-08-26 | 2021-10-15 | 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 | 2021-08-26 | 2021-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-23 | 2021-09-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-23 | 2021-09-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-04-25 | 2019-06-10 | 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 | 2019-04-25 | 2019-06-10 | 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 | 2019-04-25 | 2019-06-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-24 | 2019-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-24 | 2019-05-13 | N |
