A list of the most recent deficiencies for Bethesda Southgate. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-10 | 2022-12-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-10 | 2022-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-03 | 2022-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-03 | 2022-12-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-11-10 | 2022-12-01 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2019-09-25 | 2019-10-30 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-09-25 | 2019-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-25 | 2019-10-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-09-25 | 2019-10-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-25 | 2019-10-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-25 | 2019-10-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-25 | 2019-10-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-25 | 2019-10-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-16 | 2018-08-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-16 | 2018-08-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-16 | 2018-08-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-16 | 2018-08-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-16 | 2018-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-16 | 2018-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-16 | 2018-08-29 | N |
| Use approved construction type or materials. | Fire Safety | 2018-07-16 | 2018-08-29 | N |
| Meet other general requirements. | Fire Safety | 2018-07-16 | 2018-08-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-16 | 2018-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-16 | 2018-08-29 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-07-16 | 2018-08-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-07-16 | 2018-08-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-07-16 | 2018-08-29 | N |
