A list of the most recent deficiencies for Bethany Home, Inc.. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-08 | 2023-07-31 | 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 | 2023-06-08 | 2023-07-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-08 | 2023-07-31 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-06-08 | 2023-07-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-08 | 2023-07-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-07 | 2023-07-31 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-06-07 | 2023-07-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-07 | 2023-07-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-07 | 2023-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-07 | 2023-07-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-07 | 2023-07-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-07 | 2023-07-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-22 | 2022-04-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-04-29 | 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 | 2022-03-22 | 2022-04-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-22 | 2022-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-22 | 2022-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-22 | 2022-04-29 | 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 | 2022-03-22 | 2022-04-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-22 | 2022-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-07-30 | 2020-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-30 | 2020-09-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-07-29 | 2020-08-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-07-29 | 2020-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-07-29 | 2020-08-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2020-07-29 | 2020-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-07-29 | 2020-08-18 | N |
