Deficiency Records for Bethany Home, Inc.
Updated as of July 01, 2022
This is not the most recent data for Bethany Home, Inc.. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-28 | 2019-04-11 | 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 | 2019-02-28 | 2019-04-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-28 | 2019-04-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-28 | 2019-04-11 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-02-28 | 2019-04-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-28 | 2019-04-11 | 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 | 2019-02-25 | 2019-04-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-25 | 2019-04-04 | 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 | 2019-02-25 | 2019-04-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-02-25 | 2019-04-04 | N |
