Deficiency Records for Bethany Gardens Skilled Living Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Bethany Gardens Skilled Living Center. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-08 | 2023-04-07 | Y |
| 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 | 2022-09-13 | 2022-10-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-13 | 2022-10-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-13 | 2022-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-13 | 2022-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-13 | 2022-10-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-13 | 2022-10-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-16 | 2020-02-14 | 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 | 2019-12-16 | 2020-02-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-12-16 | 2020-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-16 | 2020-02-14 | 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 | 2018-10-12 | 2018-12-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-12 | 2018-12-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-12 | 2018-12-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-12 | 2018-12-11 | 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 | 2018-10-12 | 2018-12-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-10 | 2018-12-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-10 | 2018-12-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-10-10 | 2018-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-10 | 2018-12-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-16 | Not Fixed | N |
