Deficiency Records for Bethany Gardens Skilled Living Center
Updated as of February 01, 2018
This is not the most recent data for Bethany Gardens Skilled Living Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-05-26 | 2017-07-24 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-26 | 2017-07-24 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-26 | 2017-07-24 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-26 | 2017-07-24 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-05-26 | 2017-07-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-26 | 2017-07-24 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-05-26 | 2017-07-24 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-05-26 | 2017-07-24 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-05-24 | 2017-07-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-24 | 2017-07-21 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2017-05-24 | 2017-07-21 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2017-05-24 | 2017-07-21 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-24 | 2017-03-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-02 | 2017-01-30 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-12-02 | 2017-01-30 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-12-02 | 2017-01-30 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-12-02 | 2017-01-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-02 | 2017-01-30 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-12-02 | 2017-01-30 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-02 | 2017-01-30 | Y |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-03 | 2016-03-22 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-02-03 | 2016-03-22 | N |
| Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2016-02-03 | 2016-03-22 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-03 | 2016-03-22 | N |
| Provide housekeeping and maintenance services. | Health | 2016-02-03 | 2016-03-22 | N |
| Maintain comfortable sound levels. | Health | 2016-02-03 | 2016-03-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-03 | 2016-03-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-03 | 2016-03-22 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-03 | 2016-03-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-03 | 2016-03-22 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-02-03 | 2016-03-22 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-02-03 | 2016-03-22 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-02-03 | 2016-03-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-03 | 2016-03-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-03 | 2016-03-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-10-22 | 2015-12-18 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2015-10-22 | 2015-12-18 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-10-22 | 2015-12-18 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-22 | 2015-12-18 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-01-09 | 2015-03-19 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2015-01-09 | 2015-03-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-01-09 | 2015-03-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2015-01-09 | 2015-03-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-01-09 | 2015-03-10 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-01-09 | 2015-03-10 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-01-09 | 2015-03-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-01-09 | 2015-03-10 | N |
| Give or get specialized rehabilitative services per the patient's assessment or plan of care. | Health | 2015-01-09 | 2015-03-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-01-09 | 2015-03-10 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-01-16 | 2015-02-13 | N |
