Deficiency Records for Bethany Gardens Skilled Living Center
Updated as of June 01, 2019
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? |
---|---|---|---|---|
Ensure that residents are free from significant medication errors. | Health | 2019-02-25 | 2019-03-05 | Y |
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 |
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 ne | 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 | Y |
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 |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-22 | 2018-10-21 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-22 | 2018-10-21 | Y |
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 |