Deficiency Records for Bethany Gardens Skilled Living Center
Updated as of April 01, 2021
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? |
|---|---|---|---|---|
| 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 |
| 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 necessary and PRN use is limited. | 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 |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-12-16 | Not Fixed | N |
