Deficiency Records for Bethany On University
Updated as of October 01, 2023
This is not the most recent data for Bethany On University. For the most recent information, click here.
A list of the most recent deficiencies for Bethany On University. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-21 | 2023-03-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-29 | 2022-10-27 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-03 | 2022-10-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-05 | 2021-09-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-05 | 2021-09-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-05 | 2021-09-06 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2021-08-05 | 2021-09-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-05 | 2021-09-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-01-12 | 2021-02-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-01-12 | 2021-02-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-03 | 2020-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-03 | 2020-11-20 | N |
| 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 | 2019-08-29 | 2019-09-29 | 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 | 2019-08-29 | 2019-09-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-29 | 2019-09-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-29 | 2019-09-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-29 | 2019-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-29 | 2019-09-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-02 | 2019-08-15 | N |
| Provide hallway or ground-level exits in all residents' rooms. | Fire Safety | 2019-07-02 | 2019-08-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-07-02 | 2019-08-15 | N |
