A list of the most recent deficiencies for Bethany Village. 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? |
|---|---|---|---|---|
| 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 | 2022-10-27 | 2022-11-30 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-10-25 | 2022-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-25 | 2022-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-25 | 2022-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-25 | 2022-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-10-25 | 2022-11-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-03-05 | 2021-03-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-10-29 | 2019-12-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-29 | 2019-12-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-10-29 | 2019-12-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-10-29 | 2019-12-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-29 | 2019-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-13 | 2018-10-08 | N |
