A list of the most recent deficiencies for Bethany Nursing Home, Inc. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-08 | 2023-07-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-08 | 2023-07-07 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-06 | 2023-07-07 | 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 | 2023-06-06 | 2023-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2020-03-09 | 2020-03-12 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-03-09 | 2020-03-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-09 | 2020-03-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-29 | 2019-02-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-01-29 | 2019-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-29 | 2019-02-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-29 | 2019-02-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-29 | 2019-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-29 | 2019-02-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-01-29 | 2019-02-22 | N |
