Deficiency Records for Bethany Nursing Home, Inc

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Updated as of September 01, 2016

This is not the most recent data for Bethany Nursing Home, Inc. For the most recent information, click here.

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?
Try to resolve each resident's complaints quickly. Health 2014-03-13 2014-04-15 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 2014-03-13 2014-04-15 N
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Health 2014-03-13 2014-04-15 N
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Health 2014-03-13 2014-04-15 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2014-03-13 2014-04-15 N
Give residents a notice of rights, rules, services and charges. Health 2012-12-14 2013-01-21 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2012-12-14 2013-01-21 N
Keep residents' personal and medical records private and confidential. Health 2012-12-14 2013-01-21 N
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. Health 2012-12-14 2013-01-21 N
Provide activities to meet the interests and needs of each resident. Health 2012-12-14 2013-01-21 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2012-12-14 2013-01-21 N
Conduct initial and periodic assessments of each resident's functional capacity. Health 2012-12-14 2013-01-21 N
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2012-12-14 2013-01-21 N
Allow residents the right to participate in the planning or revision of care and treatment. Health 2012-12-14 2013-01-21 N
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Health 2012-12-14 2013-01-21 N
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Health 2012-12-14 2013-01-21 N
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. Health 2012-12-14 2013-01-21 N
Develop policies and procedures for influenza and pneumococcal immunizations. Health 2012-12-14 2013-01-21 N
Store, cook, and serve food in a safe and clean way. Health 2012-12-14 2013-01-21 N
Make sure that paid feeding assistants 1) completed training; 2) work under the supervision of a RN or LPN; and 3) feed only residents who have no complicated feeding problems. Health 2012-12-14 2013-01-21 N
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Health 2012-12-14 2013-01-21 N
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Health 2012-12-14 2013-01-21 N
Have a program that investigates, controls and keeps infection from spreading. Health 2012-12-14 2013-01-21 N
Keep accurate, complete and organized clinical records on each resident that meet professional standards. Health 2012-12-14 2013-01-21 N
Corridors that are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2012-12-13 2013-01-21 N
Corridor and hallway doors that block smoke. Fire Safety 2012-12-13 2013-01-21 N
Exits that are accessible at all times. Fire Safety 2012-12-13 2013-01-21 N
A fire alarm system that can be heard throughout the facility. Fire Safety 2012-12-13 2013-01-21 N
An approved automatic sprinkler system connected to the fire alarm system. Fire Safety 2012-12-13 2013-01-21 N
Automatic sprinkler systems that have been maintained in working order. Fire Safety 2012-12-13 2013-01-21 N
Portable fire extinguishers. Fire Safety 2012-12-13 2013-01-21 N
Weekly inspections and monthly testing of generators. Fire Safety 2012-12-13 2013-01-21 N
Properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2012-12-13 2013-01-21 N
Approved construction type or materials. Fire Safety 2015-06-29 Not Fixed N
An approved automatic sprinkler system connected to the fire alarm system. Fire Safety 2014-03-13 Not Fixed N
Properly working alarms on sprinkler valves. Fire Safety 2014-03-13 Not Fixed N
Automatic sprinkler systems that have been maintained in working order. Fire Safety 2014-03-13 Not Fixed N