Deficiency Records for Bethany Nursing Home, Inc
Updated as of October 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 |
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 |
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 |
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 |