Deficiency Records for The Grand at Bethany Skilled Nursing and Therapy
Updated as of March 01, 2019
This is not the most recent data for The Grand at Bethany Skilled Nursing and Therapy. For the most recent information, click here.
A list of the most recent deficiencies for The Grand at Bethany Skilled Nursing and Therapy. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-05 | 2018-10-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-09-05 | 2018-10-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-09-05 | 2018-10-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-05 | 2018-10-07 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-05 | 2018-10-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-05 | 2018-10-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-09-05 | 2018-10-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2017-12-21 | 2018-03-21 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2017-12-21 | 2018-03-17 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2017-12-21 | 2018-02-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-21 | 2018-02-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-21 | 2018-02-17 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-15 | 2017-07-18 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-15 | 2017-07-18 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-15 | 2017-07-18 | Y |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-06-15 | 2017-07-18 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-15 | 2017-07-18 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-14 | 2017-07-14 | 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 | 2017-06-14 | 2017-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-14 | 2017-07-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2017-06-14 | 2017-07-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-14 | 2017-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-14 | 2017-07-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-06-14 | 2017-07-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-02-14 | 2017-03-15 | Y |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2017-02-14 | 2017-03-15 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-02 | 2016-08-19 | Y |
| 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 | 2016-03-29 | 2016-06-23 | N |
| Exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2016-03-24 | 2016-05-04 | N |
| Exits that are accessible at all times. | Fire Safety | 2016-03-24 | 2016-05-04 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-03-24 | 2016-05-04 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-03-24 | 2016-05-04 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-24 | 2016-05-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-04-15 | 2016-05-04 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-15 | 2016-05-04 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-29 | 2016-05-04 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-03-29 | 2016-05-04 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-03-29 | 2016-05-04 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-03-29 | 2016-05-04 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-03-29 | 2016-05-04 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-03-29 | 2016-05-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-29 | 2016-05-04 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-29 | 2016-05-04 | N |
