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Deficiency Records for The Grand at Bethany Skilled Nursing and Therapy

View the most recent health deficiencies and inspection results for The Grand at Bethany Skilled Nursing and Therapy. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for The Grand at Bethany Skilled Nursing and Therapy. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2026-01-07 2026-02-03 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2026-01-07 2026-02-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2026-01-07 2026-02-03 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2026-01-07 2026-02-03 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 2026-01-07 2026-01-28 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2026-01-07 2026-01-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2026-01-07 2026-01-28 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2026-01-07 2026-01-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-08-19 2025-08-28 Y
Ensure each resident receives an accurate assessment. Health 2025-04-24 2025-05-20 Y
Assist a resident in gaining access to vision and hearing services. Health 2025-04-08 2025-04-15 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2025-02-27 2025-03-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2025-02-27 2025-03-03 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2025-01-13 2025-01-08 Y
Provide or get specialized rehabilitative services as required for a resident. Health 2024-09-03 2024-10-29 N
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Health 2024-09-03 2024-10-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-09-03 2024-10-29 N
Post nurse staffing information every day. Health 2024-09-03 2024-10-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-09-03 2024-10-29 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-09-03 2024-10-29 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-09-03 2024-10-29 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-09-03 2024-10-29 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-09-03 2024-10-29 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-09-03 2024-10-29 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2024-09-03 2024-10-29 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-09-03 2024-10-29 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2024-09-03 2024-10-29 N
Provide and implement an infection prevention and control program. Health 2024-09-03 2024-10-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-09-03 2024-10-29 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-09-03 2024-10-29 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-09-03 2024-10-25 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-09-03 2024-10-15 N
Provide properly protected cooking facilities. Fire Safety 2024-09-03 2024-10-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-09-03 2024-10-15 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-09-03 2024-10-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-10-09 2024-10-10 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-10-09 2024-09-23 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-07-30 2024-08-20 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-07-27 2023-12-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-07-27 2023-12-27 N
Provide properly protected cooking facilities. Fire Safety 2023-07-27 2023-12-27 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-07-27 2023-12-27 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-07-27 2023-09-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-07-27 2023-09-14 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-07-27 2023-09-14 N
Provide and implement an infection prevention and control program. Health 2023-07-27 2023-09-14 N

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