A list of the most recent deficiencies for Bethany Home - Brandon. 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-20 | 2023-09-03 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-07-20 | 2023-09-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-20 | 2023-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-27 | 2022-06-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-27 | 2022-06-16 | 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 | 2022-02-16 | 2022-04-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-12 | 2019-07-09 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-12 | 2019-07-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-12 | 2019-07-09 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-12 | 2019-07-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-12 | 2019-07-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-12 | 2019-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-12 | 2019-07-09 | 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 | 2019-06-12 | 2019-07-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-06-12 | 2019-07-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-12 | 2019-07-09 | N |
