CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bethany at Silver Lake
View the most recent health deficiencies and inspection results for Bethany at Silver Lake. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bethany at Silver Lake. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2026-03-20 | 2026-04-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-03-20 | 2026-04-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-03-20 | 2026-04-24 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2026-03-20 | 2026-04-24 | N |
| Provide activities to meet all resident's needs. | Health | 2026-03-20 | 2026-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-03-20 | 2026-04-24 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-03-20 | 2026-04-24 | 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 | 2026-03-20 | 2026-04-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-03-20 | 2026-04-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-03-20 | 2026-04-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-12-20 | 2025-01-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-20 | 2025-01-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-20 | 2025-01-30 | 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 | 2024-12-20 | 2025-01-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-12-20 | 2025-01-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-12-20 | 2025-01-30 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-12-20 | 2025-01-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-20 | 2025-01-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-12-20 | 2025-01-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-02 | 2024-06-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-31 | 2023-12-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-31 | 2023-12-14 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-10-31 | 2023-12-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-31 | 2023-12-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-31 | 2023-12-14 | 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 | 2023-10-31 | 2023-12-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-31 | 2023-12-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-31 | 2023-12-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-31 | 2023-12-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-10-31 | 2023-12-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-10-31 | 2023-12-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-31 | 2023-12-14 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-31 | 2023-12-14 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-10-31 | 2023-12-14 | 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 | 2023-10-31 | 2023-12-14 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2023-10-31 | 2023-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-31 | 2023-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-31 | 2023-12-14 | 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 | 2023-10-31 | 2023-12-14 | N |
| Respond appropriately to all alleged violations. | Health | 2023-10-31 | 2023-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-31 | 2023-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Establish methods for sharing information. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-10-31 | 2023-11-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-06 | 2023-08-01 | Y |