CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bethany at Pacific
View the most recent health deficiencies and inspection results for Bethany at Pacific. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bethany at Pacific. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-06-11 | 2025-07-18 | Y |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2025-04-21 | 2025-06-03 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2025-04-21 | 2025-06-03 | 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 | 2025-04-21 | 2025-06-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-04-21 | 2025-06-03 | 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 | 2025-04-21 | 2025-06-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-04-21 | 2025-06-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-21 | 2025-06-03 | N |
| Respond appropriately to all alleged violations. | Health | 2025-04-21 | 2025-06-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-04-21 | 2025-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-21 | 2025-06-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-21 | 2025-06-03 | 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 | 2025-04-21 | 2025-06-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-21 | 2025-06-03 | 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 | 2025-04-21 | 2025-06-03 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-04-21 | 2025-06-03 | 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 | 2025-04-21 | 2025-06-03 | 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 | 2025-04-21 | 2025-06-03 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-04-21 | 2025-05-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-04-21 | 2025-05-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-21 | 2025-05-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-21 | 2025-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-21 | 2025-05-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-21 | 2025-05-19 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2025-04-21 | 2025-05-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-04-21 | 2025-05-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-12 | 2024-07-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-12 | 2024-07-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-12 | 2024-07-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-12 | 2024-07-17 | 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 | 2024-06-12 | 2024-07-17 | 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 | 2024-06-12 | 2024-07-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-12 | 2024-07-17 | 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 | 2024-06-12 | 2024-07-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-12 | 2024-07-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-06-12 | 2024-07-17 | 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 | 2024-06-12 | 2024-07-17 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-12 | 2024-07-17 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-06-12 | 2024-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-12 | 2024-07-17 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-06-12 | 2024-07-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-12 | 2024-07-17 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Develop a communication plan. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Establish methods for sharing information. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-12 | 2024-07-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-16 | 2024-06-25 | Y |
| 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 | 2024-05-16 | 2024-06-25 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-16 | 2024-06-25 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-17 | 2024-05-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-17 | 2024-05-17 | Y |
| Keep signed and dated reports of x-rays and other diagnostic services in the residents record. | Health | 2024-04-17 | 2024-05-17 | Y |
| Keep complete, dated laboratory records in the resident's record. | Health | 2024-04-17 | 2024-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-17 | 2024-05-17 | Y |
| 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 | 2024-04-17 | 2024-05-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-07 | 2023-09-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-07 | 2023-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-07 | 2023-09-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-07 | 2023-09-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-07 | 2023-09-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Establish methods for sharing information. | Fire Safety | 2023-08-07 | 2023-08-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-13 | 2023-07-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-06-13 | 2023-07-07 | Y |