A list of the most recent deficiencies for Bethel Home. 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? |
|---|---|---|---|---|
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-07 | 2023-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-07 | 2023-07-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-07 | 2023-07-07 | 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 | 2023-06-08 | 2023-06-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-08 | 2023-06-19 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-08 | 2023-06-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-08 | 2023-06-13 | 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 | 2023-04-24 | 2023-05-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-17 | 2023-05-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-19 | 2022-08-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-19 | 2022-08-05 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-07-20 | 2022-07-21 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-20 | 2022-07-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-20 | 2022-07-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-20 | 2022-07-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-20 | 2022-07-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-03 | 2022-06-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-03 | 2022-06-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-03 | 2022-06-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-16 | 2021-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-16 | 2021-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-16 | 2021-07-17 | 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 | 2021-06-17 | 2021-07-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-17 | 2021-07-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-17 | 2021-07-14 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-17 | 2021-07-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-17 | 2021-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-17 | 2021-06-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-17 | 2021-06-30 | N |
