CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Bethel Lutheran Home
View the most recent health deficiencies and inspection results for Bethel Lutheran Home. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bethel Lutheran Home. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-12-05 | 2026-01-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-12-05 | 2025-12-26 | 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 | 2025-12-05 | 2025-12-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-12-05 | 2025-12-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-05 | 2025-12-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-05 | 2025-12-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-05 | 2025-12-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-12-05 | 2025-12-26 | 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 | 2025-12-05 | 2025-12-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-05 | 2025-12-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-12-05 | 2025-12-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-05 | 2025-12-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2025-12-05 | 2025-12-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-12-05 | 2025-12-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-05 | 2025-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-12-05 | 2025-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-12-05 | 2025-12-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-22 | 2025-09-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-22 | 2025-09-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-15 | 2024-12-06 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-11-15 | 2024-12-06 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-11-15 | 2024-12-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-28 | 2024-11-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-10-28 | 2024-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-28 | 2024-11-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-28 | 2024-11-22 | 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 | 2024-10-28 | 2024-11-22 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-10-28 | 2024-11-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-28 | 2024-11-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-10-28 | 2024-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-28 | 2024-11-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-28 | 2024-11-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-28 | 2024-11-22 | N |
| Keep all essential equipment working safely. | Health | 2024-10-28 | 2024-11-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-10-28 | 2024-11-22 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-10-28 | 2024-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-01 | 2024-01-21 | N |
| Dispose of garbage and refuse properly. | Health | 2023-12-01 | 2024-01-21 | 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 | 2023-12-01 | 2024-01-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-01 | 2024-01-21 | 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 | 2023-12-01 | 2024-01-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-01 | 2024-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2024-01-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-01 | 2024-01-21 | 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 | 2023-12-01 | 2024-01-21 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-12-01 | 2024-01-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-12-01 | 2024-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-01 | 2024-01-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-01 | 2023-12-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-01 | 2023-12-26 | N |