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Deficiency Records for Bethany Village

A list of the most recent deficiencies for Bethany Village. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Bethany Village. 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?
Install an approved automatic sprinkler system. Fire Safety 2024-09-23 2024-10-10 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-09-23 2024-10-10 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-09-23 2024-10-10 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2024-09-23 2024-10-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-09-23 2024-10-10 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-09-23 2024-10-10 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-09-10 2024-09-30 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-09-10 2024-09-30 N
Ensure each resident receives an accurate assessment. Health 2024-09-10 2024-09-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-09-10 2024-09-30 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-09-10 2024-09-30 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-09-10 2024-09-30 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 2024-09-10 2024-09-30 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-10-24 2023-12-23 N
Install an approved automatic sprinkler system. Fire Safety 2023-10-24 2023-12-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-10-24 2023-12-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-10-24 2023-12-23 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-10-24 2023-12-23 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-10-24 2023-12-23 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-10-24 2023-12-23 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 2023-12-01 2023-12-20 Y
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2023-12-01 2023-12-20 Y
Provide and implement an infection prevention and control program. Health 2023-12-01 2023-12-20 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-29 2023-10-19 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-09-29 2023-10-19 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-09-20 2022-11-11 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-09-20 2022-11-11 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 2022-09-20 2022-11-07 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 2022-09-20 2022-11-07 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-09-20 2022-11-07 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-09-20 2022-11-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2022-09-20 2022-11-07 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-09-20 2022-11-07 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2022-09-20 2022-11-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-11 2022-09-13 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-08-11 2022-09-13 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2022-08-11 2022-09-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-11 2022-09-13 N

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