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Deficiency Records for Bethel Health Care Center
A list of the most recent deficiencies for Bethel Health Care Center. 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 Bethel Health Care Center. 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? |
|---|---|---|---|---|
| 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 | 2023-03-08 | 2023-03-28 | 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 | 2023-03-08 | 2023-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-08 | 2023-03-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-08 | 2023-03-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-08 | 2023-03-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-08 | 2023-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-08 | 2023-03-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-23 | 2023-02-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-23 | 2023-02-28 | Y |
| 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 | 2023-01-23 | 2023-02-28 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-07 | 2021-08-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-09 | 2019-10-04 | 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 | 2019-09-09 | 2019-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-09 | 2019-10-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-09 | 2019-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-09 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-09 | 2019-10-04 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-19 | 2019-09-17 | N |
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