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Deficiency Records for Bethany On The Lake LLC
A list of the most recent deficiencies for Bethany On The Lake LLC. 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 On The Lake LLC. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-10 | 2025-01-07 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-12-12 | 2024-12-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-05 | 2024-06-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-05 | 2024-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-05 | 2024-06-26 | 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 | 2024-06-04 | 2024-06-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-04 | 2024-06-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-27 | 2023-05-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-04 | 2023-01-17 | Y |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-09-29 | 2021-12-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-29 | 2021-11-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-30 | 2021-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-11-04 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-29 | 2021-11-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-29 | 2021-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-09-29 | 2021-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-29 | 2021-11-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-29 | 2021-10-14 | 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 | 2021-09-29 | 2021-10-04 | N |
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