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Deficiency Records for Bethel Nursing Home Company Inc
A list of the most recent deficiencies for Bethel Nursing Home Company Inc. 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 Nursing Home Company Inc. 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 | 2023-09-01 | 2023-12-28 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-06 | 2023-11-10 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-09-06 | 2023-11-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-09-06 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-06 | 2023-11-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-08 | 2023-10-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-08 | 2023-10-02 | 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 | 2023-08-08 | 2023-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-08 | 2023-10-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-08 | 2023-10-02 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-08 | 2023-10-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-08 | 2023-10-02 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-08 | 2023-10-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-29 | 2022-01-20 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-07-27 | 2021-09-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-07-27 | 2021-09-25 | 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 | 2021-07-27 | 2021-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-27 | 2021-09-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-27 | 2021-09-25 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-07-27 | 2021-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-27 | 2021-09-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-27 | 2021-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-27 | 2021-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-27 | 2021-09-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-04 | 2020-02-03 | 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 | 2019-12-04 | 2020-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-04 | 2020-02-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-04 | 2020-02-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-12-04 | 2020-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-04 | 2020-02-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-04 | 2020-02-03 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-11-07 | 2020-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2020-01-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-07 | 2020-01-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-11-07 | 2020-01-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-11-07 | 2020-01-02 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-11-07 | 2020-01-02 | N |
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