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Deficiency Records for Bethany Gardens Skilled Living Center

A list of the most recent deficiencies for Bethany Gardens Skilled Living 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 Bethany Gardens Skilled Living 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?
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-08 2023-04-07 Y
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2022-09-13 2022-10-21 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-13 2022-10-21 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-09-13 2022-10-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-09-13 2022-10-21 N
Provide and implement an infection prevention and control program. Health 2022-09-13 2022-10-21 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-09-13 2022-10-21 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-13 2022-10-21 N
Have an enclosure around a vertical opening shaft. Fire Safety 2019-12-16 2020-02-14 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 2019-12-16 2020-02-14 N
Install an approved automatic sprinkler system. Fire Safety 2019-12-16 2020-02-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-12-16 2020-02-14 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 2018-10-12 2018-12-11 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-10-12 2018-12-11 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2018-10-12 2018-12-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-10-12 2018-12-11 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 2018-10-12 2018-12-11 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-10-10 2018-12-09 N
Install an approved automatic sprinkler system. Fire Safety 2018-10-10 2018-12-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-10-10 2018-12-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-10-10 2018-12-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2019-12-16 Not Fixed N

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