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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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-11 | 2024-11-10 | 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 | 2024-09-11 | 2024-11-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-09-11 | 2024-11-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-11 | 2024-10-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-11 | 2024-10-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-11 | 2024-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-11 | 2024-10-25 | N |
| 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 |
| 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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