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Deficiency Records for Bethesda Care Center
A list of the most recent deficiencies for Bethesda 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 Bethesda 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-30 | 2024-07-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-30 | 2024-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-30 | 2024-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-30 | 2024-07-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-30 | 2024-07-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-30 | 2024-07-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-05-30 | 2024-07-05 | 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 | 2024-05-30 | 2024-07-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-30 | 2024-07-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-30 | 2024-07-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| 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 | 2024-05-28 | 2024-07-05 | 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 | 2024-05-28 | 2024-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-28 | 2024-07-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-27 | 2023-07-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-27 | 2023-07-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-27 | 2023-07-18 | N |
| 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 | 2023-04-27 | 2023-07-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-27 | 2023-07-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-04-27 | 2023-07-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-26 | 2023-07-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-26 | 2022-11-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-25 | 2022-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-09-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-27 | 2022-07-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-12 | 2022-05-27 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-12-12 | 2020-01-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-12 | 2020-01-30 | 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 | 2019-12-12 | 2020-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-30 | N |
| 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 | 2019-12-09 | 2020-01-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-09 | 2020-01-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-09 | 2020-01-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-09 | 2020-01-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-12-09 | 2020-01-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-09 | 2020-01-30 | N |
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