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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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