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Deficiency Records for Bethany Nursing Home, Inc
A list of the most recent deficiencies for Bethany Nursing Home, 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 Bethany Nursing Home, 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-04 | 2024-05-08 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-04 | 2024-05-08 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-04 | 2024-05-08 | 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 | 2024-04-04 | 2024-05-08 | N |
Implement a program that monitors antibiotic use. | Health | 2024-04-04 | 2024-05-08 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-03 | 2024-05-08 | 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 | 2024-04-03 | 2024-05-08 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-03 | 2024-05-08 | N |
Meet other general requirements that are deficient. | Fire Safety | 2024-04-03 | 2024-05-08 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-03 | 2024-05-08 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-04-03 | 2024-05-08 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-03 | 2024-05-08 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2024-04-03 | 2024-05-08 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-08 | 2023-07-07 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-06-08 | 2023-07-07 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-08 | 2023-07-07 | Y |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-06 | 2023-07-07 | 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 | 2023-06-06 | 2023-07-07 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
Meet other general requirements that are deficient. | Fire Safety | 2023-06-06 | 2023-07-07 | 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 | 2023-06-06 | 2023-07-07 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-06 | 2023-07-07 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-06 | 2023-07-07 | 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 | 2020-03-09 | 2020-03-12 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-03-09 | 2020-03-12 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-09 | 2020-03-12 | N |
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