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Deficiency Records for Bethany Home

A list of the most recent deficiencies for Bethany Home. 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 Home. 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?
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-04-16 2024-07-03 N
Provide enough food/fluids to maintain a resident's health. Health 2024-04-17 2024-05-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-04-17 2024-05-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-04-17 2024-05-17 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-04-17 2024-05-17 N
Provide primary/alternate means for communication. Fire Safety 2024-04-16 2024-05-17 N
Provide family notifications of emergency plan. Fire Safety 2024-04-16 2024-05-17 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-04-16 2024-05-17 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 2024-04-16 2024-05-17 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-04-16 2024-05-17 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2024-04-16 2024-05-17 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-04-16 2024-05-17 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-04-16 2024-05-17 N
Provide a written emergency evacuation plan. Fire Safety 2024-04-16 2024-05-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-04-16 2024-05-17 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-04-16 2024-05-17 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 2024-04-16 2024-05-07 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-16 2023-03-27 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-03-16 2023-03-27 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-07 2022-03-31 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-03-07 2022-03-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-07 2022-03-31 N
Establish emergency prep training and testing. Fire Safety 2022-03-07 2022-03-31 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-03-07 2022-03-31 N
Install an approved automatic sprinkler system. Fire Safety 2022-03-07 2022-03-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-03-07 2022-03-31 N

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