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Deficiency Records for Bethany Senior Living

A list of the most recent deficiencies for Bethany Senior Living. 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 Senior Living. 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?
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-08-02 2024-08-16 Y
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2024-05-03 2024-04-26 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-10-27 2023-11-15 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-10-27 2023-11-15 Y
Ensure each resident receives an accurate assessment. Health 2023-10-27 2023-11-15 Y
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-10-27 2023-11-15 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-10-27 2023-11-15 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-27 2023-11-15 Y
Provide and implement an infection prevention and control program. Health 2023-10-27 2023-11-15 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-10-12 2023-10-25 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-12 2023-10-25 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-10-12 2023-10-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-11 2023-10-10 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-18 2022-09-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-19 2022-09-08 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2021-06-25 2021-07-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-06-25 2021-07-23 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2021-06-23 2021-07-21 N
Ensure each resident receives an accurate assessment. Health 2021-06-23 2021-07-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-06-23 2021-07-21 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-06-23 2021-07-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-23 2021-07-21 N
Dispose of garbage and refuse properly. Health 2021-06-23 2021-07-21 N

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