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BETHANY VILLAGE RETIREMENT CENTER
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839928804
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Details
Costs
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CMS Inspection Results
The Center for Medicare & Medcaid Services (CMS) contracts with each state to conduct inspections once every 9-15 months to assure that certified facilities meet the minimum Medicare and Medicaid quality and performance standards.
- 06/29/2007 Fire Safety Survey for BETHANY VILLAGE RETIREMENT CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| automatic sprinkler systems that have been maintained in working order. | Pattern | Potential for minimal harm |
| Building Contruction | ||
| Deficiency | Scope | Level of Harm |
| approved construction type or materials. | Widespread | Potential for minimal harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Widespread | Potential for minimal harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| corridors or aisles that are unobstructed and are at least 8 feet in width. | Widespread | Potential for minimal harm |
| Fire Alarm Systems | ||
| Deficiency | Scope | Level of Harm |
| a fire alarm system that can be heard throughout the facility. | Widespread | Potential for minimal harm |
| Hazardous Area | ||
| Deficiency | Scope | Level of Harm |
| properly installed hallway dispensers for alcohol-based hand rub. | Widespread | Potential for minimal harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Widespread | Potential for minimal harm |
- 05/31/2007 Health Survey for BETHANY VILLAGE RETIREMENT CENTER
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Have a program to keep infection from spreading. | Isolated | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm |
| Pharmacy Service | ||
| Deficiency | Scope | Level of Harm |
| Properly mark drugs and other similar products. | Isolated | Minimal harm or potential for actual harm |
| At least once a month, have a licensed pharmacist check the drugs that each resident takes. | Isolated | Minimal harm or potential for actual harm |
| 1) Make sure that residents who take drugs are not given too many doses or for too long; 2) make sure that the use of drugs is carefully watched; or 3) stop or change drugs that cause unwanted effects. | Isolated | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Isolated | Minimal harm or potential for actual harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Minimal harm or potential for actual harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Resident Assessment | ||
| Deficiency | Scope | Level of Harm |
| Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. | Isolated | Minimal harm or potential for actual harm |
| Make sure all assessments are accurate, coordinated by an RN, done by the right professional, and are signed by the person completing them. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Allow residents to easily see the results of the nursing home's most recent survey. | Pattern | Potential for minimal harm |
- 06/26/2006 Fire Safety Survey for BETHANY VILLAGE RETIREMENT CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| an approved automatic sprinkler system connected to the fire alarm system. | Widespread | Potential for minimal harm |
| Building Contruction | ||
| Deficiency | Scope | Level of Harm |
| a two-hour-resistant firewall in common walls. | Pattern | Potential for minimal harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Pattern | Potential for minimal harm |
| Smoke Compartmentation and Control | ||
| Deficiency | Scope | Level of Harm |
| walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. | Widespread | Potential for minimal harm |
- 06/19/2006 Health Survey for BETHANY VILLAGE RETIREMENT CENTER
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Make sure there is a program to prevent/deal with mice, insects, or other pests. | Pattern | Minimal harm or potential for actual harm |
| Make sure that staff members wash their hands when needed. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give each resident care and services to get or keep the highest quality of life possible. | Isolated | Actual harm |
| Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. | Isolated | Actual harm |
| Give or get dental care for each resident. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm |
| Allow residents to easily see the results of the nursing home's most recent survey. | Pattern | Potential for minimal harm |
- 07/28/2005 Fire Safety Survey for BETHANY VILLAGE RETIREMENT CENTER
| Automatic Sprinkler Systems | ||
| Deficiency | Scope | Level of Harm |
| properly working alarms on sprinkler valves. | Widespread | Minimal harm or potential for actual harm |
| Building Contruction | ||
| Deficiency | Scope | Level of Harm |
| a two-hour-resistant firewall in common walls. | Pattern | Potential for minimal harm |
| approved construction type or materials. | Pattern | Potential for minimal harm |
| Corridor Walls and Doors | ||
| Deficiency | Scope | Level of Harm |
| corridor and hallway doors that block smoke. | Pattern | Potential for minimal harm |
| Electrical | ||
| Deficiency | Scope | Level of Harm |
| a separate and independent backup electrical power source. | Widespread | Minimal harm or potential for actual harm |
| Exits and Egress | ||
| Deficiency | Scope | Level of Harm |
| exits that are accessible at all times. | Isolated | Minimal harm or potential for actual harm |
| Illumination and Emergency Power | ||
| Deficiency | Scope | Level of Harm |
| emergency lighting that can last at least 1 1/2 hours. | Widespread | Potential for minimal harm |
| properly located and lighted Exit signs. | Pattern | Potential for minimal harm |
| Miscellaneous | ||
| Deficiency | Scope | Level of Harm |
| fire safety features required by current fire safety codes. | Widespread | Potential for minimal harm |
- 07/12/2005 Health Survey for BETHANY VILLAGE RETIREMENT CENTER
| Environmental | ||
| Deficiency | Scope | Level of Harm |
| Provide needed housekeeping and maintenance. | Isolated | Minimal harm or potential for actual harm |
| Mistreatment | ||
| Deficiency | Scope | Level of Harm |
| Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property. | Pattern | Minimal harm or potential for actual harm |
| 1) Hire only people who have no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Isolated | Minimal harm or potential for actual harm |
| Nutrition and Dietary | ||
| Deficiency | Scope | Level of Harm |
| Store, cook, and give out food in a safe and clean way. | Pattern | Minimal harm or potential for actual harm |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents are well nourished. | Pattern | Potential for minimal harm |
| Quality Care | ||
| Deficiency | Scope | Level of Harm |
| Give professional services that follow each resident's written care plan. | Isolated | Minimal harm or potential for actual harm |
| Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene. | Isolated | Minimal harm or potential for actual harm |
| Give the right treatment and services to residents who have mental or social problems adjusting. | Isolated | Minimal harm or potential for actual harm |
| Resident Rights | ||
| Deficiency | Scope | Level of Harm |
| Keep each resident's personal and medical records private and confidential. | Pattern | Minimal harm or potential for actual harm |
| Provide care in a way that keeps or builds each resident's dignity and self respect. | Isolated | Minimal harm or potential for actual harm |
| Provide services to meet the needs and preferences of each resident. | Isolated | Minimal harm or potential for actual harm |
| Give the resident's legal representative the same rights as the resident. | Pattern | Potential for minimal harm |
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