All citations for Bethany at Silver Lake

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Bethany at Silver Lake

Last standard health inspection on record

March 20, 2026

Showing 1 to 25 of 54 citations

  1. Harm to a resident

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of May 2, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (June 12, 2024).

  2. Harm to a resident

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Isolated (one or a few residents). CMS level G.

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  3. No harm, with potential for more than minimal harm

    Establish policies and procedures including evacuation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0020, Emergency Preparedness Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

  4. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 16, 2025).

  5. No harm, with potential for more than minimal harm

    Develop Emergency Preparedness policies and procedures.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  6. No harm, with potential for more than minimal harm

    Establish policies and procedures for medical documentation.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0023, Emergency Preparedness Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  7. No harm, with potential for more than minimal harm

    Establish methods for sharing information.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0033, Emergency Preparedness Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  8. No harm, with potential for more than minimal harm

    Provide a means of sharing information on occupancy/needs.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0034, Emergency Preparedness Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  9. No harm, with potential for more than minimal harm

    Establish staff and initial training requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0037, Emergency Preparedness Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  10. No harm, with potential for more than minimal harm

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  11. No harm, with potential for more than minimal harm

    Have generator or other power source capable of supplying service within 10 seconds.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  12. No harm, with potential for more than minimal harm

    Provide or get specialized rehabilitative services as required for a resident.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of March 20, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

  13. No harm, with potential for more than minimal harm

    Keep aisles, corridors, and exits free of obstruction in case of emergency.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  14. No harm, with potential for more than minimal harm

    Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 17, 2026).

  15. No harm, with potential for more than minimal harm

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

    Pattern (more than a few residents). CMS level E.

    Health citation F-0655, Resident Assessment and Care Planning Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2025).

  16. No harm, with potential for more than minimal harm

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of December 20, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 30, 2025).

  17. No harm, with potential for more than minimal harm

    Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0550, Resident Rights Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  18. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0578, Resident Rights Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  19. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  20. No harm, with potential for more than minimal harm

    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.

    Pattern (more than a few residents). CMS level E.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 14, 2023).

  21. No harm, with potential for more than minimal harm

    Provide properly protected cooking facilities.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  22. No harm, with potential for more than minimal harm

    Inspect, test, and maintain automatic sprinkler systems.

    Pattern (more than a few residents). CMS level E.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 31, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 30, 2023).

  23. No harm, with potential for more than minimal harm

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0585, Resident Rights Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

  24. No harm, with potential for more than minimal harm

    Ensure each resident receives an accurate assessment.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0641, Resident Assessment and Care Planning Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

  25. No harm, with potential for more than minimal harm

    Provide activities to meet all resident's needs.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of March 20, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 24, 2026).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.