All citations for Bethany Health & Rehabilitation Center

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 Health & Rehabilitation Center

Last standard health inspection on record

March 24, 2026

Showing 1 to 25 of 36 citations

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

    Develop and maintain an Emergency Preparedness Program (EP).

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  2. 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 March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0211, Egress Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Have approved installation, maintenance and testing program for fire alarm systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0345, Smoke Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Meet other general requirements that are deficient.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0500, Services Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Inspect, test, and maintain automatic sprinkler systems.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

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

    Have properly installed electrical wiring and gas equipment.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0511, Services Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

  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 April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

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

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Have properly sized and located compartments to protect residents from smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0371, Smoke Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0521, Services Deficiencies. Inspection of June 8, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 7, 2023).

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

    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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

  16. 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 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Install smoke barrier doors that can resist smoke for at least 20 minutes.

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

    Fire safety citation K-0374, Smoke Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

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

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home has a plan to correct it (May 8, 2027).

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

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

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

    Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home has a plan to correct it (May 8, 2027).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 29, 2026).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

  23. 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 April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

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

    Meet other general requirements that are deficient.

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

    Fire safety citation K-0500, Services Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

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

    Have a battery powered remote alarm panel in a location accessible by operating personnel.

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

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of April 4, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 8, 2024).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of October 1, 2026. Inspection results describe the home at the time of each inspection.