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 45 citations

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of April 21, 2026. Found during a complaint inspection.

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

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

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Widespread (many residents). CMS level F.

    Health citation F-0725, Nursing and Physician Services Deficiencies. Inspection of March 24, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

    Widespread (many residents). CMS level F.

    Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

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

  4. 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.

    Widespread (many residents). CMS level F.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

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

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

    Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times.

    Widespread (many residents). CMS level F.

    Health citation F-0809, Nutrition and Dietary Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Have a plan that describes the process for conducting QAPI and QAA activities.

    Widespread (many residents). CMS level F.

    Health citation F-0865, Administration Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

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

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

    Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

    Widespread (many residents). CMS level F.

    Health citation F-0868, Administration Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Provide and implement an infection prevention and control program.

    Widespread (many residents). CMS level F.

    Health citation F-0880, Infection Control Deficiencies. Inspection of March 24, 2026. Found during a standard inspection and a complaint inspection.

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

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of March 24, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

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

    Provide activities to meet all resident's needs.

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

    Health citation F-0679, Quality of Life and Care Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

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

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

    Provide enough food/fluids to maintain a resident's health.

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

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

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

    Provide care and assistance to perform activities of daily living for any resident who is unable.

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

    Health citation F-0677, Quality of Life and Care Deficiencies. Inspection of April 21, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (May 4, 2026).

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

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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

    Health citation F-0755, Pharmacy Service Deficiencies. Inspection of April 21, 2026. Found during a complaint inspection.

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

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

    Ensure that residents are fully informed and understand their health status, care and treatments.

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

    Health citation F-0552, Resident Rights Deficiencies. Inspection of March 24, 2026. Found during a standard inspection and a complaint inspection.

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

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

    Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

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

    Health citation F-0561, Resident Rights Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death.

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

    Health citation F-0569, Resident Rights Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Keep residents' personal and medical records private and confidential.

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

    Health citation F-0583, Resident Rights Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.

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

    Health citation F-0605, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

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

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

    Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

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

    Health citation F-0628, Resident Rights Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

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

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

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

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

    Health citation F-0640, Resident Assessment and Care Planning Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

  21. 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 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

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

    Health citation F-0656, Resident Assessment and Care Planning Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

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

  23. 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.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

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

    Health citation F-0676, Quality of Life and Care Deficiencies. Inspection of March 24, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 24, 2026. Found during a standard inspection and a complaint inspection.

    The home gave a date the problem would be corrected (April 20, 2026).

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.