All citations for Bethany Home Association

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 Home Association

Last standard health inspection on record

June 10, 2026

Showing 1 to 21 of 21 citations

  1. 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 June 25, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (July 7, 2025).

  2. 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 August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2024).

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

    Establish emergency prep training and testing.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Implement emergency and standby power systems.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0223, Egress Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Have properly located and lighted "Exit" signs.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0293, Egress Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  7. 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.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide properly protected cooking facilities.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  9. 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 August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  10. 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 August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0362, Smoke Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Install corridor and hallway doors that block smoke.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  13. 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 August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  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 August 14, 2024. Found during a standard inspection.

    A waiver was granted (October 11, 2024).

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

    Have restrictions on the use of flammable curtains.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    To conduct inspection, testing and maintenance of fire doors by qualified individuals.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

  17. 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 August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Ensure proper usage of power strips and extension cords.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 11, 2024).

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

    Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

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

    Health citation F-0690, Quality of Life and Care Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2024).

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

    Provide care or services that was trauma informed and/or culturally competent.

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

    Health citation F-0699, Quality of Life and Care Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2024).

  21. 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.

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

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of August 14, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 6, 2024).

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.