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 22 of 22 citations

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

    Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program.

    Widespread (many residents). CMS level F.

    Health citation F-0945, Infection Control Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.

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

  2. 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).

  3. 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).

  4. 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 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2023).

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

    Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.

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

    Health citation F-0947, Nursing and Physician Services Deficiencies. Inspection of July 14, 2026. Found during a complaint inspection.

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

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.

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

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of March 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2023).

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

    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 D.

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 14, 2026. Found during a complaint inspection.

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

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 14, 2026. Found during a complaint inspection.

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

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

    Reasonably accommodate the needs and preferences of each resident.

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

    Health citation F-0558, Resident Rights Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.

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

  11. 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 June 10, 2026. Found during a standard inspection.

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

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

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

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

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.

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

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

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

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

    Health citation F-0692, Quality of Life and Care Deficiencies. Inspection of June 10, 2026. Found during a standard inspection.

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

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

    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

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

    Health citation F-0580, Resident Rights Deficiencies. Inspection of September 2, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  15. 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 September 2, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (September 17, 2025).

  16. 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).

  17. 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).

  18. 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).

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

    Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

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

    Health citation F-0756, Pharmacy Service Deficiencies. Inspection of March 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2023).

  20. 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 March 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2023).

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

    Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

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

    Health citation F-0804, Nutrition and Dietary Deficiencies. Inspection of March 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2023).

  22. No harm, with potential for minimal harm

    Post nurse staffing information every day.

    Widespread (many residents). CMS level C.

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of March 15, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 28, 2023).

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.