All citations for Bethany Nursing Home & Health Related Facility Inc

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 Nursing Home & Health Related Facility Inc

Last standard health inspection on record

March 21, 2025

Showing 1 to 12 of 12 citations

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

    Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards.

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

    Health citation F-0836, Administration Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  2. 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 March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

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

    Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

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

    Fire safety citation K-0372, Smoke Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

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

    Have simulated fire drills held at unexpected times.

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

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

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

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

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

    Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  6. 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, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

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

    Ensure that testing and maintenance of electrical equipment is performed.

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

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  8. 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, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  9. 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, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  11. No harm, with potential for minimal harm

    Conduct risk assessment and an All-Hazards approach.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0006, Emergency Preparedness Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

  12. No harm, with potential for minimal harm

    Have elevators that firefighters can control in the event of a fire.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0531, Services Deficiencies. Inspection of March 24, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2023).

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.