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 23 of 23 citations

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

    Install corridor and hallway doors that block smoke.

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

    Fire safety citation K-0363, Smoke Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  2. 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 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  3. 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).

  4. 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).

  5. 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).

  6. 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).

  7. 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).

  8. 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).

  9. 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 July 23, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2021).

  10. 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 July 23, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2021).

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

    Provide properly protected cooking facilities.

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

    Fire safety citation K-0324, Smoke Deficiencies. Inspection of July 23, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2021).

  12. 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 July 23, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2021).

  13. 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 July 23, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2021).

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

    Install proper backup exit lighting.

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

    Fire safety citation K-0281, Egress Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  15. 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.

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

    Fire safety citation K-0321, Smoke Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  16. 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 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Inspect, test, and maintain automatic sprinkler systems.

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

    Fire safety citation K-0353, Smoke Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 23, 2025).

  18. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of March 21, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 20, 2025).

  20. 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).

  21. 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).

  22. 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).

  23. No harm, with potential for minimal harm

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

    Widespread (many residents). CMS level C.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of July 23, 2021. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 21, 2021).

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.