All citations for Bethany Pointe Health Campus

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 Pointe Health Campus

Last standard health inspection on record

May 13, 2025

Showing 1 to 25 of 26 citations

  1. Immediate jeopardy to resident health or safety

    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 J.

    Health citation F-0689, Quality of Life and Care Deficiencies. Inspection of October 17, 2025. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection.

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

    Ensure that testing and maintenance of electrical equipment is performed.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0921, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

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

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

    Meet requirements for sections of health care facilities separated by fire resistive construction.

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

    Fire safety citation K-0131, Construction Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 31, 2025).

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

    Have horizontal exits used in accordance with safety requirements.

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

    Fire safety citation K-0226, Egress Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2025).

  5. 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 May 13, 2025. Found during a standard inspection.

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

  6. 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 May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

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

    Ensure proper usage of power strips and extension cords.

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

    Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 10, 2025).

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

    Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

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

    Health citation F-0744, Quality of Life and Care Deficiencies. Inspection of June 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2024).

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

    Install an approved automatic sprinkler system.

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

    Fire safety citation K-0351, Smoke Deficiencies. Inspection of June 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2024).

  10. 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 June 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2023).

  11. 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 June 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 13, 2023).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of June 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2023).

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

    Have proper medical gas storage and administration areas.

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

    Fire safety citation K-0923, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 8, 2023).

  14. 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 April 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 30, 2026).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of February 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

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

    Provide and implement an infection prevention and control program.

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

    Health citation F-0880, Infection Control Deficiencies. Inspection of February 9, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (February 28, 2026).

  17. 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 May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2025).

  18. 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 May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2025).

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

    Ensure each resident’s drug regimen must be free from unnecessary drugs.

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

    Health citation F-0757, Pharmacy Service Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2025).

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

    Develop and implement policies and procedures for flu and pneumonia vaccinations.

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

    Health citation F-0883, Infection Control Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 3, 2025).

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

    Properly select, install, inspect, or maintain portable fire extinguishes.

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

    Fire safety citation K-0355, Smoke Deficiencies. Inspection of May 13, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 16, 2025).

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

    Provide safe and appropriate respiratory care for a resident when needed.

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

    Health citation F-0695, Quality of Life and Care Deficiencies. Inspection of June 19, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 3, 2024).

  23. 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 October 31, 2023. Found during a complaint inspection.

    The home gave a date the problem would be corrected (November 24, 2023).

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

    Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

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

    Health citation F-0585, Resident Rights Deficiencies. Inspection of June 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 2023).

  25. 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 June 6, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 30, 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.