All citations for Bethany Rehab & HCC

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.

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Last standard health inspection on record

July 24, 2024

This is more than 2 years ago. Newer inspection results may not be on record yet, so the results below may not describe the home today. Ask the home for its most recent inspection report.

Showing 1 to 21 of 21 citations

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

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

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

    Follow proper procedures when the fire alarm was out of service for more than 4 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0346, Smoke Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

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

    Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0354, Smoke Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

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

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  5. 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 July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

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

    Conduct testing and exercise requirements.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0039, Emergency Preparedness Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

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

  7. 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 June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 1, 2023).

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

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

    Widespread (many residents). CMS level F.

    Fire safety citation K-0916, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

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

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

    Have exits that are accessible at all times.

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

    Fire safety citation K-0271, Egress Deficiencies. Inspection of July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  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 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  11. 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 July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  12. 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 July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  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 July 24, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 30, 2024).

  14. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

  15. 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 June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

  16. 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 June 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

  17. 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 June 29, 2023. Found during a standard inspection.

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

  18. 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 29, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 25, 2023).

  19. 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 May 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2022).

  20. 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 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2022).

  21. 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 May 5, 2022. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 1, 2022).

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.