All citations for Bethel Home

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 Bethel Home

Last standard health inspection on record

September 10, 2025

Showing 1 to 17 of 17 citations

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

    Establish procedures for tracking staff and patients during an emergency.

    Widespread (many residents). CMS level F.

    Emergency preparedness citation E-0018, Emergency Preparedness Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  2. 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 August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Have restrictions on the use of highly flammable decorations.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0753, Miscellaneous Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Have power receptacles that are properly grounded.

    Widespread (many residents). CMS level F.

    Fire safety citation K-0912, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 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 August 7, 2024. Found during a standard inspection.

    A waiver was granted (November 8, 2024).

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

    Have an enclosure around a vertical opening shaft.

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

    Fire safety citation K-0311, Smoke Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  7. 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 August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  8. 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 August 7, 2024. Found during a standard inspection.

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

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

    Construct fire resistant interior walls.

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

    Fire safety citation K-0331, Smoke Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    A waiver was granted (November 1, 2024).

  10. 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 August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 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 August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  12. 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.

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

    Fire safety citation K-0521, Services Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Have restrictions on the use of flammable curtains.

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

    Fire safety citation K-0751, Miscellaneous Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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

    Ensure that sources of ignition are removed from patients receiving respiratory therapy.

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

    Fire safety citation K-0925, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  15. 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.

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

    Fire safety citation K-0222, Egress Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  16. 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.

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

    Fire safety citation K-0223, Egress Deficiencies. Inspection of August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

  17. 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 August 7, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 24, 2024).

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.