All citations for Bethel Manor

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 Manor

Last standard health inspection on record

August 22, 2025

Showing 1 to 25 of 27 citations

No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Widespread (many residents). CMS level F.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for more than minimal harm
Have properly installed electrical wiring and gas equipment.
Widespread (many residents). CMS level F.
Fire safety citation K-0511, Services Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for more than minimal harm
Have elevators that firefighters can control in the event of a fire.
Widespread (many residents). CMS level F.
Fire safety citation K-0531, Services Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for more than minimal harm
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Pattern (more than a few residents). CMS level E.
Health citation F-0688, Quality of Life and Care Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0293, Egress Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for more than minimal harm
Ensure that waiting areas, nurse’s stations, gift shops, and cooking facilities, open to the corridor are properly protected.
Pattern (more than a few residents). CMS level E.
Fire safety citation K-0361, Smoke Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2023).
No harm, with potential for more than minimal harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Isolated (one or a few residents). CMS level D.
Health citation F-0727, Nursing and Physician Services Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2023).
No harm, with potential for more than minimal harm
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Isolated (one or a few residents). CMS level D.
Health citation F-0758, Pharmacy Service Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2023).
No harm, with potential for more than minimal harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Isolated (one or a few residents). CMS level D.
Health citation F-0761, Pharmacy Service Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2023).
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 April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for minimal harm
Post nurse staffing information every day.
Widespread (many residents). CMS level C.
Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (May 22, 2023).
No harm, with potential for minimal harm
Develop and maintain an Emergency Preparedness Program (EP).
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0004, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for minimal harm
Develop Emergency Preparedness policies and procedures.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0013, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for minimal harm
Develop a communication plan.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0029, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 2023).
No harm, with potential for minimal harm
Establish emergency prep training and testing.
Widespread (many residents). CMS level C.
Emergency preparedness citation E-0036, Emergency Preparedness Deficiencies. Inspection of April 21, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (June 2, 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.