All citations for Bethlehem Woods Nursing and Rehabilitation

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 Bethlehem Woods Nursing and Rehabilitation

Last standard health inspection on record

March 31, 2026

Showing 1 to 14 of 14 citations

  1. 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 March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2026).

  2. 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 March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2026).

  3. 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 March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (May 29, 2026).

  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 May 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 6, 2025).

  5. 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.

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

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of March 31, 2026. Found during a standard inspection.

    The home gave a date the problem would be corrected (April 6, 2026).

  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 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (July 6, 2025).

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

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Have properly installed electrical wiring and gas equipment.

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

    Fire safety citation K-0511, Services Deficiencies. Inspection of June 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Have an externally vented heating system.

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

    Fire safety citation K-0522, Services Deficiencies. Inspection of June 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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

    Provide appropriate treatment and care according to orders, resident’s preferences and goals.

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

    Health citation F-0684, Quality of Life and Care Deficiencies. Inspection of March 19, 2026. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 3, 2026).

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

    Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide.

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

    Health citation F-0620, Resident Rights Deficiencies. Inspection of November 17, 2025. Found during a complaint inspection.

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

  12. 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 19, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (June 9, 2025).

  13. 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 June 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

  14. 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 June 17, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (August 16, 2024).

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.