All citations for The Grand at Bethany Skilled Nursing and Therapy

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 The Grand at Bethany Skilled Nursing and Therapy

Last standard health inspection on record

January 7, 2026

Showing 26 to 46 of 46 citations

  1. 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 July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 2023).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

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

  3. 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 January 7, 2026. Found during a standard inspection.

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

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

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

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

    Health citation F-0657, Resident Assessment and Care Planning Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

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

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

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

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

    Health citation F-0698, Quality of Life and Care Deficiencies. Inspection of January 7, 2026. Found during a standard inspection.

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

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

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

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

    Health citation F-0686, Quality of Life and Care Deficiencies. Inspection of August 19, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 28, 2025).

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

    Assist a resident in gaining access to vision and hearing services.

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

    Health citation F-0685, Quality of Life and Care Deficiencies. Inspection of April 8, 2025. Found during a complaint inspection.

    The home gave a date the problem would be corrected (April 15, 2025).

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

    Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

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

    Health citation F-0600, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of October 9, 2024. Found during a complaint inspection.

    Past non-compliance: already corrected by the time of the inspection (September 23, 2024).

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

    Allow residents to self-administer drugs if determined clinically appropriate.

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

    Health citation F-0554, Resident Rights Deficiencies. Inspection of September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

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

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

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

    Health citation F-0577, Resident Rights Deficiencies. Inspection of September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  11. 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 September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

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

    Post nurse staffing information every day.

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

    Health citation F-0732, Nursing and Physician Services Deficiencies. Inspection of September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

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

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

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

    Health citation F-0812, Nutrition and Dietary Deficiencies. Inspection of September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

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

    Provide or get specialized rehabilitative services as required for a resident.

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

    Health citation F-0825, Quality of Life and Care Deficiencies. Inspection of September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

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

    Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

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

    Health citation F-0842, Resident Assessment and Care Planning Deficiencies. Inspection of September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

  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 September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 29, 2024).

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

    Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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

    Health citation F-0609, Freedom from Abuse, Neglect, and Exploitation Deficiencies. Inspection of July 30, 2024. Found during a complaint inspection.

    The home gave a date the problem would be corrected (August 20, 2024).

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

    Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.

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

    Health citation F-0644, Resident Assessment and Care Planning Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 14, 2023).

  19. 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 July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (September 14, 2023).

  20. No harm, with potential for minimal harm

    Have simulated fire drills held at unexpected times.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0712, Miscellaneous Deficiencies. Inspection of September 3, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (October 15, 2024).

  21. No harm, with potential for minimal harm

    Install emergency lighting that can last at least 1 1/2 hours.

    Widespread (many residents). CMS level C.

    Fire safety citation K-0291, Egress Deficiencies. Inspection of July 27, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 27, 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.