Inspection Reports for
Bethany Home Senior Living, LLC

The complaint investigation was substantiated for the allegation that staff did not ensure the facility was clean, safe, and/or in good repair. The allegations that staff did not ensure residents had sheets and that residents' hygiene needs were met were unsubstantiated. The investigation included interviews with residents, staff, and witnesses, and review of relevant documents.

One allegation regarding facility cleanliness and safety was substantiated due to a broken toilet and clutter in a resident's bathroom posing health and safety risks. Allegations related to residents not having sheets and hygiene needs not being met were unsubstantiated due to lack of sufficient evidence.

The complaint was substantiated. The allegation was that facility staff did not remain awake during overnight shifts. Evidence showed the ambulance rang the facility bell for about an hour without response from staff, and the resident was returned to the hospital.

The investigation found the allegation substantiated based on interviews and document reviews. The facility failed to have awake staff during the night shift, posing a potential health and safety risk to residents.

The complaint investigation was substantiated for the allegation that the facility was in disrepair. Other allegations regarding medication mismanagement, care and supervision, and refund issues were unsubstantiated.

The allegation of facility disrepair was substantiated due to the 3rd level flooring being in disrepair, posing a potential health and safety risk. The allegations regarding medication mismanagement, failure to provide promised care and supervision, and failure to provide a refund were found to be unsubstantiated based on the evidence reviewed.

The complaint investigation was substantiated for medication mismanagement but unsubstantiated for failure to safeguard resident belongings and unclean resident rooms.

The investigation substantiated the allegation of medication mismanagement due to failure to follow physician's orders, posing a potential health and safety risk. The allegations regarding safeguarding resident belongings and cleanliness of resident rooms were unsubstantiated.

The complaint investigation (Control # 15-AS-20221107163346) substantiated that the facility failed to reappraise and update the Care Plan for resident R1 after a fall on October 10, 2022, resulting in a fracture.

The facility failed to update the Care Plan for resident R1 after a fall resulting in a fracture, violating Title 22 California Code of Regulations section 87463(a). A deficiency was cited and a plan of correction was required.

The inspection found deficiencies related to incomplete health screenings and TB tests for staff, and medication administration errors involving a resident's prescribed medications. Civil penalties were assessed for repeat violations.

The inspection identified several deficiencies including medication administration errors, missing chest x-rays and health screenings for staff and residents, lack of completed service plans, absence of recent disaster drills, and staff lacking current first aid training. Plans of correction were agreed upon for all deficiencies.

The previously cited deficiency 87468.2(a)(4) related to addressing AWOL was cleared by this visit after the facility submitted a written plan and the Licensing Program Analyst obtained a copy during inspection.

The complaint investigation was substantiated based on a preponderance of evidence that staff did not provide adequate care to wandering residents and failed to report unusual incidents to the Community Care Licensing Division. Another allegation regarding medication technician training was unsubstantiated.

The investigation substantiated that the facility allowed residents to leave unassisted, posing immediate health and safety risks, and failed to report all AWOL incidents to the licensing agency. Another allegation regarding medication technician training was unsubstantiated.

The visit was triggered by a priority 1 complaint (Complaint # 15-AS-20221107163346).

The inspection found deficiencies related to medication storage and safety hazards for residents with dementia, including unsecured medications and a razor in resident bedrooms. The facility manager was informed and corrective actions were planned.

The facility was generally compliant with infection control practices including hand hygiene and signage. However, two staff members did not have required health screening or TB tests completed prior to or within seven days of employment, resulting in a cited deficiency.