Inspection Reports for Bethany Home

The document is a Nursing Home Licensure Renewal Application for Bethany Home, Inc., submitted to renew the facility's license.

The document contains information verifying the facility's licensure renewal, including ownership, accreditation, services offered, and staffing patterns. It also includes disclosures related to the Alzheimer's Special Care Unit and memory care endorsement.

The document is a Nursing Home Licensure Renewal Application and related certification documents for Bethany Home, Inc., indicating the renewal of the facility's license and certification.

The documents confirm that Bethany Home, Inc. meets statutory requirements for SNF/NF dual certification and includes details about the facility's services, capacity, and special care units such as Alzheimer's and Memory Care. No deficiencies or violations are noted in the provided materials.

An unannounced visit was conducted to investigate a complaint at Bethany Home, Inc. from June 7, 2019 to June 13, 2019, by representatives of the Department of Health and Human Services Division of Public Health.

The investigation found that the facility was in compliance with regulatory requirements regarding protection from injury, provision of appropriate psychosocial activities, identification of change in condition, and notification of care providers about changes in condition.

The complaint alleged that the facility failed to protect residents from injury, failed to provide appropriate activities to meet psychosocial needs, failed to identify change in condition, and failed to notify care providers of changes in condition. All allegations were found to be unsubstantiated as the facility was in compliance with regulatory requirements.

An unannounced visit was conducted to investigate a complaint regarding the facility's evaluation of causal factors for falls and use of fall interventions to prevent injuries.

The facility was found to be in compliance with relevant regulations, ensuring evaluation of causal factors for falls and use of fall interventions to prevent resident injuries, with no concerns identified in records, observations, or interviews.

The complaint alleged failure to evaluate causal factors for falls and failure to use fall interventions to prevent injuries. Both allegations were found to be unsubstantiated as the facility was compliant.

The letter serves to amend the Health Insurance Benefits Agreement to update the certified bed locations and counts at the facility as requested by the facility.

The letter details changes to the certified bed assignments effective July 12, 2017, March 5, 2018, and April 1, 2018, maintaining a total of 64 Medicare certified beds.

The revisit on February 12, 2018 was conducted to verify corrections made after the December 14, 2017 survey which found the facility not in substantial compliance with Federal requirements.

The February 12, 2018 revisit established that corrections have been made and the facility is now in substantial compliance effective January 17, 2018, leading to removal of the denial of payment for new admissions.

An unannounced visit was conducted to investigate a complaint and annual survey at Bethany Home, Inc. on December 11-14, 2017 by the Department of Health and Human Services Division of Public Health.

The complaint allegations regarding failure to protect residents from behaviors, failure to evaluate causal factors for falls, and failure to change fall interventions were investigated and the facility was found to be in compliance with related regulatory requirements. However, several deficiencies were identified related to pressure ulcer prevention, infection control, life safety code violations, and other regulatory requirements.

The complaint allegations were: 1) The facility fails to protect residents from residents with behaviors; 2) The facility fails to evaluate causal factors for falls; 3) The facility fails to change fall interventions after residents have been identified at risk for falls. The investigation found the facility in compliance with these allegations.

An unannounced visit was conducted to investigate a complaint and annual survey at Bethany Home, Inc. on October 13-19, 2016, by the Department of Health and Human Services Division of Public Health.

The complaint alleging failure to protect residents from residents with behaviors and failure to evaluate residents for appropriate admission was investigated and the facility was found to be in compliance. Deficiencies were found related to dignity and respect (failure to knock before entering rooms), food procurement and sanitary conditions (contaminated gloves and refrigerator temperature issues), life safety code violations (doors not latching properly), and electrical safety (personal items plugged into hospital grade outlet strips).

The complaint investigation focused on allegations that the facility failed to protect residents from residents with behaviors and failed to ensure residents were evaluated for appropriate admission. The facility was found to be in compliance with these allegations.

This document is related to the renewal of the nursing home license for Bethany Home, Inc., verifying that the SNF/NF Dual Certification is licensed through the indicated renewal date.

The document confirms the facility meets statutory requirements for licensure renewal as a Skilled Nursing Facility with various therapy services and a special needs unit. No deficiencies or violations are noted in the provided pages.

An unannounced visit was conducted to investigate a complaint and annual survey at Bethany Home, Inc. on November 16-19, 2015, by representatives of the Department of Health and Human Services Division of Public Health.

The complaint investigation found the facility failed to follow their policy to report suspected abuse immediately, failed to maintain a complete chronological resident register, failed to maintain residents' dignity during dining assistance, failed to honor bathing preferences, failed to maintain housekeeping and maintenance standards, failed to complete a significant change in status assessment for a hospice resident, had inaccurate MDS assessments, failed to include residents in care planning, failed to maintain safe bed positioning, failed to administer insulin properly, failed to maintain sanitary food handling and dishwashing procedures, and failed to follow infection control procedures during wound care and catheter care.

The complaint investigation was triggered by allegations that the facility failed to allow residents to exercise their rights and failed to ensure appropriate hand washing to prevent the spread of infection. The facility was found in compliance with resident rights but was found in violation of hand washing regulations.

An unannounced visit was conducted to investigate a complaint at Bethany Home, Inc. from August 31, 2015 to September 2, 2015.

The facility was determined to be in compliance with the regulatory requirements reviewed during the special focus dementia survey complaint investigation.

The investigation included review of resident records, observation of care and services, and interviews with residents, family members, and staff. The facility was found compliant with the regulations reviewed.

The notice was issued to inform Bethany Home, Inc. of disciplinary action placing their Skilled Nursing Facility license on probation for 90 days starting November 27, 2014, due to violations related to failure to provide a restorative program preventing decline in residents' physical abilities.

The facility failed to provide a restorative program that prevented decline in residents' ability to function physically, as evidenced by the CMS-2567 Report dated November 12, 2014, which is incorporated by reference.

An unannounced visit was conducted to investigate a complaint and annual survey at Bethany Home, Inc. on October 27-30, 2014.

The facility was found deficient in multiple areas including mistreatment and misappropriation of resident property, failure to complete background checks on new employees, failure to respect resident choices, failure to provide bereavement support, environmental cleanliness issues, incomplete comprehensive assessments, failure to maintain and revise care plans, failure to provide restorative care, inadequate assistance with activities of daily living, fall prevention deficiencies, over sedation risks, medication management issues, infection control lapses, and life safety code violations.

The complaint investigation included allegations of failure to protect resident property from misappropriation, failure to administer medications according to orders, failure to identify change in condition, failure to administer pain medications according to standards, failure to ensure residents are not restrained, and failure to maintain equipment. The facility was found in violation for misappropriation of property and failure to administer pain medications and maintain equipment. Other allegations were not substantiated.

Annual inspection of Bethany Home, Inc. to assess compliance with federal and state regulations including resident rights, care planning, medication management, infection control, fire safety, and facility maintenance.

The facility was found deficient in multiple areas including failure to post survey results accessibly, incomplete care plan updates, delayed response to call lights, unnecessary use of psychoactive medications without prior nonpharmacological interventions, medication errors including insulin administration, improper hand hygiene by staff, expired medications and supplies, missing fire safety equipment, inadequate fire drills, and incomplete sprinkler system coverage.

The survey was conducted as an annual inspection to assess compliance with state and federal regulations governing skilled nursing and intermediate care facilities.

The facility was found deficient in multiple areas including dignity and respect of residents, self-determination rights, housekeeping and maintenance, comprehensive assessments, care planning, infection control, medication management, nutrition, staffing information posting, food sanitation, and life safety code compliance.

The inspection was conducted to assess compliance with regulations governing licensure of skilled nursing facilities, focusing on preparation for safe and orderly transfer or discharge of residents.

The facility failed to develop discharge plans for two residents who expressed the desire to return to their prior living arrangements. There was no documentation of assessments to evaluate the services needed for safe discharge, and discharge planning was not included in the residents' care plans.

The document serves as a nursing home licensure renewal application for Bethany Home, Inc, including certification of license renewal, occupancy permit, and related administrative information.

The documents confirm the facility's licensure renewal status, maximum licensed bed capacity of 58, and include an occupancy permit issued by the Nebraska State Fire Marshal. No inspection findings or deficiencies are reported.

This document serves as a licensure renewal application and verification for Bethany Home, Inc., including renewal of SNF/NF dual certification and Alzheimer's Special Care Unit endorsement.

The document confirms the facility's licensure renewal status, lists services provided, ownership information, and includes occupancy permit details. It does not contain inspection findings or deficiencies.

This document serves to verify the renewal of the SNF/NF dual certification license for Bethany Home, Inc through the indicated expiration date and includes related licensure and facility information.

The document confirms that Bethany Home, Inc meets statutory requirements for licensure renewal as a skilled nursing and nursing facility with a licensed capacity of 64 beds. It includes ownership, administrator, and director of nursing information, as well as details about the Alzheimer's Special Care Unit and memory support services.

The documents pertain to the renewal of the nursing home license for Bethany Home, Inc., including verification of licensure, renewal application, and endorsement for Alzheimer's Special Care Unit.

No inspection findings or deficiencies are reported in these documents. They primarily serve to verify licensure status, renewal application details, and facility information including capacity and special care endorsements.

This document serves as a renewal application for the nursing home license of Bethany Home, Inc., verifying licensure and certification status and providing facility and ownership information.

The documents confirm that Bethany Home, Inc. meets statutory requirements for licensure and certification as a skilled nursing facility with special care services including Alzheimer's and physical therapy. No inspection findings or deficiencies are reported.

This document serves as a licensure renewal application and certification for Bethany Home, Inc., verifying the facility's license and renewal status.

The documents confirm that Bethany Home, Inc. meets statutory requirements for licensure as a Skilled Nursing Facility with various therapy services and special care endorsements. The renewal application includes facility information, ownership details, and certifications.

The document serves as a renewal application for the nursing home license of Bethany Home, Inc., including certification for Alzheimer's/Special Care Unit and memory care endorsement.

The documents confirm the facility's licensure status, maximum capacity of 64 beds, and endorsement for Alzheimer's/Special Care Unit with a maximum endorsed capacity of 16. No inspection findings or deficiencies are reported.

The document serves as a Notice of Disciplinary Action placing the facility's license on probation for 90 days starting January 11, 2018, due to violations related to failure to prevent pressure sores and cross-contamination.

The facility was found in violation of licensure regulations for failing to implement measures to prevent facility-acquired pressure ulcers and prevent cross-contamination, as detailed in a CMS-2567 report dated December 27, 2017.