Inspection Reports for Bethel Home Inc

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 2025-01-16.

All previously cited deficiencies have been corrected as of the compliance date 2025-02-28, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

Health Recertification Survey conducted to assess compliance with federal regulations for nursing home care.

The facility was found deficient in developing and implementing person-centered comprehensive care plans, timely care plan revisions, treatment and prevention of pressure ulcers, accident hazard prevention, psychotropic medication management, infection prevention and control, and antibiotic stewardship.

An offsite revisit survey was conducted on 10/19/2023 for all previous deficiencies cited on 08/16/2023.

All deficiencies have been corrected as of the compliance date of 09/01/2023, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was conducted as a complaint investigation (#KS00182093) regarding a resident elopement incident involving a facility owned vehicle.

The facility failed to ensure a safe environment for a resident with moderately impaired cognition by not removing keys from a facility owned golf cart, which allowed the resident to leave the facility and operate the vehicle on public roadways. The facility lacked adequate interventions and signage to prevent such incidents and did not have physician orders restricting unescorted outdoor mobility.

The complaint investigation found that Resident 1, with moderately impaired cognition and a history of falls, eloped from the facility on 08/10/23 by driving a facility owned golf cart off the property without staff knowledge. Staff were not immediately notified, and the resident was found three blocks away. The facility's response included staff education and removal of keys from all facility vehicles.

This document is a Plan of Correction submitted in response to deficiencies identified in a prior inspection at Bethel Home, specifically addressing an incident involving resident elopement and related safety concerns.

The plan outlines corrective actions including staff education on elopement procedures, removal and secure storage of vehicle keys, implementation of wander guards, resident safety evaluations, and ongoing audits to prevent recurrence of elopement incidents.

A revisit survey was conducted on 03/13/2023 for all previous deficiencies cited on 02/01/2023.

All deficiencies have been corrected as of the compliance date of 03/04/2023, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted by Bethel Home in response to deficiencies cited in a prior inspection report dated 2023-02-01, addressing wound documentation and incident investigation failures.

The Plan of Correction outlines multiple corrective actions including staff education on wound documentation, audits of skin assessments and care plans, implementation of risk management and quality assurance teams, and ongoing monitoring to ensure compliance with wound care protocols.

Annual health resurvey conducted to assess compliance with regulatory requirements related to resident care, skin integrity, and wound management.

The facility failed to properly investigate injuries of unknown origin, develop baseline care plans for residents with wounds, identify and document skin issues including pressure injuries and skin tears, and maintain a system for consistent tracking, monitoring, and measuring of wounds. Licensed nurse competencies regarding wound care were inadequate, and the QAPI program failed to implement timely corrective actions to address these deficiencies.

An offsite revisit survey was conducted to verify correction of all previous deficiencies cited on 03/24/21.

All deficiencies cited in the previous inspection have been corrected as of 04/09/21, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

The inspection was a Health Resurvey to assess compliance with regulations related to medication monitoring, specifically focusing on the adequacy of monitoring insulin for residents.

The facility failed to ensure adequate monitoring of insulin for Resident 45, as staff did not report out-of-parameter blood glucose readings to the physician as required by physician orders and facility policy.

A Targeted Infection Control Survey/COVID-19 Focused Survey was conducted by the Kansas Department for Aging and Disability Services (KDADS) to assess compliance with CMS and CDC recommended practices for COVID-19 preparation.

The facility was found to be in compliance with Centers for Medicare & Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) recommended practices to prepare for COVID-19.

An offsite revisit survey was conducted on 09/16/19 to verify correction of all previous deficiencies cited on 08/08/19.

All deficiencies cited in the previous inspection have been corrected as of the compliance date of 08/20/19, and no new noncompliance was found. The facility is in compliance with all regulations surveyed.

This document is a Plan of Correction submitted in response to deficiencies cited in the CMS Health Survey Statement of Deficiencies dated August 8, 2019, for Bethel Home RS.

The Plan of Correction outlines corrective actions for multiple deficiencies including updating care plans for residents, monitoring vital signs including oxygen saturation, and monitoring specific targeted behaviors for residents on psychotropic medications. Policies were updated and staff education was planned to ensure compliance and sustainability.

The inspection was a Health Resurvey to assess compliance with regulatory requirements for Bethel Home nursing facility.

The facility was found deficient in timely revision of comprehensive care plans, ensuring necessary respiratory care, and proper drug regimen review including monitoring of psychotropic medications. Specific failures included lack of timely care plan updates for comfort care, inadequate respiratory monitoring for a resident on opioids, and failure of the consultant pharmacist and staff to monitor specific targeted behaviors related to psychoactive medications for multiple residents.

The document is a Plan of Correction submitted in response to a health survey of the facility.

The health survey resulted in a finding of no deficiency citations with respect to applicable regulations under 42 CFR Part 483, Subpart B, for long term care facilities.

The health survey was conducted to assess compliance with applicable regulations under 42 CFR Part 483, Subpart B, for long term care facilities.

The survey resulted in no deficiency citations, indicating full compliance with the applicable long term care facility regulations.

The health survey was conducted to assess compliance with applicable regulations under 42 CFR Part 483, Subpart B, for long term care facilities.

The survey resulted in a finding of no deficiency citations with respect to the applicable regulations.

This document is a Plan of Correction submitted in response to a prior inspection report for Bethel Home Montezuma dated 02/23/2016.

No deficiencies were cited in the related inspection report dated 02/23/2016.

The health survey was conducted as a regulatory inspection to assess compliance with applicable regulations under 42 CFR Part 483, Subpart B, for long term care facilities.

The survey resulted in no deficiency citations, indicating full compliance with the applicable long term care facility regulations.

The inspection was conducted to evaluate compliance with nursing facility support system requirements, specifically the presence and functionality of emergency call light systems.

The facility failed to have an enunciator panel or monitor screen for the call light system at the Cottonwood Hall nurses work station, which housed 22 of the 55 residents. The policy review also showed the system did not address enunciator panels in all nurses work stations.

This post-certification revisit was conducted to verify that previously reported deficiencies identified in the CMS-2567 Statement of Deficiencies and Plan of Correction had been corrected.

The revisit confirmed that all cited deficiencies under regulations 483.20(b)(1), 483.25(h), 483.25(l), and 483.60(c) were corrected as of the revisit date.

This document is a Plan of Correction submitted by the facility to address deficiencies cited during a prior survey and to outline corrective actions and ongoing compliance measures.

The facility identified deficiencies related to resident assessments, fall risk management, medication monitoring, and documentation. The Plan of Correction details specific actions including policy development, staff education, audits, and monitoring to ensure compliance and resident safety.

The inspection was a health facility resurvey to assess compliance with regulatory requirements, including comprehensive assessments, accident prevention, and drug regimen monitoring.

The facility failed to conduct comprehensive assessments for 3 sampled residents, ensure adequate supervision to prevent accidents for 1 resident, and maintain drug regimens free from unnecessary medications for 2 residents. Additionally, the pharmacy consultant failed to report irregularities related to low blood pressure for one resident.

This document is the facility's Plan of Correction responding to deficiencies cited in the CMS Health Resurvey 'Statement of Deficiencies' related to blood sugar monitoring and notification.

The Plan of Correction addresses the deficiency related to out-of-parameter blood sugar monitoring and notification protocols, including immediate corrective actions, staff re-education, policy revisions, and ongoing monitoring plans.

This document is a Plan of Correction submitted by the facility in response to deficiencies cited in a prior inspection report.

The Plan of Correction indicates that no corrective action was required for the listed deficiencies (F0000, F371-F, F431-E, S1166-E) as noted by 'No POC required' with completion dates of 07/25/2013.

This document is a Plan of Correction submitted by Bethel Home in response to a Statement of Deficiencies identified during a regulatory inspection.

The Plan of Correction outlines multiple corrective actions including discharge planning improvements, nurse education on care plan interventions, wound care and pressure injury management, psychotropic medication monitoring, hand hygiene protocols, and infection tracking enhancements.