Beth Haven Nursing Home

In the surveyor’s words

From the most serious findings on record at Beth Haven Nursing Home, in the surveyor’s own words.

• Immediate jeopardy, patternF584Jun 30, 2025

  Based on observation, interview, and record review, the facility failed to ensure a comfortable and homelike environment by not maintaining the indoor air temperatures of resident rooms in the facility between 71.0 F. (degrees Fahrenheit) and 81.0 F. for 19 sampled residents on the east wing of the facility (Residents #1, #2, #3, #5, #6, #7, #8, #9, #10, #11, #14, #16, #17, #18, #19, #20, #21, #22 and #23) with room temperatures ranging from 82.0 degrees Fahrenheit ( F.) to 90 F. The facility failed to have a comprehensive monitoring system including documentation of resident room temperatures and each resident's condition. The facility census was 69.The Administrator was notified on 6/23/25 at 5:15 P.M., of the Immediate Jeopardy (IJ) which began on 6/23/25. […]

• Immediate jeopardy, patternF600May 2, 2023

  Based on interview and record review, the facility failed to protect residents on the facility special care unit, including four residents (Resident #54, #59, #500 and #501), in a review of thirteen sampled residents, from verbal and sexual abuse by one resident (Resident #68). Resident #68 had a history of verbal and physical sexually inappropriate behavior. The resident exhibited inappropriate sexual behavior towards other residents on the unit which included touching or attempts to touch their bodies with his/her hands or mouth in a sexual manner and made sexual comments toward them. Resident #501, a cognitively intact resident, experienced psychosocial distress due to interactions with Resident #68 when the resident made him/her feel sexually harassed and mentally abused. […]

• Immediate jeopardy, patternF600May 2, 2023

  Based on interview and record review, the facility failed to protect residents on the facility special care unit, including four residents (Resident #54, #59, #500 and #501), in a review of thirteen sampled residents, from verbal and sexual abuse by one resident (Resident #68). Resident #68 had a history of verbal and physical sexually inappropriate behavior. The resident exhibited inappropriate sexual behavior towards other residents on the unit which included touching or attempts to touch their bodies with his/her hands or mouth in a sexual manner and made sexual comments toward them. Resident #501, a cognitively intact resident, experienced psychosocial distress due to interactions with Resident #68 when the resident made him/her feel sexually harassed and mentally abused. […]

• Immediate jeopardy, patternF678Nov 10, 2021

  Based on interview and record review, the facility failed to initiate cardiopulmonary resuscitation (CPR, a procedure to support and maintain breathing and circulation for a person who has stopped breathing and/or whose heart has stopped) for one resident (Resident #1) identified as having a full code status (CPR required in the event of cardiac or respiratory arrest). Staff found the resident unresponsive and without a pulse or respirations on [DATE] and failed to initiate CPR and call 911. The resident expired at the facility. The facility also failed to implement the facility policy addressing CPR requirements for staff and to monitor to ensure CPR certified staff were scheduled and present in the facility 24 hours a day, seven days a week. […]

• Immediate jeopardy, isolatedF684May 2, 2023

  Based on observation, interview, and record review, facility staff failed to identify signs and symptoms of hyperglycemia (an excess of glucose in the bloodstream) on 4/25/23 for one resident, (Resident #32), who had a diagnosis of diabetes, when the resident presented with shaking and excessive thirst. The resident's care plan instructed staff to be alert to signs of high blood sugar and contact the physician as indicated. Facility staff did not check the resident's blood sugar or call the resident's physician to report the noted signs and symptoms. On the morning of 4/26/23, the facility failed to obtain a fasting blood sugar as ordered. On the afternoon of 4/26/23, the facility notified the resident's physician the resident had become lethargic, unresponsive and pale. […]