Bethany At Pacific

In the surveyor’s words

From the most serious findings on record at Bethany At Pacific, in the surveyor’s own words.

• Actual harm, isolatedF692Jun 12, 2024

  Based on observation, interview, and record review, the facility failed to assess dietary preferences, maintain accurate documentation of nutritional intake of meals and supplements, consistently offer substitutes or replacement meals when residents ate less than 50% of a meal, notify the physician of significant weight loss, perform consistent and accurate weights, assess and offer culturally appropriate meals, and follow and update care plans as needed, for 1 of 2 sampled residents (Resident 46) reviewed for nutrition/weight loss. Resident 46 experienced severe weight loss of 11.8% weight loss in 34 days. […]

• Actual harm, isolatedF689Dec 1, 2022

  Based on observation, interview, and record review, the facility failed to ensure staff used the planned/safe transfer technique for one of three residents (1) reviewed for injuries. This failure caused harm to Resident 1 who was transferred using the wrong method, injured their leg during the transfer, sustained an infection and fractures, and experienced emotional distress. This failure additionally placed other residents at risk for potential harm and injury. Findings included . Resident 1 admitted to the facility on [DATE] with diagnoses to include osteoarthritis of right knee and morbid obesity. Review of the resident's admission Minimum Data Set assessment (an assessment tool) dated 07/03/2022, showed the resident had mild cognitive impairment. […]

• No harm, potential for more than minimal, widespreadF908May 18, 2026

  Based on observation, interview, and record review the facility failed to maintain essential equipment in safe operating condition. The facility failed to adequately identify fluctuating dishwasher rinse temperatures and ensure maintenance/repairs were successful for one of one facility high temperature dishwasher. They failed to ensure Hoyer lifts (mechanical device that assists with transfer of residents from one surface to another) and sit to stand lifts (mobility device used to help residents who are partially weight bearing from sitting position to a standing position) for one of three halls (3 South) batteries were consistently monitored and repaired for safe operation. These failures placed residents at risk for food borne illness, accidents, and overall decreased quality of life. […]

• No harm, potential for more than minimal, widespreadF880Jun 12, 2024

  Based on observation, interview, and record review, the facility failed to ensure staff were compliant with Infection Prevention and Control Guidelines and national standards of practice for 1 of 1 resident (Resident 14) reviewed for transmission-based precautions (TBP) of a resident that had tested positive for Coronavirus Disease 2019 (COVID-19 -an infectious disease-causing respiratory illness with symptoms including cough, fever, new or worsening malaise [a general feeling of discomfort/uneasiness], headache, dizziness, nausea, vomiting, diarrhea, loss of taste or smell, and in severe cases difficulty breathing that could result in severe impairment or death). […]

• No harm, potential for more than minimal, widespreadF882Jun 12, 2024

  Based on interview and record review, the facility failed to ensure the designated Infection Preventionist (IP) met the qualifications for experience, education, and training or certification for the role to assume responsibility for the facility's Infection Prevention Control Program (IPCP). This failure placed residents, family members, and staff at risk for unmet infection control issues and lack of oversite of the facility staff's infection control practices. Findings included . […]