Bethany Gardens Skilled Living Center

In the surveyor’s words

From the most serious findings on record at Bethany Gardens Skilled Living Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF812Jul 24, 2026

  Based on observations and interviews, the facility failed to follow proper sanitation and food handling practices to prevent the outbreak of foodborne illness in one of one main kitchen. Specifically, the kitchen had numerous unclean areas and improperly used sinks. The facility policy Kitchen Sanitation Policy, reviewed 05/2026, documented the facility was to ensure the safe preparation, storage, and serving of food in compliance with local, state, and federal regulations. Staff were expected to inspect refrigerators, freezers, dishwashers and cooking equipment daily. Dietary staff were to follow daily, weekly and monthly cleaning checklists. They were to follow a schedule of deep cleaning for ovens, hoods and vents per the maintenance plan. […]

• No harm, potential for more than minimal, patternF812Mar 8, 2023

  Based on observation, interview, and record review during the abbreviated survey (NY00310174) the facility failed to store, prepare, distribute, and serve food in accordance with professional standards for food service in the facility's main kitchen. Specifically, the kitchen had multiple unclean surfaces and equipment soiled by debris and dried on fire suppression chemicals. Additionally, improper dishwashing technique was observed in two separate locations. Findings included: The Material Safety Data Sheet titled (MSDS) Ansulex Low pH Liquid Fire Suppressant dated 7/31/2010 documented the product was yellowish green liquid. The health injuries were not known, or expected under normal use, and the toxicity had not been tested . […]

• No harm, potential for more than minimal, patternF804Sep 13, 2022

  Based on observation, record review, and interview during the recertification survey conducted 9/8/22-9/13/22, the facility failed to ensure food and drink was palatable, attractive, and at safe and appetizing temperatures for 3 of 3 meal test trays. Specifically, 1 breakfast tray and 2 lunch trays had hot and cold food items that were not maintained at safe temperatures and the food did not taste appetizing or palatable. Findings include: The facility's Meal Service/Tray Service Times posting revised on 5/2/22, documented that meal service for Unit 2 lunch was scheduled for 11:35 AM, and Unit 5 breakfast was scheduled for 8:00 AM. […]

• No harm, potential for more than minimal, isolatedF580Sep 11, 2024

  Based on observation, record review and interviews during the recertification survey conducted 9/5/2024 - 9/11/2024, the facility failed to consult with the physician when there was a significant change in the resident's physical status for 1 of 4 residents (Resident #79) reviewed. Specifically, Resident #79 had a continuing, unplanned weight loss and the medical provider was not notified. Findings include: The facility policy, Change in a Resident's Condition or Status, revised 05/2017 documented the nurse would notify the resident's attending physician or physician on-call when there had been a significant change in the resident's physical, emotional, or mental condition. […]

• No harm, potential for more than minimal, isolatedF645Sep 11, 2024

  Based on record review and interview during the recertification survey conducted 9/5/2024-9/11/2024, the facility did not ensure residents were screened for a mental disorder or intellectual disability prior to admission for 1 of 18 residents (Resident #52) reviewed. Specifically, there was no documented evidence Resident #52 had a Preadmission Screening and Resident Review (PASARR, New York State Department of Health form 695) completed by a qualified screener within the required time frame prior to admission to the facility. Findings include: The undated facility policy, Screens, documented every admission would have a completed screen prior to being accepted and arriving to the facility. […]