Bethany Home of Rhode Island

In the surveyor’s words

From the most serious findings on record at Bethany Home of Rhode Island, in the surveyor’s own words.

• Actual harm, isolatedF689Nov 5, 2025

  Based on record review and staff interview, it has been determined that the facility failed to ensure that each resident receives adequate supervision to prevent an accident while ambulating for 1 of 1 resident reviewed for falls who sustained significant injuries, multiple fractures of his/her vertebral bones of the spine, Resident ID #1. Findings are as follows: Review of a facility reported incident submitted to the Rhode Island Department of Health on 11/4/2025 revealed that Resident ID #1 was being walked from the toilet to the sink by a staff member and caught his/her foot on the floor and fell, striking the left side of his/her head and landing on his/her back. […]

• No harm, potential for more than minimal, widespreadF813Nov 26, 2025

  Based on record review and staff interview, the facility policy for food brought in from an outside source failed to ensure safe and sanitary storage, handling, and consumption.Findings are as follows:Record review of a facility policy titled, Food Brought in From Outside the Facility Policy, dated 6/1/2021, states in part, [NAME] Home has no responsibility should any adverse reaction occur from food(s) when it has been brought into the facility from an outside source .The facility's policy failed to ensure the following requirements that are within regulations:-that staff assist the resident in accessing and consuming the food, if the resident is not able to do so independently-help visitors and family to understand safe food handling practices including, but not limited to, safe cooling… […]

• No harm, potential for more than minimal, widespreadF623Sep 26, 2024

  Based on record review and staff interview, it has been determined that the facility failed to provide a written notice of transfer or discharge to the Office of the State Long-Term Care Ombudsman for 2 of 2 residents who were transferred to the hospital, Resident ID #s 16 and 77. Findings are as follows: 1. Record review revealed Resident ID #16 was initially admitted to the facility in March of 2021 with diagnoses including, but not limited to, history of pneumonia, hemiplegia (partial or total paralysis) and hemiparesis (weakness to one side of the body) following a stroke, chronic obstructive pulmonary disease (a common lung disease that makes it difficult to breath) and gastrostomy status (is a surgical procedure to make a hole in the stomach through the abdomen to insert a feeding… […]

• No harm, potential for more than minimal, widespreadF865Sep 26, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to implement and maintain an effective, comprehensive, data-driven, Quality Assurance and Performance Improvement (QAPI) program that focuses on indicators of the outcomes of care and quality of life. Additionally, the facility failed to identify that trauma informed care assessments were not being completed, or that enhanced barrier precautions were not being followed appropriately for resident's with multi drug resistant organisms (MDROs) or indwelling medical devices. […]

• No harm, potential for more than minimal, widespreadF880Sep 26, 2024

  Based on surveyor observation, record review, and staff interview, it has been determined that the facility failed to maintain an infection prevention and control program to help prevent the transmission of communicable diseases and infections by failing to place residents on Enhanced Barrier Precautions (EBP; involves using gown and gloves during high-contact resident care activities) for 2 of 2 residents reviewed for a Multi-Drug Resistant Organism (MDRO) infection, Extended Spectrum Beta Lactamase (ESBL-an infection that is resistant to multiple antibiotics) Resident ID #s 17 and 18. Additionally, the facility failed to conduct an annual review of written standards, policies, and procedures and update the infection control program as necessary. […]