Bethany Home Society San Joaquin County

In the surveyor’s words

From the most serious findings on record at Bethany Home Society San Joaquin County, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF757Jul 17, 2026

  Based on interview and record review, the facility failed to provide a drug regimen (a structured plan for taking medication, including dosage, frequency, and duration) that was free from unnecessary drugs for 5 of 22 sampled residents (Resident 5, Resident 8, Resident 35, and Resident 43) when:1. Resident 5 was administered blood pressure medication outside of the physician ordered vital sign parameters,2. Resident 8 was administered blood pressure medication outside of the physician ordered vital sign parameters, and3. […]

• No harm, potential for more than minimal, patternF812Jul 17, 2026

  Based on observation, interview, and record review, the facility failed to store, prepare, and serve food within the professional standards for food service and safety when:Five expired bottles of lime juice were stored in the walk-in refrigerator.Four expired bottles of lemon juice were stored in the walk-in refrigerator.Three expired whole milk ricotta cheese containers were stored in the walk-in refrigerator.Three bowls were chipped and without glaze; and,The dry storage temperature was not monitored and logged for the month of June 2026.These failures had the potential to lead to cross contamination (unintentional transfer of harmful bacteria, viruses, or allergens from one surface, food, or person to another) and food borne illness (any sickness caused by eating or drinking… […]

• No harm, potential for more than minimal, patternF880Jul 17, 2026

  Based on observation, interview, and record review, the facility failed to maintain an infection prevention and control program for a census of 59 when:1. The facility did not fully develop, document, and implement a water management program (WMP -an active risk-management plan used to identify hazard conditions and minimize the growth and spread of these waterborne pathogens [tiny, disease-causing bacteria, viruses, or parasites that spread through contaminated water] in facility water systems) based on nationally accepted standards when they did not complete a facility wide assessment of potential Legionella (a type of bacteria found naturally in water that can multiply and cause serious lung infections if breathed in as a mist) growth to include: flow charts, control measures, a plan of… […]

• No harm, potential for more than minimal, patternF761Mar 21, 2025

  Based on observation, interview, and record review, the facility failed to ensure documentation and monitoring of temperature range in one out of one medication refrigerator for a period of 6 months with resident census of 63. This failed practice may have contributed to unsafe storage of refrigerated medication resulting in altered potency and unusable medications based on manufacturer specification. Findings: During a concurrent observation and interview on 3/18/25, at 9:20 AM, with Licensed Vocational Nurse (LN) 4, the refrigerator at North hall station stored multiple containers of flu vaccine (flu same as influenza, an infection affecting the breathing system), resident's insulin (medication used to treat blood sugar disease), other refrigerated prescription medications, and Emergency… […]

• No harm, potential for more than minimal, patternF689Nov 4, 2022

  Based on observation, interview, and record review, the facility failed to ensure a safe and hazard free environment for a census of 50 when: 1. Safe water temperatures were not maintained in resident restrooms for 3 out of 5 halls (Hall A, Hall B, and Hall C) in the facility; and, 2. Fall interventions were not implemented for 3 of 21 sampled residents (Resident 22, Resident 23, and Resident 49), when a fall mat was not placed on the floor at bedside for Resident 22, Resident 23, and Resident 49. These failures had the potential to cause physical harm to the residents in the facility. Findings: 1. […]