Bethany Nursing Home & Health Related Facility Inc

In the surveyor’s words

From the most serious findings on record at Bethany Nursing Home & Health Related Facility Inc, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF836Mar 24, 2023

  Based on observations and interview conducted during the Recertification Survey completed on 3/24/23, it was determined that the facility did not ensure compliance with all applicable State codes. Specifically, the facility was not in compliance with section 915 of the 2015 edition of the International Fire Code as adopted by New York State, which requires the use of carbon monoxide detection in a building that has fuel-burning appliances. The findings are: Observations on 3/24/23 at 11:52 a.m. included two natural gas-powered dryers located in the skilled 3 ground-floor laundry room, and there were no carbon monoxide detectors within or in the vicinity of the laundry area. […]

• No harm, potential for more than minimal, patternF585Jul 23, 2021

  Based on interviews and record reviews conducted during a Recertification Survey, completed on 7/23/21, it was determined that the facility did not ensure that prompt efforts were made to resolve resident grievances for six of six (Residents #6, #26, #39, #55, #80 and #81) residents reviewed. Specifically, there was no documented evidence that concerns and issues, identified by residents on a Resident Council Precautionary Isolation Questionnaire provided to residents (in place of resident council meetings during COVID-19), completed April 2021 through June 2021, were addressed. […]

• No harm, potential for more than minimal, isolatedF578Mar 21, 2025

  Based on observations, interviews, and record review conducted during the Recertification Survey from 03/17/2025 to 03/21/2025, the facility did not ensure that all residents had the right to request, refuse, and/or discontinue treatment, and to formulate an advance directive (a resident's preferences for medical interventions in the event of a life-threatening episode) that would be honored for one (1) (Residents #89) of 32 residents reviewed for advanced directives. Specifically, the facility did not ensure that Resident #89's advanced directives preferences were consistently identified. […]

• No harm, potential for more than minimal, isolatedF657Mar 24, 2023

  Based on observations, interviews and record review conducted during a Recertification Survey completed on 3/24/23, it was determined that for one (Resident #46) of three residents reviewed for skin conditions, the facility did not revise the resident's care plan to reflect the resident's current needs. Specifically, Resident #46's Comprehensive Care Plan (CCP) and Certified Nursing Assistant (CNA) Kardex (care plan used by CNA for daily care) was not revised to include the presence of recurring skin issues with related goals, and interventions to prevent such. […]

• No harm, potential for more than minimal, isolatedF684Mar 24, 2023

  Based on observation, interview, and record review conducted during the Recertification Survey completed on 3/24/23, the facility did not ensure that each resident received treatment and care in accordance with professional standards of practice and the comprehensive person-centered care plan for 1 of 20 residents reviewed for quality of care. Specifically, Resident #64 was not provided positioning devices for their [NAME] chair (specialized wheelchair), per therapy recommendations and the residents Comprehensive Care Plan (CCP). […]