Bethany Nursing Home, Inc

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF865Apr 21, 2026

  Based on review of prior survey activity, review of the facility's plan of correction and audits, and interview, the facility failed to ensure efforts were made to meet compliance with the regulatory requirements, solely focusing on the exact cited issue. This had the potential to affect all 80 residents.Review of a survey activity report from a complaint survey (with an exit date of 04/21/26) revealed the facility received a citation related to pharmacy services when the facility failed to reconcile narcotic medications delivered from the pharmacy with the pharmacy delivery slips to ensure the facility received all the listed narcotic medications. […]

• No harm, potential for more than minimal, widespreadF725Mar 24, 2026

  Based on observations, review of the staffing policy, and residents, family, and staff interviews, the facility failed to ensure there was sufficient staff to meet residents' needs in a timely manner. This affected six residents observed during the survey (#22, #31 #34, #45, #52, and #75). This had the potential to affect all 73 residents residing in the facility.Findings include:1. During confidential interviews of 25 residents, nine residents revealed they did not believe there was sufficient staff to provide timely assistance. One additional resident had family present at the time of the interview and stated there was not sufficient staff to timely meet her loved ones needs. […]

• No harm, potential for more than minimal, widespreadF727Mar 24, 2026

  Based on record review and interview the facility failed to ensure there was a Registered Nurse providing services at least eight hours a day, seven days a week. This had the potential to affect all 80 residents residing in the facility. Facility census was 80. Findings include:Review of the Daily Nurse Staffing Summaries from 04/20/26 through 06/01/26 with the Director of Human Resources (Dir. HR) #133 revealed there was not a RN for at least eight hours a day, seven days a week on 04/24/26, 05/02/26, 05/03/26, 05/16/26, 05/17/26, and 05/28/26. Interview on 06/01/26 at 11:35 A.M. with the Administrator and the Director of Nursing (DON) confirmed there was no an RN in the building for at least eight hours a day, seven days a week. Interview on 06/01/26 at 11:41 A.M. with the Dir. […]

• No harm, potential for more than minimal, widespreadF761Mar 24, 2026

  Based on observation, interview, record review, and review of the facility policy, the facility failed to ensure medications were stored in a safe and secure manure and failed to ensure medications were not expired. One medication room and three medications carts were observed. The facility identified there was one medication room and six medication carts. This had the potential to affect all 73 residents residing at the facility.Findings include:Observation on 03/09/26 at 2:00 P.M. revealed the skilled medication cart located in the residential hall was observed unlocked with the computer open. Observation revealed there was no staff within view of the unsecured medication cart. One resident was observed sitting in a chair and additional residents were observed ambulating in the hall. […]

• No harm, potential for more than minimal, widespreadF809Mar 24, 2026

  Based on observations, resident and staff interviews, and review of the facility policy, the facility failed to provide substantial nutritional evening snacks when meals times were greater than 14 hours. This had the potential to affect all 73 residents who receive meals from the kitchen. The facility census was 73.Findings include:During a resident council meeting on 03/10/26 at 3:00 P.M., twelve residents who attended stated bedtime snacks were only provided upon request or if residents were able to go get the snacks independently. […]