Bethany Pointe Health Campus

In the surveyor’s words

From the most serious findings on record at Bethany Pointe Health Campus, in the surveyor’s own words.

• Immediate jeopardy, isolatedF689Oct 17, 2025

  Based on observation, interview and record review, the facility failed to supervise a resident, who was identified as a risk for elopement, had a diagnosis of dementia, and resided on a secured dementia unit, from eloping through a secured code locked egress door, which was opened by a guest for 1 of 1 resident reviewed for elopement (Resident B).This deficient practice allowed the resident to be unaccounted for outside of the facility for approximately 50 minutes, where he walked across a four- laned highway and past a park, which contained trails, playground equipment, and a lake. He traveled approximately 0.7 miles, where he was seen by an employee, who was coming to work. He was then returned to the facility via car by said employee. […]

• Immediate jeopardy, isolatedF689Feb 15, 2021

  Based on record review, observation and interview, the facility failed to provide supervision to ensure a severely cognitively impaired resident, who had previously wandered and exited the facility, remained in the facility and on facility property for 1 of 3 residents reviewed for elopements (Resident B). This deficient practice resulted in Resident B exiting the facility through a side door and walking to a family member's home. The immediate jeopardy began on 8/10/20 when Resident B had exited the building, and the resident's whereabouts were not known from approximately 6:00 p.m. until 6:54 p.m., when the resident's family member called the facility and notified them of the resident's location. […]

• No harm, potential for more than minimal, patternF744Jun 19, 2024

  Based in observation, interview, and record review, the facility failed to offer dementia services for residents residing on a dementia unit to enhance quality of life regarding sensory items and purposeful activities for 4 of 4 residents reviewed for dementia services (Resident 19, 17, 10, and 34). Findings include: During a confidential interview an employee indicated the staff had been concerned about the lack of meaningful and purposeful activities and events on the dementia care unit. During an interview on 6/17/24 at 10:24 a.m., LPN 5, who was the charge nurse on the dementia unit, indicated she did not know who the dementia unit director was. She indicated she had herself had training to be a Legacy Leader, which was a leadership role on the unit. […]

• No harm, potential for more than minimal, patternF880Apr 19, 2021

  Based on observation, interview and record review, the facility failed to ensure staff displayed good infection control practices regarding social distancing and proper mask use to reduce the risk of COVID-19 development and spread for 6 of 6 residents reviewed for infection control on the memory care unit. (Residents 7, 16, 24, 1, 2 and 23) Findings include: During an interview while on the initial tour on 4/12/21 at 9:54 a.m., LPN 11 indicated the memory care unit was a secured dementia unit. […]

• No harm, potential for more than minimal, isolatedF692Apr 9, 2026

  Based on observation, interview, and record review, the facility failed to ensure residents were provided physician ordered therapeutic diets for 2 of 3 residents reviewed for dietary orders. (Residents C and F) Findings include:1.Resident C's clinical record was reviewed on 4/9/26 at 10:00 a.m. Diagnoses included encephalopathy, malignant neoplasm of colon, diverticulosis of large intestine, and gastro-esophageal reflux disease. Resident C's current orders indicated fortified foods with pureed texture (4/8/26). Resident C's current care plan indicated a problem of potential nutritional risk related to diagnoses, inadequate nutrient/energy intakes, and/or metabolic demands. An intervention, dated 4/7/26, included to provide ordered diet, supplements, medications and adaptive equipment. […]