Bethany Rehab & HCC

In the surveyor’s words

From the most serious findings on record at Bethany Rehab & HCC, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Mar 17, 2021

  Based on observation, interview, and record review the facility failed to implement infection control policies and recommendations from the Centers for Disease Control (CDC) for COVID-19 regarding the isolation of residents under investigation for COVID-19 and ensuring staff wore the appropriate PPE (Personal Protection Equipment) to prevent the spread of COVID-19. These failures have the potential to infect high risk residents with COVID-19 and spread the disease of COVID-19 to negative residents. […]

• Immediate jeopardy, patternF678Sep 20, 2023

  Based on observation, interview and record review the facility failed to have staff on duty trained in the use of emergency medical equipment. The facility failed to ensure their policy was followed to use the AED (Automated External Defibrillator) during CPR (Cardiopulmonary Resuscitation). This failure resulted in R1 expiring at the facility. This applies to 24 of 24 (R1, R3-R24) residents in the sample of 24 reviewed for emergency care/CPR. The immediate jeopardy began on [DATE] at 2:22 AM when R1 was pronounced expired after having a sudden cardiac arrest, the staff in facility were unsure of the policy of what to do, how to provide CPR, and did not use the available AED (Automated External Defibrillator). The immediate jeopardy was identified on [DATE]. […]

• Immediate jeopardy, isolatedF580Jun 22, 2026

  Based on interview and record review the facility failed to notify the physician of R2's critical low blood glucose for a resident with history of critical glucose levels and recent diabetic medication changes for 1 of 13 residents (R2) reviewed for physician notification in the sample of 13. This failure resulted in R2 being found with a critical low blood glucose then R2's heart stopping.The Immediate Jeopardy began on (05/09/2026) when R2's critical low blood sugar was not reported to the physician. V1 Administrator was notified of the Immediate Jeopardy on 06/17/2026 at 3:38PM. […]

• Immediate jeopardy, isolatedF684Jun 22, 2026

  Based on interview and record review the facility failed to monitor a resident's blood glucose levels for a resident with history of critical blood glucose levels and recent diabetic medication changes for 1 of 13 residents (R2) reviewed for Quality of Care in the sample of 13. This failure resulted in R2's blood sugar becoming critically low then R2's heart stopped.The Immediate Jeopardy began on ([DATE]) when R2's critical low blood sugar was not reported to the physician; the facility failed to develop a treatment plan with R2's physician for the critical low blood sugar. V1 Administrator was notified of the Immediate Jeopardy on [DATE] at 3:38PM. The surveyor confirmed by interview and record review that the Immediate Jeopardy was removed on [DATE]. […]

• Immediate jeopardy, isolatedF678Feb 7, 2025

  Based on interview and record review, the facility staff failed to provide Cardiopulmonary Resuscitation (CPR) to a resident that was a full code. Failed to recognize the resident's code status, and failed to immediately perform life-saving interventions once the resident's code status was identified, for 1 of 3 residents (R1) reviewed for advanced directives in the sample of 3. No CPR was provided to R1 until after emergency medical services arrived at R1's bedside. This failure resulted in R1 experiencing a delay in life-saving medical care and subsequent death. The Immediate Jeopardy began on [DATE] at 5:35 PM when V4 (Licensed Practical Nurse-Agency staff) was informed by V10 (R1's visitor) that R1 was not breathing. […]