Bethany Village

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF557Mar 2, 2025

  Based on record review, staff interviews, and policy review, the facility failed to treat a resident with dignity and respect by violating their privacy. This affected one (#249) out of four residents reviewed for resident rights. The facility census was 248. Findings include: Review of the closed medical record for Resident #249 revealed an admitted [DATE] and a discharge date of [DATE]. Diagnoses included viral pneumonia, depression, psoriasis, hypertension, atrial fibrillation, vitamin d deficiency, localized edema, anxiety disorder, and hyperlipidemia. Review of the significant change Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #249 had moderately impaired cognition. […]

• No harm, potential for more than minimal, isolatedF758Oct 27, 2022

  Based on medical record review, staff interview, and review of facility policy, the facility failed ensure a resident was free from unnecessary [CONDITION(S)] medications by ensuring staff documented justification for an increase in a resident's antipsychotic medication. This affected one (#117) of five reviewed for unnecessary medications. The census was 239. Findings include: Review of Resident #117's medical record revealed an admitted [DATE]. Diagnoses listed included cerebral atherosclerosis, heart failure, restlessness and agitation, depression, and dementia with agitation. Review of an annual Minimum Data Set (MDS) assessment dated [DATE] revealed Resident #117's brief interview for mental status (BIMS) score was 12, indicating the resident had moderate cognitive impairment. […]

• No harm, potential for more than minimal, isolatedF883Mar 5, 2021

  Based on interview and record review, the facility failed to provide documentation to show that residents and/or their resident representative had been afforded education about the risks and benefits of influenza vaccine prior to vaccine administration to ensure they were able to make informed choices related to their decision to receive the influenza vaccine. Specifically, there was no evidence of education provided for three of five sampled residents (Resident (R) R4, R7 and R8) reviewed for immunizations. Findings include: Review of the facility policy titled, Immunization and Vaccination, revised 11/16/19, revealed residents are provided the current Centers for Disease Control (CDC) Vaccine Information Sheet (VIS) prior to vaccinations. […]