Bethany Village Retirement Center

In the surveyor’s words

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

• No harm, potential for more than minimal, patternF810Dec 18, 2025

  Based on facility policy review, clinical record reviews, observations, and staff interviews, it was determined that the facility failed to provide adaptive feeding devices for two of two residents reviewed (Residents 21 and 27).Findings include: Review of facility policy, titled Adaptive (Assistive) Eating Devices, with a last approved date of December 12, 2024, revealed, in part, The Food and Nutrition Services Department (FANS) will provide adaptive eating devices or utensils as ordered by the physician to promote independence and dignity of residents at mealtime. […]

• No harm, potential for more than minimal, patternF812Dec 18, 2025

  Based on facility policy reviews, observations, and staff interviews, it was determined that the facility failed to store food and utilize kitchen equipment in accordance with professional standards for food service safety in the main kitchen.Findings include:Review of facility policy, titled Food Storage- Dry Goods last reviewed November 19, 2025, read, in part, The Dining Services Director or designee ensures that the storage will be neat, arranged for easy identification, and date marked as appropriate.Review of facility policy, titled Food Storage: Cold last reviewed November 19, 2025, read, in part, A written record of daily temperatures is recorded. […]

• No harm, potential for more than minimal, patternF684Nov 14, 2024

  Based on facility policy review, observations, clinical record review, and staff interviews, it was determined that the facility failed to ensure care and services are provided in accordance with professional standards of practice that will meet each resident's physical, mental, and psychosocial needs for three of 21 residents reviewed (Residents 6, 22, and 63). Findings include: Review of facility policy, titled Weight and Height Measurement, last revised December 4, 2023, read, in part, Policy: To define a systematic approach to weighing and determining height for residents in order to facilitate a plan to identify significant weight loss or weight gain. […]

• No harm, potential for more than minimal, patternF758Nov 14, 2024

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to ensure that residents were free of unnecessary psychotropic medications for one of five residents reviewed (Resident 63). Findings include: Review of facility policy, titled IIIB2: Medication Management, dated July 1, 2023, revealed, in part, c. PRN [as needed] orders for antipsychotic drugs are limited to 14 days without exception. If the attending physician or prescribing practitioner wishes to continue a PRN antipsychotic drug beyond 14 days, the attending physician or prescribing practitioner must first perform an in-person evaluation of the resident and then write a new order. […]

• No harm, potential for more than minimal, patternF812Jan 11, 2024

  Based on facility policy reviews, observations, and staff interviews, it was determined that the facility failed to store food, beverages, and nutritional supplements in accordance with professional standards for food service safety in the main kitchen, four of four nourishment areas, and two of three medication storage areas. Findings include: Review of facility policy, titled Food Product Shelf-Life Guidelines, last revised [DATE], revealed, Manufacturer/supplier code dates, use by dates, use thru dates, or expires on dates should always be considered the first level of control .products with a 'Sell By', Best By or (Before) or 'Use-By': Adhere to that date for quality reasons. Further review of the aforementioned policy revealed that butter should be kept refrigerated or frozen. […]