Bethea Baptist Healthcare Center

In the surveyor’s words

From the most serious findings on record at Bethea Baptist Healthcare Center, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF656Apr 24, 2026

  Based on interviews and record reviews, the facility failed to develop comprehensive person-centered care plans related to Advance Directives for 14 of 18 residents (Resident(R)1, R5, R7, R10, R18, R23, R25, R33, R34, R35, R41, R42, R43, and R67) in accordance with their wishes. Findings include: A review of the undated facility policy titled, Residents' Rights Regarding Treatment and Advance Directives revealed the definition of an advance directive and, Policy Explanation and Compliance Guidelines: 1. On admission, the facility will determine if the resident has executed an advance directive, and determine whether the resident would like to formulate an advance directive. 7. […]

• No harm, potential for more than minimal, widespreadF761Aug 3, 2023

  Based on the facility policy titled, Medication Storage, observations and interviews, the facility failed to ensure expired medications and biological's were removed and not stored with medications in use by residents on 3 of 3 units. The findings included: Review of the facility policy titled, Medication Storage, revealed, It is the policy of this facility to ensure all medications housed on our premises will be stored in the pharmacy and/or medications rooms according to the manufacturer's recommendations and sufficient to ensure proper sanitation, temperature, light, ventilation, moisture control, segregation and security. […]

• No harm, potential for more than minimal, widespreadF812Jan 20, 2022

  Based on observation, interview, and review of the facility policies and procedures, the facility failed to store, prepare, and serve food under sanitary conditions for 61 out of 61 residents who received food prepared in the kitchen. These failures had the potential to increase the prevalence and spread of foodborne illness and infection to all residents. Findings include: Policy review of un-dated policies titled Date Marking for Food Safety, Sanitation Inspection and Kitchen Hood Inspection and Cleaning. Policy: The facility adheres to date marking system to ensure the safety and of ready-to-eat, time/temperature control for safety food. Policy Explanation and Compliance Guidelines for staffing: 1. […]

• No harm, potential for more than minimal, isolatedF880Apr 24, 2026

  Number of residents sampled: 21 residents on EBPNumber of residents cited: 1Based on observation, interview, and record review, the facility failed to follow Enhanced Barrier Precautions (EBP) during two of two observations [Certified Nurse Aide (CNA) BB and Licensed Practical Nurse (LPN) AA] during high-contact resident care activities for one of 21 residents (including 11 supplemental residents) reviewed for precautions (Resident (R)5). This was evidenced by an LPN and a CNA failing to don the required PPE while performing wound care and linen changes. Findings include: A review of the undated facility policy titled, Infection Prevention and Control Program revealed, Policy Explanation and Compliance Guidelines: . 2. […]

• No harm, potential for more than minimal, isolatedF625Apr 3, 2025

  Based on the facility policy, record reviews and interviews, the facility failed to ensure the facility bedhold policy with the bed hold amount was provided to the resident and or the personal representative in a timely manner for Resident (R56) who was discharged to the hospital on [DATE] for 1 of 4 residents reviewed for hospitalizations. Findings include: Review of the facility policy titled, Bed Hold Notice, states, This notice fulfills requirements to remind you of this facility's bed hold policy. Please read carefully and indicate whether or not you wish to reserve your room. I understand that the basic per diem rate is $310.00 per day. […]