Bethel Health Care Center

In the surveyor’s words

From the most serious findings on record at Bethel Health Care Center, in the surveyor’s own words.

• Actual harm, isolatedF656May 10, 2024

  Based on review of the clinical record, facility documentation, facility policy, and interviews for one (1) of three (3) residents (Resident #1) reviewed for accidents, the facility failed to follow the plan of care when obtaining the resident's weight, Resident #1 sustained a foot laceration that required hospitalization as a result. The finding includes: Resident #1 had diagnoses that included type one diabetes mellitus, and end stage renal disease. The quarterly Minimum Data Set assessment dated [DATE] identified Resident #1 had intact cognition, severely impaired vision, and required assistance with transfers. […]

• Actual harm, isolatedF689May 10, 2024

  Based on a review of clinical records, facility documentation, facility policy, and interviews for one (1) of three (3) residents, (Resident #6), reviewed for accidents, the facility failed to ensure the resident's wheelchair cushion was secured to the wheelchair and as a result, the resident fell and sustained an injury. The finding includes: Resident #6 had diagnoses that included dementia, atrial fibrillation and heart failure (on blood thinner). The quarterly Minimum Data Set assessment dated [DATE] identified Resident #6 had severe cognitive impairment and required extensive assistance for locomotion in a wheelchair. […]

• No harm, potential for more than minimal, patternF550Jul 22, 2025

  Based on observations, review of the clinical record, facility documentation, facility policy, and interviews for 3 of 4 residents (Resident #8, 60 and 117) reviewed for dignity, the facility failed to ensure signs that included personal and health information, were not posted and visible in the residents' room. The findings include:1. Resident #8 was admitted to the facility in January 2022 with diagnoses that included metabolic encephalopathy, dysphagia, and muscle weakness. A dysphagia evaluation report dated 11/14/24 identified Resident #8 was being evaluated for life limiting or threatening dysphagia with feeding difficulties and coughing with the purpose of the evaluation to determine the least restrictive diet and appropriate swallowing maneuvers and strategies. […]

• No harm, potential for more than minimal, patternF658Oct 29, 2024

  Based on clinical record reviews, facility documentation, facility policy and interviews for one (1) of three (3) sampled residents (Resident #1) who was a recent admission and reviewed for omission of medication, the facility failed to notify the provider or implement proper procedures to authorize payment for a medication that was not covered by the resident's insurance to prevent the omission of a medication for forty-eight (48) days. The findings include: Resident #1's diagnoses included prostate cancer, quadriplegia, and chronic congestive heart failure. The admission Minimum Data Set assessment dated [DATE] identified Resident #1 had no memory recall deficits, was alert and oriented to person, place and time, and was dependent on staff for all daily living skills. […]

• No harm, potential for more than minimal, patternF812Sep 6, 2023

  Based on tour of the kitchen and staff interview, the facility failed to ensure that the Dietary Department was maintained in a manner that food items were consistently labeled and stored to reflect their age or shelf-life. The findings included. Tour of the Dietary Department on [DATE] at 11:02 AM during the initial walk-through of the kitchen with the Dietary Manager (DM) identified the following: a. In the dry storage area, 1 bag of pasta was observed to be in the original packaging, was opened, but did not include a date when opened or an expiration date. b. […]