Bethel Home
Montezuma, Kansas · CCN 175528
7 surveys since 2012. The first finding at harm level was recorded in 2023.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 25
- Surveys
- 7
- Harm or worse
- 1
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 56
- Ownership
- Non profit - Church related
- Chain
- Independent
- County
- Gray · rural
- Medicare-certified since
- 2012
CMS ratings
- Overall
- 5
- Health inspection
- 4
- Staffing
- 5
- Quality measures
- 4
CMS’s own Five-Star ratings.
Compared with similar facilities
Not shown for this facility: too few citations in window (n=15, floor 20).
Last survey on record
Jan 16, 2025
662 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 4.58 | 4.29 |
| Registered-nurse hours per resident day | 0.55 | — |
| Annual nurse turnover | 28.6% | 43.9% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
No fines, payment denials or special-focus designation on the current CMS record.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G16.7% | H— | I— |
| No harm, potential for more than minimal | D1066.7% | E213.3% | F213.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F6862×
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
- F6892×
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- F6101×
Respond appropriately to all alleged violations.
- F6551×
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
In the surveyor’s words
From the most serious findings on record at Bethel Home, in the surveyor’s own words.
- Actual harm, isolatedF686Feb 1, 2023
The facility census totaled 54, with 4 sampled for pressure injuries. Based on observation, interview, and record review the facility failed to establish and maintain a system to identify, track, and measure wounds when Residents (R) 51 admitted to the facility with two pressure injuries (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) and had multiple wounds develop with no measurements, description, or follow up documented in the resident's record. […]
- No harm, potential for more than minimal, widespreadF726Feb 1, 2023
The facility reported a census of 54 residents. Based on observations, interviews, and record review the facility failed to ensure the competency of Licensed Nurses in the facility regarding wound/skin issues of residents to include the monitoring, measuring, identifying of skin issues and pressure injuries (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction). This deficient practice placed any resident with potential skin issues, at risk of worsening and further development of skin related injuries. […]
- No harm, potential for more than minimal, widespreadF867Feb 1, 2023
The facility reported a census of 54 residents. Based on observation, interview, and record review the facility failed to ensure the QAPI committee developed and implemented timely action plans to address the quality deficiencies as identified in the annual health resurvey. This failure placed all resident with actual and/or potential skin integrity issues at risk. Findings included: - During the annual health resurvey conducted on 01/30-02/01/23 the following concerns were identified: 1. The facility failed to initiate an investigation, when Resident (R) 51 sustained bruising to his left wrist, right forearm, and a skin tear to the back of his right hand with no documentation or follow to determine the origin of the resident's injuries. […]
- No harm, potential for more than minimal, patternF657Jan 16, 2025
The facility had a census of 50 residents and the sample included 14 residents. Based on observation, record review, and interview, the facility failed to revise the fall care plan with an appropriate intervention for two residents. Resident (R) R33 and R36. Additionally, the facility failed to update care plan with facility acquired pressure ulcer (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) for R2, and R23's care plan was not updated with psychotropic (alters mood or thought) medications changes. […]
- No harm, potential for more than minimal, patternF689Jan 16, 2025
The facility had a census of 50 residents and the sample included 14 residents. Based on observation, record review, and interview, the facility failed to ensure a safe environment free from accident hazards for four residents. Resident (R) 37 who had medications located in her room that was not secured. Additionally, three residents R21, R33, and R36 had repeated falls with inappropriate or lacked a care plan revision after falls. These failures placed the affected residents at risk for preventable accidents and related injuries. Findings included: - During the onsite survey, the surveyors identified a concern regarding the unsecured medications observed in one resident's room during interview. […]
Read 20 findings in full →The most serious and the most recent: 20 of 25 on record.
Every survey on record
FindingsAt actual harm or above
- Jan 16, 2025Standard7 findings
- Aug 16, 2023Complaint1 finding
- Feb 1, 2023Standard6 findings · 1 harm
- Mar 24, 2021Standard1 finding
- Aug 8, 2019Standard4 findings
- Jul 25, 2013—2 findings
- May 8, 2012—4 findings
Surveys that found no deficiencies are not in CMS’s files and do not appear here.
Comparable facilities
The nearest facilities to this one in the same peer group, by weighted findings.
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