Bethel Home

In the surveyor’s words

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

• Immediate jeopardy, isolatedF689Aug 13, 2025

  Based on staff interview and record review, the facility failed to ensure the resident environment remained as free of accident hazards as possible for 1 resident (R) (R1) of 5 sampled residents when staff used a mechanical lift without ensuring a safety latch was in place prior to transferring R1.On 7/30/25 at 11:00 AM, Certified Nursing Assistant (CNA)-C and CNA-D transferred R1 from bed to Broda chair via a Liko Golvo 7007ES full body lift. CNA-C and CNA-D positioned the sling under R1 and hooked all 4 sling loops onto 2 hooks on either end of the sling bar. During the transfer, a sling loop slid down the sling bar, which caused the bar to go vertical. A safety latch that should have been attached to the sling bar hook was missing which caused a sling loop to detach from the lift. […]

• No harm, potential for more than minimal, widespreadF812Jun 16, 2021

  Based on observation, record review and staff interview, the facility did not ensure food was stored under sanitary conditions in four of four unit kitchenette refrigerators. This practice had the potential to affect all 80 residents in the facility. -The facility did not check refrigeration temperatures daily in unit kitchenettes, ensuring food was stored at a safe temperature. Findings include: On 6/16/21 Surveyor toured the unit kitchenettes and found there were not refrigerator temperature logs documenting daily refrigeration temperatures. […]

• No harm, potential for more than minimal, patternF880Sep 10, 2025

  Based on observation, staff and resident interview, and record review, the facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection for 2 residents (R) (R26 and R64) as well as staff, volunteers, visitors, and other individuals providing resident services. This practice had the potential to affect more than 4 of the 70 residents residing in the facility.The facility did not implement transmission-based precautions (TBP) for residents at the onset of respiratory symptoms to prevent the spread of contagious illness. R26 was not placed on droplet precautions at the onset of respiratory symptoms on 8/11/25. […]

• No harm, potential for more than minimal, isolatedF755Sep 10, 2025

  Based on observation, staff and resident interview, and record review, the facility did not ensure 2 residents (R) (R44 and R3) of 2 sampled residents were accurately assessed for self-administration of medication. Theraworks pain relief spray was observed at R44's bedside. R44's most recent Self-Administration of Medication assessment, dated 9/3/25, indicated R44 was unable to self-administer medication. Oral medication and eye drops were observed at R3's bedside. A Self-Administration of Medication assessment for R3 was not thoroughly completed. […]

• No harm, potential for more than minimal, isolatedF883Sep 10, 2025

  Based on staff interview and record review, the facility did not ensure 2 residents (R) (R26 and R39) of 5 sampled residents were provided pneumococcal vaccines.R26 was eligible to receive a pneumococcal vaccine. The facility did not obtain R26's consent or declination to receive the vaccine in a timely manner.R39 was eligible for and signed consent to receive a pneumococcal vaccine. The facility did not administer the vaccine in a timely manner.Findings Include: The facility's Infection Control-Immunizations policy, revised 1/2025, indicates: The facility will ensure each resident is offered a pneumococcal immunization unless the immunization is medically contraindicated or the resident has already been immunized. […]