Bethel Lutheran Home

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF880Dec 5, 2025

  Based on observation, interview and record review, the facility failed to maintain an effective infection prevention and control program for 49 of 49 sampled residents when: 1. Licensed Vocational Nurse (LVN) 4 went into Resident 1's room, who was on contact precautions (requiring staff and visitors to wear gloves and gowns when entering the room, wash hands thoroughly, and use special equipment to prevent touching the patient or their stuff to stop germs from spreading from a sick person to others), and performed patient care without wearing personal protective equipment (PPE) such as a gown and gloves. […]

• No harm, potential for more than minimal, widespreadF812Oct 28, 2024

  Based on observation, interview and record review, the facility failed to store, prepare, and serve food in accordance with professional standards of practice for food service safety when: 1. A walk- in freezer had beef stew meat with ice crystals inside the bag labeled [DATE]. 2. A foam cup containing food with staff name undated labeled was stored on shelf in walk-in refrigerator. 3. An open yogurt container with no opened date was found in the walk-in refrigerator 4. A white bin containing oats was not labeled with open and received date in the storage room. 5. Cookies, snacks and 2-liter sodas brought from family members, were found with no label of date opened, date received, or initials, in two of six sampled residents' (Resident 2 and 24) room. […]

• No harm, potential for more than minimal, widespreadF804Sep 29, 2022

  Based on observation, interview, and record review, the facility failed to ensure the nutritive values and appearance of the food was maintained when there was an accumulation of ice on two packages of lunch meat in the freezer. This failure resulted in food past their maximum storage period which could potentially affect the palatability and quality of the lunch meat and ultimately the nutritional status of the residents. Findings: During a concurrent observation and interview on 9/26/22, at 8:15 a.m., in the kitchen, there were two packages of turkey sandwich lunch meat noted to be about a quarter covered in ice, in the freezer. The lunch meat was dated 7-23-22 (over two months). The Dietary Supervisor (DTSUP) stated the lunch meat packages should have been thrown out. […]

• No harm, potential for more than minimal, widespreadF812Sep 29, 2022

  Based on observation, interview and record review, the facility failed to ensure food was stored and served in accordance with professional standards for food service safety when: 1. The electrical cord from a fan was in contact with cooked food. 2. The facility did not have air gaps on 2 food prep sinks and 1 ware washing sink. 3. Employee personal items were in a drawer in a food prep table. These failures had the potential to cause foodborne illness to the residents who receive food from the kitchen. Findings: 1. During an observation on 9/26/22, at 8:15 a.m., in the kitchen, an electrical cord connected to a fan was touching a cake that was on top of a microwave. During an interview on 9/28/22, at 1:07 p.m. […]

• No harm, potential for more than minimal, widespreadF761Jul 29, 2021

  Based on observation, interview and record review, the facility failed to ensure drugs were labeled in accordance with professional principles; drugs were stored under proper temperature controls, and the medication cart was locked, secured and inaccessible to unauthorized staff, residents and visitors when: 1. The temperature logs for one of two medication rooms (medication room [ROOM NUMBER]) and the medication refrigerator had missing temperatures. 2. One of one sampled Emergency Kit (E-KIT- a container with limited quantity of medications that could be dispensed when pharmacy services are not available) in medication room [ROOM NUMBER] contained injectable medications, Amikacin Sulfate (an antibiotic used for treatment of infections) with an expiration date of 5/31/21. 3. […]