Bethel Pointe Health and Rehab

In the surveyor’s words

From the most serious findings on record at Bethel Pointe Health and Rehab, in the surveyor’s own words.

• Actual harm, isolatedF726Jul 21, 2026

  Based on interview and record review, the facility failed to ensure staff had the competencies and training to administer medication according to facility policy to prevent medications errors for 1 of 4 residents reviewed for medication administration (Resident B). This deficient practice resulted in Resident B's hospitalization in the intensive care unit for bradycardia (abnormally slow heart rate), hypotension (low blood pressure) and subsequent cardiogenic shock (heart cannot pump enough blood to meet the body's needs). Finding includes: Review of an Indiana Department of Health (IDOH) intake, submitted 7/16/26, indicated a resident had been hospitalized after he was administered medications intended for another resident. […]

• Actual harm, isolatedF760Jul 21, 2026

  Based on interview and record review the facility failed to ensure a resident was free from a significant medication error for 1 of 1 resident reviewed for medication errors (Resident B). This deficient practice resulted in Resident B's hospitalization in the intensive care unit for bradycardia (abnormally slow heart rate), hypotension (low blood pressure) and subsequent cardiogenic shock (heart cannot pump enough blood to meet the body's needs). This deficient practice was corrected on 7/16/26, prior to the start of the survey, and was therefore past noncompliance. Findings include: Resident B's clinical record was reviewed on 7/20/26 at 11:49 a.m. […]

• Actual harm, isolatedF684Jul 14, 2026

  Based on observation, interview, and record review, the facility failed to ensure wound treatments were implemented and consistently completed to promote healing for 2 of 4 residents reviewed for wound care. (Resident B and Resident E) This deficient practice resulted in delayed treatment for a chronic wound to Resident B's toe that was later surgically amputated. Findings include:1.Resident B's clinical record was reviewed on 7/13/26 at 9:24 a.m. Diagnoses included type 2 diabetes mellitus with foot ulcer, other osteomyelitis, unspecified sites, skin graft (allograft) (autograft) infection, non-pressure chronic ulcer of other part of left foot with unspecified severity, peripheral vascular disease, local infection of the skin and subcutaneous tissue, and acquired absence of other toe(s),… […]

• No harm, potential for more than minimal, isolatedF550Jun 18, 2026

  Based on observation, interview, and record review, the facility failed to ensure a staff member spoke to a resident in a dignified and respectful manner for 1 of 5 residents observed during medication administration. (QMA 15 and Resident E) Findings include:During a medication observation, on 6/17/26 at 11:52 a.m., QMA 15 prepared medication for Resident E and entered the resident's room. Resident E sat in her wheelchair, holding baby doll. QMA 15 approached the resident with the medication and indicated she had her medicine and asked the resident if she wanted to show how big of a girl she was by taking her medication. QMA 15 attempted to administer the resident's medication and the resident pulled back. QMA 15 attempted again, and the resident took the spoon. […]

• No harm, potential for more than minimal, isolatedF726Jun 18, 2026

  Based on observation, interview and record review, the facility failed to ensure medications were administered according to facility policy to prevent medication errors and failed to ensure medications were prepared and administered according to physician orders and facility policy for oral and inhaled medications. (Residents C, B, F, and E) Findings include:1.A 5/23/26 anonymous intake submitted to the Indiana Department of Health (IDOH) indicated a resident had been administered medications intended for another resident, resulting in hospitalization.Resident C's clinical record was reviewed on 6/17/26 at 10:28 a.m. […]