Bethesda Health Care Facility

In the surveyor’s words

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

• No harm, potential for more than minimal, isolatedF641Feb 12, 2026

  Based on record review and staff interviews, the facility failed to accurately code the Minimum Data Set (MDS) assessment in the areas of diabetes and anxiety diagnoses for 1 of 24 residents reviewed for MDS accuracy (Resident #5).Findings include:Resident #5 was admitted to the facility on [DATE] and most recently readmitted on [DATE]. Her medical history was significant for type 2 diabetes mellitus and generalized anxiety disorder.Resident #5's care plan created 1/10/25 indicated Resident #5 had a diagnosis of diabetes. […]

• No harm, potential for more than minimal, isolatedF644Feb 12, 2026

  Based on record review and staff interviews, the facility failed to submit a request for a Level II Preadmission Screening and Resident Review (PASRR) evaluation for a resident with serious mental health diagnoses for 1 of 1 resident reviewed for PASRR (Resident #4). Findings included:Resident #4 was admitted to the facility on [DATE] with diagnoses which included hypertension, hyperkalemia and hyperlipidemia. The PASRR history report dated 11/01/2021, provided by the facility, revealed Resident #4 had one Level I PASRR review, completed on 11/01/2021 and the review did not meet level II criteria. […]

• No harm, potential for more than minimal, isolatedF812Feb 12, 2026

  Based on observations and staff interviews, the facility failed to discard expired food items and food items with signs of spoilage and failed to label and date resident's personal food items stored in 2 of 2 nourishment room refrigerators (Main Unit and Locked Unit). This practice had the potential to cause foodborne illnesses.Findings included:a. Observation of the Main Unit nourishment room refrigerator with the facility's Dietary Manager (DM) on 2/11/26 at 2:05 PM revealed the following: - A jar of strawberry preserves that was approximately a third full with a use by date of 1/19/26; - An unopened 8 ounces bottle of high protein milkshake with a best if used by date of 1/30/26; - Three unopened bottles of nutritional energy drink with a use by date of 10/9/25; - A 2-liter soft drink… […]

• No harm, potential for more than minimal, isolatedF582Nov 1, 2024

  Based on record review and staff interviews, the facility failed to provide the required Centers for Medicare and Medicaid Services (CMS) Notice of Medicare Non-Coverage (NOMNC) (form 10123) for 1 of 3 sampled residents reviewed for beneficiary protection notification review (Resident #49). The findings included: Resident #49 was admitted to the facility on [DATE] with Medicare Part A skilled services. Resident #49's Annual Minimum Data Set (MDS) assessment dated [DATE] revealed she was severely cognitively impaired. Resident #49's Medicare Part A skilled services ended on 4/08/2024 and her Medicare Part A Skilled Nursing Facility benefit was not exhausted. She remained in the facility. […]