Bethlen HM of the Hungarian RF of America

In the surveyor’s words

From the most serious findings on record at Bethlen HM of the Hungarian RF of America, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF684Mar 10, 2026

  Based on interviews with staff as well as facility investigation documents, it was determined that the facility failed to provide care and services in accordance with professional standards of practice related to the call bell system being unplugged at the nursing station on one nursing unit (100 unit) placing the residents at risk for potential harm.Findings include: Review of the facility policy Call Bells: Accessibility and Timely Response dated [DATE], indicated that staff will report problems with a call light or the call system immediately to the supervisor and/or maintenance director and will provide immediate or alternative solutions until the problem can be remedied, and the facility will ensure the call system alerts staff members directly or goes to a centralized staff work… […]

• No harm, potential for more than minimal, patternF605Sep 5, 2025

  Based on review of clinical records, as well as staff interviews, it was determined that the facility failed to ensure that residents were free from unnecessary psychotropic medications for two of 42 residents reviewed (Resident 39, Resident 40).Findings include: The facility's policy regarding psychotropic medications (any medication that affects brain activities associated with mental processes and behavior), dated June 19, 2025, indicated that residents only receive psychotropic medications when other nonpharmacological interventions are clinically ineffective. […]

• No harm, potential for more than minimal, patternF628Sep 5, 2025

  Based on review of policies and clinical records, as well as staff interviews, it was determined that the facility failed to notify the resident and the resident's representative, in writing regarding the reason for transfer to the hospital, to ensure that a bed-hold notice was provided to the resident's responsible party and that the ombudsman was notified of the transfer to the hospital, for three of 42 residents reviewed (Residents 4, 84, 94). Findings include:The facility's policy regarding bed-holds and returns, dated June 19, 2025, indicated that residents and/or representatives are informed (in writing) of the facility bed-hold policies. […]

• No harm, potential for more than minimal, patternF641Sep 5, 2025

  Based on review of the Resident Assessment Instrument User's Manual and clinical records, as well as staff interviews, it was determined that the facility failed to complete accurate Minimum Data Set assessments for four of 42 residents reviewed (Residents 5, 40, 41, 69). Findings include:The Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual, which provides guidance and instructions for the completion of Minimum Data Set (MDS) assessments (mandated assessments of a resident's abilities and care needs), dated October 2024, indicated that the intent of Section N0415B Antianxiety, Section N0415C Antidepressant, Section N0415F Antibiotic, and Section N0415I Anticonvulsant Medications were to be coded if the resident took the medication during the seven-day lookback… […]

• No harm, potential for more than minimal, patternF584Aug 15, 2024

  Based on observations and staff interviews, it was determined that the facility failed to provide a clean and homelike environment. Findings include: Observations in the lounge area on the 400 hall on August 12, 2024, at 11:15 a.m. revealed a five-gallon bucket on a cart containing old food scraps. Observations in the 300, 400, and 500 halls on August 14, 2024, at 12:26 p.m. revealed a five-gallon bucket with food scraps in it on each hallway. In the 500 hallway the bucket on a cart was at the beginning of the hallway across from the nurses' station, in the 300 hall the bucket was halfway down the hallway in front of resident rooms, and in the 400 hallway the bucket was in the lounge area directly behind a resident who was sitting on a couch eating lunch. […]