Betty Dare Wellness & Rehabilitation LLC

In the surveyor’s words

From the most serious findings on record at Betty Dare Wellness & Rehabilitation LLC, in the surveyor’s own words.

• Immediate jeopardy, widespreadF880Mar 2, 2021

  During a complaint and CoVID-19 ([MEDICAL CONDITION] infection) investigation the following was discovered: 1) Staff who tested positive for CoVID-19 were working in the facility. 2) A resident who tested positive for CoVID-19 at the local hospital was readmitted to the yellow zone (quarantine zone becasue unsure if positive or not) and place with a roommate. 3) Interviews and observations revealed staff were not compliant with PPE (personal protective equipment) requirements both willing and unknowingly: a) Dietary staff not wearing isolation gown in the yellow zone. b) Direct care staff not changing gowns between residents in the yellow zone. […]

• No harm, potential for more than minimal, widespreadF727Nov 21, 2025

  Based on the record review and interview, the facility failed to ensure RN coverage was provided for 8 consecutive hours a day and for 7 days a week. This failure could potentially affect all 72 residents who lived in the facility (residents were identified by the Resident Matrix provided by the Administrator on 06/23/25. This deficient practice is likely to result in residents not receiving the services they require. The findings are: A. Record review of the Payroll Base Journal (PBJ) Staffing Data Report (report from the database of the federal agency overseeing certification for long term care facilities) dated Quarter #1 (October 1 through December 31) 2025 revealed no RN coverage for at least 8 consecutive hours on 10/06/24 and 12/31/24. B. […]

• No harm, potential for more than minimal, widespreadF761Jul 9, 2025

  Based on observation, and interview, the facility failed to secure medications in a medication cart and a treatment cart for all 61 residents (residents were identified by the census list provided by the Administrator on 07/09/25). This deficient practice could result in residents obtaining medication not prescribed to them resulting in adverse side effects. The findings are:A. On 07/09/25 at 10:03 AM, during an observation of the 100 hallway revealed a medication cart was unlocked. B. On 07/09/25 at 10:08 AM, during an interview, LPN #28 confirmed the medication cart on 100 hallway was left unlocked. LPN #28 also confirmed the medication carts should be locked when unattended. C. […]

• No harm, potential for more than minimal, widespreadF727Aug 15, 2024

  Based on document review, interviews, and facility policy review, the facility failed to ensure Registered Nurse (RN) coverage was provided eight hours a day seven days a week. The failure created the potential for 48 residents, residing in the facility, not to receive appropriate care and oversight. Findings include: Review of the Fiscal Year Quarter 2 Payroll Based Journal (PBJ) of the Certification and Survey Provider Enhanced Reports (CASPER), submitted by the facility, identified no RN coverage on the following dates: 01/21/24, 02/17/24, 02/18/24, and 03/16/24. On 08/15/24 at 9:06 AM, the Infection Preventionist (IP), responsible for staffing, confirmed that there was no RN coverage, on 02/17/24 and 02/18/24. […]

• No harm, potential for more than minimal, widespreadF812Oct 10, 2023

  Based on observation and interview, the facility failed to ensure food was stored properly for all 50 residents who eat food prepared in the kitchen (residents were identified by the Census list provided by the Administrator on 10/01/23), when they failed to label and date food items in the pantry and in the refrigerator. These deficient practices could lead to residents becoming sick from foodborne illnesses. The findings are: A. On 10/02/23 at 11:28 AM, during an observation of the Kitchen pantry revealed: 1. A package of linguini noodles opened with no date, 2. A package of spiral noodles opened with no date, 3. An open bag of tortillas chips no date, 5. A package of bologna no label and no date, 6. A parmesan cheese no date, 7. […]