Country Meadows Nursing Center of Bethlehem

In the surveyor’s words

From the most serious findings on record at Country Meadows Nursing Center of Bethlehem, in the surveyor’s own words.

• No harm, potential for more than minimal, patternF550Jul 31, 2025

  Based on policy review, staff and resident interviews, clinical record review, and review of electronic call bell logs, it was determined that the facility failed to answer call bells in a timely manner to provide care and services respectful of each resident's dignity and preferences to promote the quality of life for three of 17 sampled residents. (Residents 1, 25, and 28)Findings include: Review of the facility's policy entitled Call Lights: Accessibility and Timely Response,” dated April 29, 2025, revealed that staff were responsible for responding to a call light in a reasonable amount of time. […]

• No harm, potential for more than minimal, isolatedF550Aug 5, 2026

  Based on facility policy review, staff and resident interviews, clinical record review, and review of electronic call bell logs, it was determined that the facility failed to answer call bells in a timely manner to provide care and services respectful of each resident's dignity and preferences to promote the quality of life for two of eight sampled residents. (Residents 54 and 58)Findings include:Review of the facility policy entitled Call Lights: Accessibility and Timely Response, dated April 15, 2026, revealed that staff were responsible for responding to a call light in a reasonable amount of time. […]

• No harm, potential for more than minimal, isolatedF656Aug 5, 2026

  Based on clinical record review and staff interview, it was determined that the facility failed to develop a comprehensive care plan that addressed individual resident needs as identified in the comprehensive assessment for one of eight sampled residents. (Resident 4)Findings include:Clinical record review revealed that Resident 4 was admitted to the facility on [DATE], and had diagnoses that included retention of urine. Review of the Minimum Data Set assessment dated [DATE], indicated that the resident was alert and was frequently incontinent of urine. The Care Area Assessment summary dated May 23, 2026, noted that the resident's urinary incontinence was to be addressed in the care plan. […]

• No harm, potential for more than minimal, isolatedF656Jul 31, 2025

  Based on clinical record review, review of facility documentation, and staff interview, it was determined that the facility failed to develop and implement a comprehensive care plan that addressed each resident's needs as identified in the comprehensive assessment for two of 17 sampled residents. (Residents 5, 25) Findings include: Clinical record review revealed that Resident 5 had diagnoses that included dementia, major depression disorder, and chronic kidney disease. The Minimum Data Set (MDS) assessment dated [DATE], noted that the resident had severely impaired cognition, had impaired communication abilities, was frequently incontinent of urine and required substantial assistance with toileting hygiene. […]

• No harm, potential for more than minimal, isolatedF684Jul 31, 2025

  Based on facility policy review, clinical record review, and staff interview, it was determined that the facility failed to implement physician's orders for two of 17 sampled residents. (Residents 7 and 25)Findings include: Review of the policy entitled Elimination Bowel Protocol, last reviewed April 29, 2025, revealed that the day shift (7:00 a.m. to 3:00 p.m.) and evening shift (3:00 p.m. to 11:00 p.m.) and medication nurses will check the bowel movement documentation in the electronic medical record (EMR). If no bowel movement had occurred in the past three days, the day shift medication nurse was to administer prune juice to the resident. […]