New Bethany Skilled Nursing

In the surveyor’s words

From the most serious findings on record at New Bethany Skilled Nursing, in the surveyor’s own words.

• No harm, potential for more than minimal, widespreadF658Sep 5, 2025

  Based on observation, interview, and record review, the facility failed to meet professional standards of practice for two of four sampled residents (Resident 9 and 23 ) when:1.The Nutritional assessment was not completed by the Registered Dietitian (RD) for Resident 9's significant change of condition assessment dated [DATE].This failure had the potential to put Resident 9 at an increased risk unavoidable significant weight loss. 2.Licensed Vocational Nurse (LVN) 1 did not assess Resident 23's pain prior to administering PRN (means as needed) pain medication (Acetaminophen - is a medication used to treat minor aches and pain and to reduce fever) on 9/3/25.This failure had the potential for Resident 23 not to receive an appropriate pain medication to effectively manage her pain. […]

• No harm, potential for more than minimal, widespreadF761Sep 5, 2025

  Based on observation, interview, and record review, the facility failed to ensure all drugs and biologicals used in the facility were stored and labeled in accordance with currently accepted professional standards for five of eight residents (Residents 1, 8, 20, 21 and 28) when: 1. Residents 1 ,8 , 20, 21 and 28's medications located in the medication cart had the room number of the residents listed and had no label with patient identifiers (information used by healthcare providers to accurately and reliably identify a patient like name and date of birth ). These failures had the potential to result in a medication error (medication being given to the wrong patient).2. The medication room was widely open and unattended by authorized staff. […]

• No harm, potential for more than minimal, widespreadF812Sep 5, 2025

  Based on observation, interview, and record review, the facility failed to ensure food was stored and prepared in accordance with professional standards for food services safety for 29 of 29 sampled residents when:1. A portion of Chicken meat was not fully submerged in water while thawing under running water2. The dishwasher had built up white residue on the surface and black dirt and debris on the top surfaceThese failures placed residents at risk for foodborne (sickness resulting from contaminated food) illness and food contamination.1. During a concurrent observation and interview on 9/2/25 at 9:00 a.m. with [NAME] 1, chicken meat was being thawed under running water, a portion of the meat was not fully submerged under water or in the path of the running water. […]

• No harm, potential for more than minimal, widespreadF865Sep 5, 2025

  Based on interview and record review the facility failed to implement the quality assurance performance improvement (QAPI- a meeting where staff members come together to talk about ways to improve the quality of care for patients and prevent problems before they happen) plan for 29 of 29 sampled residents when the Registered Dietitian's (RD) QAPI recommendation to be involved in Interdisciplinary Team (IDT- a collaborative meeting where professionals from various disciplines [such as doctors, nurses, therapists, and social workers], come together to discuss and coordinate care for an individual) meetings were not followed:This failure had the potential to have resident weight changes go unmonitored by the RD.During an interview on 9/4/25 at 10:07 a.m. […]

• No harm, potential for more than minimal, widespreadF880Sep 5, 2025

  Based on observation, interview, and record review, the facility failed to maintain an effective infection prevention and control program designed to provide a safe, sanitary, and comfortable environment and to help prevent the development and transmission of communicable diseases and infections in the medication room and for two of two sampled residents (Residents 3 and 15) when 1.Licensed Vocational Nurse (LVN) 1 stored her personal belongings inside of the medication room on the medication counter. 2. Resident 15's oxygen nasal cannula (NC - a plastic tube used to deliver oxygen) was stored in an open package.3. Resident 3's NC was stored in the top drawer of the resident's nightstand with no packaging to protect it from the environment. […]