Oaks - Bethany Skilled Nursing, The

In the surveyor’s words

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

• No harm, potential for more than minimal, widespreadF812Mar 6, 2025

  Based on observations, staff interviews, and review of the facility policies titled, Labeling, dating, and Storage, Dietary Partner Hygiene and Dress Code, and Cleaning Schedule policy, the facility failed to label and date food items, wear hair coverings appropriately, and ensure fans in the kitchen are free of dust, dirt, and debris. This deficient practice had the potential to effect 89 out of 96 residents receiving an oral diet. Findings include: Review of the facility policy titled Labeling, dating, and storage, revised on 11/11/2022 revealed under Procedure: 1. Food and beverage items will have an identifying label as well as received date and opened date, as applicable; for items prepared onsite, a 'use by' date will also be indicated. […]

• No harm, potential for more than minimal, patternF578Mar 6, 2025

  Based on record reviews, staff interviews, and review of the facility's policy Advance Directive, the facility failed to provide residents and/or their representatives written information regarding the right to accept or refuse medical or surgical treatment for six out of 42 sampled residents (R) (R53, R48, R88, R94, R55, and R76). Findings include: Review of the facility's Advance Directive policy revised on [DATE] revealed, Prior to, or upon Admission, the patient/resident and/or their responsible party will be asked about the existence of any advance directives. […]

• No harm, potential for more than minimal, patternF584Mar 6, 2025

  Based on observations, record review, and interviews, the facility failed to maintain a safe and homelike environment on three of seven halls (E3, E4, and [NAME] wing hall) and in the laundry room. Specifically, the shower room on E3 hall had broken wall tiles; Resident (R) (R19) on E4 hall privacy curtain was stained with a brown substance and motorized wheelchair had a build-up of brownish-black debris. Also, the laundry room had a ceiling vent that was coated with a dark greyish substance and the entrance to the laundry room had a large space preventing the door from closing securely. […]

• No harm, potential for more than minimal, patternF584Dec 22, 2022

  Based on observations, staff interviews, and review of facility policy titled, Infection Control-Housekeeping Services, the facility failed to maintain a clean, sanitary environment related to a heavy build-up of dust on the vent covers in nine (9) of 21 adjoining resident bathrooms in rooms (Rms) 3/5, 4/6, 8/10, and 7/9 on West (W) Hall, and in Rms 12, 14/16, 17/19, 18/20, and 21/22 on the Memory Unit. The deficient practice had the potential to affect the air quality for all the residents residing in resident care areas. Findings include: Review of policy titled, Infection Control-Housekeeping Services, revised dated 1/15/2016 revealed the facility will ensure housekeeping services will be performed on a routine and consistent basis to ensure sanitary environment. […]

• No harm, potential for more than minimal, isolatedF627Apr 30, 2026

  Based on resident and staff interviews, record review, and review of the facility's policy titled Discharge Planning, the facility failed to ensure a safe and appropriate discharge for one of one sampled (R)(R113). The facility discharged R113 to an environment that was not safe, placing R113 at risk for psychosocial and physical harm.Findings Include:A review of the facility's policy titled, Discharge Planning last revised on 02/24/2025, documented, .The Discharge Summary provides the necessary information to continuing care providers pertaining to the course of treatment while the resident was in the facility and the patient/resident's plan for care after discharge, including but not limited to the following: Discharge Recapitulation of Stay Form. […]