Bethany Home Association

Certification

Medicare-certified.

Ratings

Inspection history (21)

Records from August 2021 to September 2025.

• September 2, 2025

  Tag F0580

  Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.

• September 2, 2025

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 17, 2025.

• June 25, 2025

  Tag F0727

  Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected July 7, 2025.

• August 14, 2024

  Tag F0699

  Provide care or services that was trauma informed and/or culturally competent.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 6, 2024.

• August 14, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 6, 2024.

• August 14, 2024

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 6, 2024.

• August 14, 2024

  Tag F0690

  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 6, 2024.

• August 31, 2023

  Tag F0755

  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 15, 2023.

• June 21, 2023

  Tag F0689

  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

  Severity J: isolated, immediate jeopardy. Corrected June 16, 2023.

• March 15, 2023

  Tag F0756

  Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2023.

• March 15, 2023

  Tag F0732

  Post nurse staffing information every day.

  Severity C: widespread, no actual harm, potential for minimal harm. Corrected April 28, 2023.

• March 15, 2023

  Tag F0804

  Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2023.

• March 15, 2023

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected April 28, 2023.

• March 15, 2023

  Tag F0812

  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected April 28, 2023.

• March 15, 2023

  Tag F0868

  Have the Quality Assessment and Assurance group have the required members and meet at least quarterly.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected April 28, 2023.

• August 18, 2021

  Tag F0757

  Ensure each resident’s drug regimen must be free from unnecessary drugs.

  Severity E: pattern, no actual harm, potential for more than minimal harm. Corrected September 1, 2021.

• August 18, 2021

  Tag F0550

  Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2021.

• August 18, 2021

  Tag F0758

  Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is l….

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2021.

• August 18, 2021

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity F: widespread, no actual harm, potential for more than minimal harm. Corrected September 1, 2021.

• August 18, 2021

  Tag F0657

  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected September 1, 2021.

Penalties

CMS lists no fines or payment denials for this nursing home in the last three years.

Staffing

5.52 nurse hours per resident per day in Q2 2026, up from 5.26 in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit - Corporation