Bethany on University

Certification

Medicare-certified.

Ratings

Inspection history (10)

Records from October 2023 to February 2026.

• February 12, 2026

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 17, 2026.

• February 12, 2026

  Tag F0628

  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 17, 2026.

• February 12, 2026

  Tag F0627

  Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 17, 2026.

• June 4, 2025

  Tag F0760

  Ensure that residents are free from significant medication errors.

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

• January 29, 2025

  Tag F0658

  Ensure services provided by the nursing facility meet professional standards of quality.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected March 5, 2025.

• October 24, 2024

  Tag F0880

  Provide and implement an infection prevention and control program.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 13, 2024.

• October 26, 2023

  Tag F0761

  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 20, 2023.

• October 26, 2023

  Tag F0622

  Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 20, 2023.

• October 26, 2023

  Tag F0563

  Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.

  Severity G: isolated, actual harm. Corrected November 20, 2023.

• October 26, 2023

  Tag F0623

  Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

  Severity D: isolated, no actual harm, potential for more than minimal harm. Corrected November 20, 2023.

Penalties

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

Staffing

5.41 nurse hours per resident per day in Q2 2026, about the same as in Q4 2025.

From the payroll records nursing homes file with CMS.

Ownership

Non profit

• Parent company: Bethany Homes, INC