Bethany On University

Inspection history (10)

• February 12, 2026 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2026-02-12 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2026-03-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-12.GOV

• February 12, 2026 · D

  Citation F0628

  Federal surveyors cited this nursing home on 2026-02-12 under CMS tag F0628 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. The deficiency was recorded as corrected on 2026-03-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-12.GOV

• February 12, 2026 · D

  Citation F0627

  Federal surveyors cited this nursing home on 2026-02-12 under CMS tag F0627 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. The deficiency was recorded as corrected on 2026-03-17. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2026-02-12.GOV

• June 4, 2025 · D

  Citation F0760

  Federal surveyors cited this nursing home on 2025-06-04 under CMS tag F0760 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure that residents are free from significant medication errors. The deficiency was recorded as corrected on 2025-07-07. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-06-04.GOV

• January 29, 2025 · D

  Citation F0658

  Federal surveyors cited this nursing home on 2025-01-29 under CMS tag F0658 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Ensure services provided by the nursing facility meet professional standards of quality. The deficiency was recorded as corrected on 2025-03-05. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2025-01-29.GOV

• October 24, 2024 · D

  Citation F0880

  Federal surveyors cited this nursing home on 2024-10-24 under CMS tag F0880 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide and implement an infection prevention and control program. The deficiency was recorded as corrected on 2024-11-13. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2024-10-24.GOV

• October 26, 2023 · D

  Citation F0761

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0761 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0622

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0622 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for 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. The deficiency was recorded as corrected on 2023-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · G

  Citation F0563

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0563 (CMS scope/severity G: isolated, actual harm) for Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. The deficiency was recorded as corrected on 2023-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

• October 26, 2023 · D

  Citation F0623

  Federal surveyors cited this nursing home on 2023-10-26 under CMS tag F0623 (CMS scope/severity D: isolated, no actual harm, potential for more than minimal harm) for Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. The deficiency was recorded as corrected on 2023-11-20. Source: CMS Care Compare Health Deficiencies (as of 2026-06-01).

  View original record (opens in a new tab)Source: CMS Care Compare · Updated 2023-10-26.GOV

Penalties

Total fines on file: $0

Staffing

Latest: 5.44 nurse staffing hours per resident per day (2026-06-01)

Ownership

Non profit - Corporation

1. Parent organization: American Lutheran Homes INC

   parent · PAC 1850295056