Bethel Nursing & Rehabilitation Center

Inspection Report
Report Period: June 2011 to May 2015

PFI: 7278
Regional Office: MARO--New Rochelle Area Office

This report displays citations for Certification Surveys and Complaint Surveys during the reporting period.

Summary

This table summarizes the citations in the details section of this report and compares them against the statewide average.

MeasureThis FacilityStatewide Average
Standard Health Deficiencies2523
Life Safety Code Deficiencies1112
Total Deficiencies3635
Deficiencies Related to Actual Harm or Immediate Jeopardy11
% of Deficiencies Related to Actual Harm or Immediate Jeopardy3%3%

Details of Certification and Complaint Surveys

Key to understanding citations and surveys:

  • Potential for no more than Minimal Harm
    Potential for no more than Minimal Harm
  • Potential for more than Minimal Harm
    Potential for more than Minimal Harm
  • Actual Harm
    Actual Harm
  • Immediate Jeopardy
    Immediate Jeopardy
  • Isolated
    Isolated
  • Pattern
    Pattern
  • Widespread
    Widespread
  • Certification surveys are on-site inspections required every 9-15 months by the federal government.
  • Complaint surveys are on-site inspections held as the result of a complaint. They are only shown here if they resulted in a citation.
 

February 20, 2015 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
DEVELOP COMPREHENSIVE CARE PLANS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 20, 2015
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 20, 2015
MEDICATION ERROR RATES OF 5% OR MORE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 20, 2015
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 20, 2015
RESIDENT MAINTAIN NUTRITIONAL STATUS UNLESS UNAVOIDABLE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 20, 2015
INFORM RESIDENT OF SERVICES/CHARGES/LEGAL RIGHTS/ETC. View details of this deficiencyPotential for no more than Minimal HarmPatternNot substandard quality of careApril 20, 2015

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
EMERGENCY PLAN View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careApril 20, 2015
ALTERNATE SOURCE OF POWER View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careApril 20, 2015

May 2, 2014 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 31, 2014

March 18, 2014 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
PROPER TREATMENT TO PREVENT/HEAL PRESSURE SORES View details of this deficiencyActual HarmIsolatedNot substandard quality of careMay 15, 2014
DEVELOP COMPREHENSIVE CARE PLANS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 15, 2014
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 15, 2014
DRUG REGIMEN IS FREE FROM UNNECESSARY DRUGS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 15, 2014
INFORM OF ACCIDENTS/SIGNIFICANT CHANGES/TRANSFER/ETC. View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 15, 2014
RANGE OF MOTION TREATMENT AND SERVICES View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 15, 2014
RESIDENT DRUG REGIMEN REVIEWED MONTHLY BY PHARMACIST View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 15, 2014

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
MEDICAL GAS SYSTEM View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 15, 2014
TESTING OF FIRE ALARM View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 15, 2014
AUTOMATIC SPRINKLER SYSTEM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 15, 2014
SPRINKLER SYSTEM MAINTENANCE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 15, 2014

March 29, 2013 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
DEVELOP COMPREHENSIVE CARE PLANS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 25, 2013
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 25, 2013
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 25, 2013
PROVIDE NECESSARY CARE FOR HIGHEST PRACTICABLE WELL BEING View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 25, 2013
RESIDENT NOT CATHETERIZED UNLESS UNAVOIDABLE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 25, 2013

Standard Life Safety Code Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
ALCOHOL BASED HAND RUBS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 25, 2013
EMERGENCY LIGHTING View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 25, 2013
EXIT ACCESS View details of this deficiencyPotential for more than Minimal HarmPatternNot substandard quality of careMay 25, 2013
AUTOMATIC SPRINKLER SYSTEM View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMay 25, 2013
STANDARDS OF CONSTRUCTION FOR NEW EXISTING NURSING HOME View details of this deficiencyPotential for no more than Minimal HarmPatternNot substandard quality of careMay 25, 2013

February 21, 2012 Certification Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
DEVELOPMENT/PREPARE/REVIEW OF COMPREHENSIVE CARE PLAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 30, 2012
FACILITY IS FREE OF ACCIDENT HAZARDS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 30, 2012
FACILITY PROVIDES SUFFICIENT FLUID INTAKE View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 30, 2012
RESIDENT GIVEN TREATMENT TO IMPROVE/MAINTAIN ADLS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 30, 2012
RESIDENTS' CARE SUPERVISED BY A PHYSICIAN View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careMarch 30, 2012

Standard Life Safety Code Inspection

No Deficiencies

November 28, 2011 Complaint Survey

View Statement of Deficiencies issued for this Inspection Cycle

Standard Health Inspection

DeficiencySeverity Learn more about severityResidents Affected Learn more about scopeSubstandard Quality of Care Learn more about substandard quality of careCorrection Date Learn more about correction dates
PROPER LABELING OF DRUGS AND BIOLOGICALS View details of this deficiencyPotential for more than Minimal HarmIsolatedNot substandard quality of careDecember 30, 2011

Note: If the latest survey included in this report is more than 12 months old, the Department of Health may have recently surveyed this nursing home or is currently inspecting this home.

If you have questions about the current quality of service delivery at the nursing home, you should contact the facility and request a copy of the latest survey inspection report. The facility is required to post the report in a public area of the nursing home. If you request the report and the nursing home refuses to provide it, please call the New York State Nursing Home Complaint hotline at 1-888-201-4563.