Bethany Rehabilitation Center

Health Inspections

Health Inspections
1
Health Deficiencies
This Nursing Home: 6
CO State Average: 9
U.S. Average: 6
CO Deficiencies Range: 1–30
Complaints & Incidents: 1
Updated April 18, 2013.

Our health inspections rating describes how well this home met health and safety standards for food preparation and other nursing-home activities in the latest three state inspections. Such inspections are conducted about every 15 months.

May 01, 2012 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Store, cook, and serve food in a safe and clean way.
Low
Many
5/22/2012
Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
Low
Some
5/22/2012
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
5/22/2012
Provide necessary care and services to maintain or improve the highest well being of each resident.
Low
Few
5/22/2012
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Few
5/22/2012
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
5/22/2012

October 06, 2010 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Some
Few
11/5/2010
Store, cook, and serve food in a safe and clean way.
Low
Many
11/5/2010
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Low
Some
11/5/2010
Provide housekeeping and maintenance services.
Low
Some
11/5/2010
Provide activities to meet the interests and needs of each resident.
Low
Some
11/5/2010
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Some
12/17/2010
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
12/17/2010
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Some
11/5/2010
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Low
Few
11/5/2010
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Low
Few
11/4/2010
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Few
11/5/2010
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
11/5/2010
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
11/5/2010
Ensure residents maintain acceptable nutritional status.
Low
Few
11/5/2010
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
11/5/2010
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
12/17/2010
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Low
Few
11/5/2010
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
11/5/2010
Keep each resident free from physical restraints, unless needed for medical treatment.
Low
Few
11/5/2010
Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves.
Low
Few
12/17/2010
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Few
11/5/2010
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
11/5/2010

August 06, 2009 Health Inspection

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Store, cook, and serve food in a safe and clean way.
Low
Many
9/4/2009
Listen to the resident groups and act on their complaints and suggestions that affect resident care and life.
Low
Some
9/4/2009
Provide activities to meet the interests and needs of each resident.
Low
Some
9/4/2009
Give residents a notice of rights, rules, services and charges.
Low
Some
9/4/2009
Provide housekeeping and maintenance services.
Low
Some
9/4/2009
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Some
9/4/2009
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
Low
Few
9/4/2009
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
Low
Few
9/4/2009
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
9/4/2009
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
10/13/2009
Allow residents to self-administer drugs if determined safe.
Low
Few
9/4/2009
Ensure residents maintain acceptable nutritional status.
Low
Few
9/4/2009
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home.
Low
Few
9/4/2009
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Low
Few
9/4/2009
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
9/4/2009
Provide necessary care and services to maintain or improve the highest well being of each resident.
Low
Few
9/4/2009

December 12, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
Low
Few
Not Corrected

January 13, 2012 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Give the resident's representative the ability to exercise the resident's rights.
Low
Few
2/8/2012

November 09, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Low
Few
Not Corrected
Provide necessary care and services to maintain or improve the highest well being of each resident.
Low
Few
Not Corrected
Keep residents' personal and medical records private and confidential.
Low
Few
Not Corrected
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses.
Low
Some
Not Corrected
Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers.
Low
Some
Not Corrected
Keep accurate, complete and organized clinical records on each resident that meet professional standards.
Low
Few
Not Corrected

April 28, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
5/16/2011

March 03, 2011 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
High
Some
3/31/2011
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
Low
Some
3/31/2011

October 06, 2010 Complaints & Incidents

Nursing Home Failed To: Possible or Actual Harm Residents Affected Date Fixed
Ensure services provided by the nursing facility meet professional standards of quality.
Low
Few
11/5/2010
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
Some
Few
11/5/2010
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
Low
Few
11/5/2010
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
Low
Few
11/5/2010
Keep each resident free from physical restraints, unless needed for medical treatment.
Low
Few
11/5/2010
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
Low
Few
11/5/2010
Store, cook, and serve food in a safe and clean way.
Low
Many
11/5/2010
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
Low
Some
12/17/2010
Have a program that investigates, controls and keeps infection from spreading.
Low
Some
12/17/2010
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
Low
Few
12/17/2010
1) hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
Low
Few
11/4/2010
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
Low
Few
11/5/2010
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
Low
Some
11/5/2010
Provide activities to meet the interests and needs of each resident.
Low
Some
11/5/2010
Provide medically-related social services to help each resident achieve the highest possible quality of life.
Low
Few
11/5/2010
Provide housekeeping and maintenance services.
Low
Some
11/5/2010
Conduct initial and periodic assessments of each resident's functional capacity.
Low
Few
11/5/2010
Ensure each resident receives an accurate assessment by a qualified health professional.
Low
Some
11/5/2010
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Low
Few
11/5/2010
Allow residents the right to participate in the planning or revision of care and treatment.
Low
Few
11/5/2010

Note: Because of differences in calculation, all data may not match those shown on Nursing Home Compare, a website run by the federal Centers for Medicare & Medicaid Services. CMS has approved the U.S. News methodology.

Last updated April 18, 2013.


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