BETHANY ON UNIVERSITY
10 citation(s) appear in this facility's record, none at CMS's actual-harm or immediate-jeopardy levels in the last three years.
Serious inspection findings
2023-10-26 — ACTUAL HARM (tag F0563, severity G)
Resident Rights Deficiencies · correction not recorded in CMS data
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing.
Staffing, from payroll records
Nursing hours / resident / day
4.61
state median 3.86
Weekend staffing gap
−6%
fewer nursing hours on weekends · state median −11%
RN hours / resident / day
0.85
registered nurses only
Contract (agency) staff
5%
share of all nursing hours
Nursing staff turnover
52%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
CMS records no penalties for this facility.
Ownership
Ownership type: Non profit - Corporation.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-02-12 | F0627 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-12 | F0628 | Resident Rights Deficiencies | D | not recorded |
| 2026-02-12 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2025-06-04 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-01-29 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-24 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2023-10-26 | F0563 | Resident Rights Deficiencies | G | not recorded |
| 2023-10-26 | F0622 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-26 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2023-10-26 | F0761 | Pharmacy Service Deficiencies | D | not recorded |