Bethany Place INC

The laundry chute located on the 2nd floor required annual inspection, testing, and maintenance.

The 2nd floor mechanical room smoke door has penetrations.

Fire sprinkler escutcheon missing in the 1st floor maintenance closet under the stairwell.

Portable electric space heater in the office was plugged into a powerstrip instead of directly into an approved receptacle.

Facility failed to implement a system to ensure residents requiring medication assistance received medications as prescribed for 1 of 3 residents (Resident 2) reviewed for diabetic care, resulting in unmanaged blood sugar levels and a potentially avoidable hospital visit.

Annual fire alarm report from 3/6/25 indicated multiple system failures: NAC panel batteries failed load tests, notification devices activated briefly then quit, incorrect detector type (heat vs smoke) in Room 46, horn/strobes not working in basement hallway, and dry system pressure switches/air switches not connected.

In the administrator's office, a heater was plugged into a powerstrip; in the 1st floor staff room, a refrigerator was plugged into a powerstrip.

Facility failed to address in the resident's full assessment whether or not the resident was able to leave the facility unsupervised.

Facility failed to identify in the resident's care plan whether or not the resident was able to leave the facility unsupervised.

Facility failed to thoroughly investigate resident elopement, determine circumstances, or institute measures to prevent reoccurrence for Resident 1, who eloped twice in one week.

Facility failed to ensure that 1 out of 4 sampled staff obtained the required home-care aide certification by the deadline.

The facility failed to assess for and develop behavioral interventions for substance abuse and failed to protect residents from sexual abuse by a Level III registered sex offender resident. The offender did not have an assessment or behavioral interventions in place.

The facility failed to report allegations of mental abuse of a resident by another resident to the department's hotline, precluding the department from conducting an investigation.