Bethany Village Retirement Center

The kitchen carbon monoxide alarm battery was not properly labeled/maintained, and the alarm could not be heard from resident floors.

Poisonous materials, including wound cleanser and cleaning supplies, were left unlocked and accessible to residents in the Secure Care Unit.

The resident and their payee did not sign and date the resident-residence contract.

A direct care staff member did not receive required medication self-administration training during the 2023 training year.

The carbon monoxide detector battery was not replaced annually and was installed too close to a fossil-fuel burning stove.

The home's written emergency procedures were not submitted annually to the local emergency management agency.

An act of verbal abuse occurred where a staff person repeatedly told a resident that nobody likes them.

A resident's contract was not signed by the resident, nor was there documentation indicating the resident was unwilling or unable to sign.

The residence failed to complete and submit mandatory abuse reporting forms to the local Area Agency on Aging following allegations of staff verbal threats and physical striking of residents.

A resident's medical evaluation failed to include documentation regarding whether the resident requires specific body positioning or movement stimulation.

The facility conducted simulated fire drills in January and February 2022 without notifying the Regional Director of the modification.

A staff member provided unsupervised assisted living services before completing the required 18 hours of Department-approved direct care training and competency test.

An accumulation of lint was found covering approximately 75% of the lint trap screen in the 3rd floor laundry room.