Bethel Assisted Living

This report details a Complaint Investigation conducted on 11/14/2025 regarding several allegations of substandard care. All allegations cited in the report—including pressure injuries, soiled clothing, medication management, smoking, dietary adherence, and hygiene—were found to be unsubstantiated based on staff and resident interviews and record reviews.

The facility underwent an unannounced Case Management visit on October 6, 2025. The purpose of the visit was to follow up on a request regarding a new fire clearance. The Licensing Program Analyst requested specific documentation, including a LIC200 and a facility sketch identifying new resident rooms, to be submitted by the facility by the end of the day on October 7, 2025.

The facility underwent an annual, unannounced visit on April 1, 2025. The inspection covered facility tours, review of resident and staff files, and operational areas like the kitchen and common spaces. No deficiencies were observed or cited during this visit.

The investigation was conducted following a complaint regarding staff filming a resident without consent. The allegation was substantiated, confirming that staff filmed a resident while facetiming. The report cites deficiencies related to the resident's right to dignity and the failure to ensure consent when filming residents.

The facility was visited for a case management follow-up regarding a medication error incident that occurred on 11/04/2024. One deficiency was cited related to medication administration, specifically providing the wrong medication to a resident. Immediate corrective action, including retraining, is required to address this significant safety risk.

The facility was visited for a case management follow-up regarding a medication error incident that occurred on 11/04/2024. One deficiency was cited related to medication administration, specifically providing the wrong medication to a resident. Immediate corrective action, including retraining, is required to address this significant safety risk.

This report details a complaint investigation conducted on 04/23/2024 regarding inadequate food service, failure to follow menus, and water access. All three allegations were investigated and subsequently found to be 'Unsubstantiated' based on staff and resident interviews, and facility record reviews.

The facility underwent an unannounced annual visit on 04/16/2024. The LPA met with the FDA and conducted a tour, noting the facility's structure and current census. No deficiencies or citations were provided during the visit, though technical assistance was given regarding 87411(c)(6).