BETHANY VILLAGE RETIREMENT CENTER Nursing Home


BETHANY VILLAGE RETIREMENT CENTER (CCN: 395386) is a Non profit - Corporation facility located in MECHANICSBURG, PA (17055). The facility has an overall rating of 5/5, health inspection rating of 4/5, and a staffing rating of 4/5. It offers 69 certified beds and maintains an average of 66.5 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 3.80857 total hours per resident per day. It has been certified since November 1, 1977 and the last listed health inspection was on January 11, 2024, The facility is located in Cumberland county and provides senior and nursing home care.

BETHANY VILLAGE RETIREMENT CENTER Summary


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Provider Name: BETHANY VILLAGE RETIREMENT CENTER

Address: 5225 WILSON LANE, MECHANICSBURG, PA 17055

Phone: (717) 766-0279

County: Cumberland (270)

Ownership Type: Non profit - Corporation

Certified Beds: 69

Average Residents Per Day: 66.5 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: ASBURY ATLANTIC, INC

First Approved Date: November 1, 1977

Affiliated Entity: ASBURY COMMUNITIES (47)

Retirement Community: Y, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Resident

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 4 ()

QM Rating: 5 ()

Long Stay QM Rating: 4 ()

Short Stay QM Rating: 5 ()

Staffing Rating: 4 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 2.04587, LPN Staff Hours Per Day: 1.0960, RN Staff Hours Per Day: 0.6666, Licensed Staff Hours Per Day: 1.7627

Total Nurse Staff Hours Per Day, per resident: 3.80857

Weekend Nurse Staff Hours: 3.37521, Weekend RN Staff Hours: 0.3982

PT Staff Hours Per Day, per resident: 0.0765

Nurse Staff Turnover: 51.2, Nurse Turnover Note:

RN Turnover: 10.0, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.2899, Case Mix LPN Hours Per Day: 0.7173, Case Mix RN Hours Per Day: 0.3374

Adjusted Nurse Aide Hours Per Day, per resident: 1.82012, Adjusted LPN Hours Per Day: 1.1275, Adjusted RN Hours Per Day: 0.7443

Total Adjusted Nurse Hours Per Day, per resident: 3.58915

Adjusted Weekend Nurse Hours Per Day, per resident: 3.18076

Health Survey Dates and Scores: Cycle 1: 2024-01-11 (Score: 20), Cycle 2: 2023-01-05 (Score: 20), Cycle 3: 2022-01-20 (Score: 20)

Total Weighted Health Score: 20.000

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0

Location and GPS: 5225 WILSON LANE,MECHANICSBURG,PA,17055 (40.2112, -76.973)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2024-01-11

Type: Health, Deficiency: Ensure each resident receives an accurate assessment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-02-29

Citation on 2024-01-11

Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-02-29

Citation on 2024-01-11

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-02-29

Citation on 2024-01-11

Type: Health, Deficiency: Dispose of garbage and refuse properly.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has plan of correction on 2024-02-29

Citation on 2022-03-04

Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-04-10

Citation on 2023-01-05

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-17

Citation on 2023-01-05

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-02-17

Citation on 2022-01-20

Type: Health, Deficiency: Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-07

Citation on 2022-01-20

Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-07

Citation on 2022-01-20

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-07


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2023-01-17

Type: Fire Safety, Tag: 0161, Version: New

Description: Use approved construction type or materials.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-03-15

Citation on 2023-01-17

Type: Fire Safety, Tag: 0211, Version: New

Description: Keep aisles, corridors, and exits free of obstruction in case of emergency.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-03-15

Citation on 2023-01-17

Type: Fire Safety, Tag: 0291, Version: New

Description: Install emergency lighting that can last at least 1 1/2 hours.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2023-03-15

Citation on 2022-01-05

Type: Fire Safety, Tag: 0363, Version: New

Description: Install corridor and hallway doors that block smoke.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-01

Citation on 2022-01-05

Type: Fire Safety, Tag: 0374, Version: New

Description: Install smoke barrier doors that can resist smoke for at least 20 minutes.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-01

Citation on 2022-01-05

Type: Fire Safety, Tag: 0914, Version: New

Description: Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-01

Citation on 2022-01-05

Type: Fire Safety, Tag: 0920, Version: New

Description: Ensure proper usage of power strips and extension cords.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-03-01