Bethlehem Commons Care: Ombudsman Notification Failure - NY
Long-Term Care Ombudsmen serve as independent advocates who can investigate whether discharges are appropriate, voluntary, and in the resident's best interest....
Latest reports, citations, and penalties from CMS data
Long-Term Care Ombudsmen serve as independent advocates who can investigate whether discharges are appropriate, voluntary, and in the resident's best interest....
On November 29, just four days after returning from psychiatric hospitalization, the resident told nursing staff "I want to die....
On March 24 at 5:20 PM, the resident was observed hitting her head on a wall near the dining room....
Staff members reported observing the male resident leaving the victim's room and adjusting his belt in the facility lobby....
## Medical Treatment Delays Beyond the behavioral care concerns, inspectors found the facility failed to provide timely medical treatment to residents....
VRE represents a significant threat in nursing home environments....
Inspectors found no personal protective equipment available in his room and no signage indicating the need for enhanced precautions....
Despite clear signage posted outside the room indicating special isolation requirements, staff and visitors failed to follow essential protective protocols....
Life Care Center of Reno, located at 445 W....
However, inspectors found no documented evidence that any monitoring of these records for accuracy or completeness had occurred....
Initial assessments documented no pressure ulcers when R2 returned to the facility....
The supervisor reported that bed inspections had been recently completed at the facility....
The 555093-licensed facility at 1929 N....
The resident also had a dialysis catheter placed in his right upper chest area....
When the nurse checked the resident's glucose level, the meter displayed "high," indicating the blood sugar exceeded 600 milligrams per deciliter....
The assaults targeted Residents #9, #13, and #14, all of whom had documented diagnoses of dementia and Alzheimer's disease....
The incident occurred on March 16, 2025, when the resident attempted to plug in her phone charger....
A registered nurse located him after hearing running water in the female resident's room....
The resident's medical record indicated a diagnosis of quadriplegia and dependence on an indwelling urinary catheter for bladder management....
Annual background screening serves as a critical safeguard in long-term care settings....