Bethany Lutheran Home
Inspection Findings
F-Tag F0637
Federal health inspectors cited Bethany Lutheran Home in Council Bluffs, IA for a deficiency under regulatory tag F-F0637 during a standard health inspection conducted on 2025-10-02.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Assess the resident when there is a significant change in condition
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Bethany Lutheran Home.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0644
Federal health inspectors cited Bethany Lutheran Home in Council Bluffs, IA for a deficiency under regulatory tag F-F0644 during a standard health inspection conducted on 2025-10-02.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Bethany Lutheran Home.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0656
Federal health inspectors cited Bethany Lutheran Home in Council Bluffs, IA for a deficiency under regulatory tag F-F0656 during a standard health inspection conducted on 2025-10-02.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Bethany Lutheran Home.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0658
Federal health inspectors cited Bethany Lutheran Home in Council Bluffs, IA for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-10-02.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Bethany Lutheran Home.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0689
Federal health inspectors cited Bethany Lutheran Home in Council Bluffs, IA for a deficiency under regulatory tag F-F0689 during a complaint investigation conducted on 2025-10-02.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Scope/Severity Level J: isolated, immediate jeopardy to resident health or safety.
This represents an immediate jeopardy situation, the most serious level of deficiency.
This was one of 8 deficiencies cited during this inspection of Bethany Lutheran Home.
Correction Status: Past Non-Compliance.
The facility reported correction as of 2025-07-21.
F-Tag F0725
Federal health inspectors cited Bethany Lutheran Home in Council Bluffs, IA for a deficiency under regulatory tag F-F0725 during a complaint investigation conducted on 2025-10-02.
Category: Nursing and Physician Services Deficiencies
The facility was found deficient in the following area: Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Bethany Lutheran Home.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0760
Federal health inspectors cited Bethany Lutheran Home in Council Bluffs, IA for a deficiency under regulatory tag F-F0760 during a standard health inspection conducted on 2025-10-02.
Category: Pharmacy Service Deficiencies
The facility was found deficient in the following area: Ensure that residents are free from significant medication errors.
Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Bethany Lutheran Home.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
F-Tag F0880
Federal health inspectors cited Bethany Lutheran Home in Council Bluffs, IA for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-10-02.
Category: Infection Control Deficiencies
The facility was found deficient in the following area: Provide and implement an infection prevention and control program.
Scope/Severity Level F: widespread, no actual harm with potential for more than minimal harm.
While no actual harm was documented, there was potential for more than minimal harm to residents.
This was one of 8 deficiencies cited during this inspection of Bethany Lutheran Home.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-11-25.
Bethany Lutheran Home in Council Bluffs, IA inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.