Bethany Home Association
BETHANY HOME ASSOCIATION in LINDSBORG, KS — inspection on September 2, 2025.
Found 2 citations. Severity: Standard violations.
Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.
Inspection Findings
Review of R1's clinical record revealed a lack of documentation. R1's representative was informed of the change in condition.The Nurse's Note dated 07/14/25 at 01:17 PM documented R1 had a rough weekend with nausea, vomiting, and diarrhea, and had a hard time transferring.
The note documented R1 slept in, took her morning medications, got up for lunch, and ate some of her meal.
The note documented staff checked her vitals, and they were within normal limits for R1.
The nurse assessed R1's hand grasp, and they were equal on both sides.
The note documented R1 had a hard time cutting up her meat, and the nurse notified the physician and R1's representative three days after R1's initial change in condition.On 09/02/25 at 10:22 AM, Administrative Nurse D verified a lack of documentation in R1's clinical record, regarding staff notifying the resident's representative of R1's change of condition on 07/12/25.
Administrative Nurse D stated she would expect staff to notify the representative as soon as R1 had nausea, vomiting, and diarrhea.Upon request, the facility failed to provide a change in condition policy.
Any deficiency statement ending with an asterisk (*) denotes a deficiency which the institution may be excused from correcting providing it is determined that other safeguards provide sufficient protection to the patients. (See instructions.) Except for nursing homes, the findings stated above are disclosable 90 days following the date of survey whether or not a plan of correction is provided.
For nursing homes, the above findings and plans of correction are disclosable 14 days following the date these documents are made available to the facility. If deficiencies are cited, an approved plan of correction is requisite to continued program participation.
LABORATORY DIRECTOR'S OR PROVIDER/SUPPLIER TITLE (X6) DATE REPRESENTATIVE'S SIGNATURE
175507 09/02/2025
Bethany Home Association 321 N Chestnut Street Lindsborg, KS 67456
urine output and color, and the physician directed staff to send him to the emergency room for
UTI.On 09/02/25 at 01:15 PM, R2 was in his room, in bed.
His catheter bag was fastened to his bed.
resident did not act right or out of his normal behaviors. On 09/02/25 at 12:17 PM, Licensed Nurse (LN) G stated that if she had to change R2's catheter more than once in a short time, she would contact the physician. LN G further stated R2's spouse was very involved with his care, and she would make sure she was notified of any changes in his health. LN G further stated that nursing staff had recently been reeducated on when to contact the physician and responsible parties when there was a change in the status of residents.On 09/02/25 at 10:28 AM, Administrative Nurse D stated she would expect the physician to be notified if R2 had not had any output of urine in his catheter and any changes with the resident.The facility's Indwelling Catheter Protocol policy, dated 08/27/24, documented that every resident with an indwelling catheter would be reassessed by a licensed nurse every shift.
Each resident with an indwelling catheter would be assessed for pain/discomfort related to the use of the catheter, and if any, the location of the pain/discomfort and what non-pharmacological interventions were attempted. If the bladder had been overly distended for a period of time, urine may become bloody. If clots are noted or bleeding appears excessively, notify the physician immediately.
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Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.
Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.
Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.