BETHLEHEM COMMONS CARE CENTER

πŸ“ 125 ROCKEFELLER ROAD, delmar, NY 12054 πŸ“ž 5184398116 πŸ›οΈ 120 beds

Overall Rating

⭐
1/5

Health Inspection

⭐
1/5

Staffing

⭐⭐
2/5

Quality Measures

⭐⭐
2/5

Inspection History Overview

119
Total Violations
9 years of data
$9,750
Total Fines
1 penalties
9
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 32 violations

Tag 0550 E Jan 23, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Tag 0554 E Jan 23, 2025

Allow residents to self-administer drugs if determined clinically appropriate.

Tag 0577 D Jan 23, 2025

Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

Tag 0584 E Jan 23, 2025

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Tag 0585 E Jan 23, 2025

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Tag 0600 D Jan 23, 2025

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Tag 0609 E Jan 23, 2025

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0622 E Jan 23, 2025

Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.

Tag 0625 D Jan 23, 2025

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

Tag 0645 E Jan 23, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

Tag 0656 E Jan 23, 2025

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

Tag 0657 E Jan 23, 2025

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Tag 0679 E Jan 23, 2025

Provide activities to meet all resident's needs.

Tag 0684 E Jan 23, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Tag 0689 D Jan 23, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0692 E Jan 23, 2025

Provide enough food/fluids to maintain a resident's health.

Tag 0695 E Jan 23, 2025

Provide safe and appropriate respiratory care for a resident when needed.

Tag 0725 F Jan 23, 2025

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0726 F Jan 23, 2025

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

Tag 0727 E Jan 23, 2025

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

2023 19 violations

Tag 0584 E Nov 30, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Jan 16, 2024
Tag 0656 D Nov 30, 2023

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

βœ“ Corrected: Jan 12, 2023
Tag 0677 E Nov 30, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Jan 16, 2024
Tag 0686 D Nov 30, 2023

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 19, 2023
Tag 0790 D Nov 30, 2023

Provide routine and 24-hour emergency dental care for each resident.

βœ“ Corrected: Jan 16, 2024
Tag 0812 E Nov 30, 2023

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

βœ“ Corrected: Jan 16, 2024
Tag 0838 D Nov 30, 2023

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Jan 16, 2024
Tag 0880 D Nov 30, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 16, 2024
Tag 0584 E Feb 3, 2023

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Mar 21, 2023
Tag 0677 D Feb 3, 2023

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: Mar 21, 2023
Tag 0689 E Feb 3, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Mar 21, 2023
Tag 0756 D Feb 3, 2023

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Mar 21, 2023
Tag 0760 D Feb 3, 2023

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Mar 21, 2023
Tag 0806 D Feb 3, 2023

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Mar 21, 2023
Tag 0812 E Feb 3, 2023

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

βœ“ Corrected: Mar 21, 2023
Tag 0825 D Feb 3, 2023

Provide or get specialized rehabilitative services as required for a resident.

βœ“ Corrected: Mar 21, 2023
Tag 0880 E Feb 3, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 21, 2023
Tag 0925 D Feb 3, 2023

Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.

βœ“ Corrected: Mar 21, 2023
Tag 0940 E Feb 3, 2023

Develop, implement, and/or maintain an effective training program for all new and existing staff members.

βœ“ Corrected: Mar 21, 2023

2022 1 violations

Tag 0695 D Aug 10, 2022

Provide safe and appropriate respiratory care for a resident when needed.

βœ“ Corrected: Oct 14, 2022

2021 11 violations

Tag 0656 D Oct 18, 2021

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

βœ“ Corrected: Oct 28, 2021
Tag 0842 D Oct 18, 2021

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

βœ“ Corrected: Oct 28, 2021
Tag 0655 D Apr 11, 2021

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: May 11, 2021
Tag 0757 D Apr 11, 2021

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: May 11, 2021
Tag 0842 D Apr 11, 2021

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

βœ“ Corrected: May 11, 2021
Tag 0609 D Feb 26, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Apr 2, 2021
Tag 0686 D Feb 26, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 9, 2021
Tag 0760 E Feb 26, 2021

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Apr 9, 2021
Tag 0842 D Feb 22, 2021

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

Tag 0880 E Feb 22, 2021

Provide and implement an infection prevention and control program.

Tag 0886 D Feb 22, 2021

Perform COVID19 testing on residents and staff.

2020 19 violations

Tag 0880 D Dec 9, 2020

Provide and implement an infection prevention and control program.

Tag 0584 C Sep 16, 2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Oct 29, 2020
Tag 0609 D Sep 16, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Oct 29, 2020
Tag 0641 C Sep 16, 2020

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Oct 29, 2020
Tag 0655 D Sep 16, 2020

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: Oct 29, 2020
Tag 0656 E Sep 16, 2020

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

βœ“ Corrected: Oct 29, 2020
Tag 0692 D Sep 16, 2020

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Oct 29, 2020
Tag 0698 D Sep 16, 2020

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Oct 29, 2020
Tag 0744 D Sep 16, 2020

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Oct 29, 2020
Tag 0758 D Sep 16, 2020

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Oct 29, 2020
Tag 0759 E Sep 16, 2020

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Oct 29, 2020
Tag 0761 E Sep 16, 2020

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

βœ“ Corrected: Oct 29, 2020
Tag 0773 D Sep 16, 2020

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

βœ“ Corrected: Oct 29, 2020
Tag 0791 D Sep 16, 2020

Provide or obtain dental services for each resident.

βœ“ Corrected: Oct 29, 2020
Tag 0806 E Sep 16, 2020

Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.

βœ“ Corrected: Oct 29, 2020
Tag 0812 E Sep 16, 2020

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

βœ“ Corrected: Oct 29, 2020
Tag 0842 D Sep 16, 2020

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

βœ“ Corrected: Oct 29, 2020
Tag 0880 E Sep 16, 2020

Provide and implement an infection prevention and control program.

βœ“ Corrected: Oct 29, 2020
Tag 0584 D Jan 9, 2020

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Mar 6, 2020

2019 13 violations

Tag 0584 E Jan 24, 2019

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

βœ“ Corrected: Mar 25, 2019
Tag 0623 D Jan 24, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Mar 25, 2019
Tag 0625 D Jan 24, 2019

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Mar 25, 2019
Tag 0638 E Jan 24, 2019

Assure that each resident’s assessment is updated at least once every 3 months.

βœ“ Corrected: Mar 25, 2019
Tag 0656 E Jan 24, 2019

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

βœ“ Corrected: Mar 25, 2019
Tag 0744 E Jan 24, 2019

Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.

βœ“ Corrected: Mar 25, 2019
Tag 0756 E Jan 24, 2019

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Mar 25, 2019
Tag 0812 E Jan 24, 2019

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

βœ“ Corrected: Mar 25, 2019
Tag 0813 D Jan 24, 2019

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

βœ“ Corrected: Mar 25, 2019
Tag 0814 D Jan 24, 2019

Dispose of garbage and refuse properly.

βœ“ Corrected: Mar 25, 2019
Tag 0880 E Jan 24, 2019

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 25, 2019
Tag 0908 D Jan 24, 2019

Keep all essential equipment working safely.

βœ“ Corrected: Mar 25, 2019
Tag 0921 E Jan 24, 2019

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: Mar 25, 2019

2018 1 violations

Tag 0755 D Oct 19, 2018

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

βœ“ Corrected: Dec 21, 2018

2017 13 violations

Tag 0221 D Apr 20, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

βœ“ Corrected: Jun 19, 2017
Tag 0225 D Apr 20, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Jun 19, 2017
Tag 0253 C Apr 20, 2017

Provide housekeeping and maintenance services.

βœ“ Corrected: Jun 19, 2017
Tag 0279 D Apr 20, 2017

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

βœ“ Corrected: Jun 19, 2017
Tag 0285 D Apr 20, 2017

Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients.

βœ“ Corrected: Jun 19, 2017
Tag 0323 D Apr 20, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Jun 19, 2017
Tag 0329 D Apr 20, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Jul 7, 2017
Tag 0371 L Apr 20, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Jun 19, 2017
Tag 0372 D Apr 20, 2017

Dispose of garbage and refuse properly.

βœ“ Corrected: Jun 19, 2017
Tag 0441 E Apr 20, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Jun 19, 2017
Tag 0456 L Apr 20, 2017

Keep all essential equipment working safely.

βœ“ Corrected: Jun 19, 2017
Tag 0490 L Apr 20, 2017

Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident .

βœ“ Corrected: Jun 19, 2017
Tag 0514 D Apr 20, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Jul 7, 2017

2016 10 violations

Tag 0167 D Feb 16, 2016

Allow residents to easily view the results of the nursing home's most recent inspection.

βœ“ Corrected: Apr 15, 2016
Tag 0252 C Feb 16, 2016

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

βœ“ Corrected: Apr 15, 2016
Tag 0258 E Feb 16, 2016

Maintain comfortable sound levels.

βœ“ Corrected: Apr 15, 2016
Tag 0309 D Feb 16, 2016

Provide necessary care and services to maintain or improve the highest well being of each resident .

βœ“ Corrected: Apr 15, 2016
Tag 0329 D Feb 16, 2016

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Apr 15, 2016
Tag 0356 D Feb 16, 2016

Post nurse staffing information/data on a daily basis.

βœ“ Corrected: Apr 15, 2016
Tag 0364 E Feb 16, 2016

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

βœ“ Corrected: Apr 15, 2016
Tag 0371 E Feb 16, 2016

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Apr 15, 2016
Tag 0441 E Feb 16, 2016

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Apr 15, 2016
Tag 0514 D Feb 16, 2016

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Apr 15, 2016

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2020 1 penalties totaling $9,750

$9,750
Fine
December 9, 2020
Average: $9,750 | Range: $9,750 - $9,750

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

November 30, 2023
0.00

Health

February 3, 2023
0.00

Health

August 10, 2022
0.00

Health

October 18, 2021
0.00

Health

April 11, 2021
0.00

Health

February 26, 2021
0.00

Health

February 22, 2021
0.00

Health

September 16, 2020
0.00

Health

January 24, 2019
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
335735
335735
5184398116
Albany

Historical Ownership Records

August 25, 2025
Organization
August 25, 2025
Organization
August 25, 2025
Individual