The Grand At Bethany Skilled Nursing And Therapy
THE GRAND AT BETHANY SKILLED NURSING AND THERAPY in BETHANY, OK — inspection on August 19, 2025.
Found 1 citation. 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
reviewed for pressure ulcer treatment.The administrator reported 103 residents resided in the
12/17/24, with the following diagnoses: history of cardiac arrest resulting in anoxic brain damage, congestive heart failure, hypernatremia, acute respiratory failure with hypoxia, acute kidney injury, and PEG tube status. A skin assessment, dated 12/17/24, showed sacrum with redness and superficial breakdown and had treatment order: cleanse bilateral buttocks with normal saline solution, pat dry, apply Triad cream twice daily and as needed for 14 days for wound prevention. A skin assessment, dated 12/22/24, read in part, Shearing to sacrum, with treatment order in place for wound management, which documented resident has pillow in place underneath 1 side to offload pressure. [Resident #1's family member] confirmed understanding.
Will continue to monitor and provide prevention as ordered.A wound care note titled Woundynamics, dated 12/23/24, read in part, stage III pressure injury pressure ulcer, and has received a status of unhealed.
Wound measurements, 6cm X 11cm X 0.2cm and small amount of serosanguineous drainage noted.
Apply triad cream BID cover wound with bordered foam 4X4.On 08/18/25 at 3:24 p.m., a telephone interview with Resident #1's family member was conducted.
They reported Resident #1 obtained a bed sore while a resident at this facility.
The family member reported the wound initially looked like a scratch from square fingernails. Resident #1's family member reported Resident #1 was not receiving enough water and was not turned and repositioned as needed.
They stated when family visited, they would have to go find nurses to turn Resident #1. On 08/18/25 at 4:03 p.m., the DON reported Resident #1 was not skilled appropriately due to being total care with lots of edema.
The DON reported addressing all of Resident #1's family member's concerns.
The DON reported the nurse who documented the shearing may not have been as accurate as the wound care person when staging pressure wounds.
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
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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.