Bethany Home Of Rhode Island
Bethany Home of Rhode Island in Providence, RI — inspection on November 5, 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
revealed that she regularly assists Resident ID #1 and utilizes a gait belt when she ambulates with him/her.During surveyor interviews on 11/5/2025 at 12:00 PM and 12:44 PM with the Occupational Therapist, Staff C, she revealed that the resident has been receiving therapy in order to maintain his/her highest level of functioning and has never complained of back pain.
Additionally, she revealed that the resident is now complaining of pain and had a significant decline after the fall on 11/4/2025.
Furthermore, she revealed that she would expect staff to use a gait belt to ambulate the resident, as it is a standard of practice for all residents who require assistance.During a surveyor interview on 11/5/2025 at 12:22 PM with NA, Staff D, she revealed that she was the staff assisting the resident at the time of the fall and did not assist lift, hold, or support the trunk or limbs of Resident ID #1.
Additionally, Staff D acknowledged that she had not applied the gait belt to the resident and was unable to assist in preventing the fall despite being near the resident.
Staff D indicates that she normally utilizes a gait belt when assisting the resident.
The facility's failure to ensure that staff followed the resident's care plan and implemented proper safety measures specifically, the use of a gait belt when assisting Resident ID #1 with ambulation resulted in the resident sustaining multiple spinal fractures and a significant decline, due to a preventable fall.
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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.