Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bethany Gardens Skilled Living Center during CMS and state inspections, most recent first.
A resident with vascular dementia and dysphagia experienced significant unplanned weight loss, but the facility failed to notify the physician as required by policy. Despite interventions in the care plan, the resident's weight continued to decline, and there was no documented evidence that the medical provider was informed. Interviews revealed a communication breakdown among staff, leading to the oversight.
A resident was admitted without a timely Preadmission Screening and Resident Review (PASARR) as required, due to an error by the Admissions Department in calculating the date. The resident, with diagnoses including anxiety and PTSD, had a previous screen from another facility that exceeded the 90-day requirement. Despite random audits, this oversight led to a deficiency.
A resident with end-stage renal disease did not receive proper dialysis care, including ongoing assessments and monitoring for complications. The facility failed to ensure communication with the dialysis center, and staff were unclear about required procedures. The resident's communication book was missing, and vital signs were not consistently checked.
The facility failed to maintain professional standards in food preparation and kitchen sanitation. Observations revealed improper food storage temperatures, uncleanable surfaces, and equipment in disrepair. A large pan of pasta was stored at 65°F, above the safe limit, and the cooling process was undocumented. The kitchen had unclean areas, missing tiles, and dirty equipment, with staff unaware of proper maintenance procedures.
Failure to Notify Physician of Resident's Significant Weight Loss
Penalty
Summary
The facility failed to notify the physician of a significant change in the physical status of a resident, specifically regarding unplanned weight loss. Resident #79, who had diagnoses including vascular dementia and dysphagia, experienced a continuing, unplanned weight loss over several months. Despite the facility's policy requiring notification of the physician in such cases, there was no documented evidence that the medical provider was informed of the resident's significant weight loss. The resident's weight was documented to have decreased from 154.4 pounds in January 2024 to 125.4 pounds by September 2024, representing a 19% loss. The resident's care plan included interventions to address the weight loss, such as providing supplements and monitoring weight status. However, the medical provider's progress notes and nursing progress notes did not reflect awareness or evaluation of the resident's weight loss, and the resident's weight loss was not documented in the medical provider's records. Interviews with facility staff revealed a breakdown in communication regarding the resident's weight loss. The Nurse Practitioner expected to be informed by nursing or dietary staff, but there was no documentation of such communication. The Licensed Practical Nurse Unit Manager and Registered Dietitian both believed the weight loss was known to the Interdisciplinary Care Team, but the Medical Director was not aware of the ongoing weight loss. The Director of Nursing acknowledged that medical notification of the weight loss must have been overlooked.
Failure to Complete Timely PASARR Screening
Penalty
Summary
The facility failed to ensure that a Preadmission Screening and Resident Review (PASARR) was completed for a resident prior to their admission, as required by regulations. The facility's policy mandates that every admission must have a completed screen before acceptance, with the Admissions Department responsible for obtaining the screen and ensuring compliance. However, for one resident, the PASARR was not conducted within the required 90-day timeframe prior to their admission. The resident, who had diagnoses including anxiety, depression, and Post Traumatic Stress Syndrome, was admitted without a current PASARR, as the previous screen from another facility exceeded the 90-day window. Interviews with the Director of Admissions and the Director of Social Services revealed that the oversight occurred due to an error in calculating the date at the time of admission. The Admissions Department was responsible for ensuring the screen was obtained and within regulations, but they failed to do so. The resident did not have a significant psychiatric history or developmental disability, and their care was monitored by an outside agency due to post-traumatic stress syndrome. Despite random audits conducted within the facility to ensure compliance, this resident's screen was missed, resulting in the deficiency.
Failure to Provide Appropriate Dialysis Care and Monitoring
Penalty
Summary
The facility failed to provide appropriate dialysis care and services for a resident with end-stage renal disease who required hemodialysis. The resident did not receive ongoing assessments of their condition or monitoring for complications before and after dialysis treatments. Additionally, there was a lack of communication and collaboration with the dialysis facility. The facility's policy required residents to take communication sheets to the dialysis center, and any changes in the resident's status were to be communicated to nephrology staff. However, the resident's dialysis communication book was missing, and the last communication sheet in the electronic medical record was dated over a year prior. Observations and interviews revealed that the resident's vital signs and dialysis access site were not consistently monitored, and there were no documented assessments from nursing staff. Staff members, including CNAs, LPNs, and the RN Unit Manager, were unsure of the procedures required for the resident's dialysis care, such as checking vital signs or ensuring the resident had the necessary communication book. The Director of Nursing was also unaware that dialysis residents required assessments upon their return from treatment, assuming that the dialysis center would inform them of any complications.
Deficiencies in Food Storage and Kitchen Sanitation
Penalty
Summary
The facility failed to ensure food was prepared, distributed, and served in accordance with professional standards in the main kitchen. During the survey, it was observed that food was not stored at safe temperatures in the walk-in cooler. Specifically, a large hotel pan of cooked pasta was found at 65 degrees Fahrenheit, which is above the safe storage temperature of 41 degrees Fahrenheit. The Food Service Director acknowledged that the pasta was improperly cooled and stored, and the cooling process was not documented in the logbook as required. Additionally, the facility's kitchen had uncleanable surfaces and equipment in disrepair. Observations revealed unclean areas on the kitchen floor, missing floor tiles, and stains on the walls in the dishwashing area. The toaster was found with food debris, and the dishwasher instructions were not clean or legible. The Food Service Director admitted that the cleaning schedule was not followed, and the broken tiles and dirty equipment were not addressed, which hindered proper sanitation practices. Interviews with staff indicated a lack of awareness regarding the proper use and maintenance of kitchen equipment. Dietary Aide #11 was unaware of the dishwasher instructions and the importance of maintaining the required washing temperature for proper sanitation. The Food Service Director confirmed that the instructions were not easily visible due to wear and dirt, and acknowledged the need for a work order to replace broken tiles and ensure cleanliness in the kitchen.
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Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
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Nursing homes near Rome
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Rome Memorial Hospital, Inc - R H C F | 0.6 mi | ★★★★★ | 0 | 0 |
| Betsy Ross Rehabilitation Center, Inc | 0.8 mi | ★★★★★ | 2 | 0 |
| The Grand Rehabilitation And Nursing At Rome | 1.1 mi | ★★★★★ | 29 | 1 |
| Colonial Park Rehabilitation And Nursing Center | 1.6 mi | ★★★★★ | 25 | 0 |
| Trustees Of Eastern Star Hall & Home Of The N Y S | 8.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.