Above average — CMS composite of the measures below.
The next survey window likely opens around November 2026
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 Village Retirement Center during CMS and state inspections, most recent first.
Failure to provide ordered adaptive eating devices for two residents. One resident with dysphagia and Parkinson's disease had an order for a small maroon spoon, and another resident with dementia, lack of coordination, and muscle weakness had an order for a two-handled mug. Observations showed both residents eating without the ordered equipment despite meal tickets reflecting the items, and the DON confirmed the devices should have been provided as ordered.
Food Storage and Temperature Log Deficiencies: Surveyors found multiple unlabeled, undated, or improperly stored food items in the main kitchen, reach-in coolers, dry storage, and freezer, including expired or open items that were not properly sealed. Facility policy required food to be labeled, dated, and stored properly, but staff reported the dietary dept was short 10 FTEs. Review of dish machine and refrigerator temp logs also showed numerous missing entries and unavailable records across several months.
A resident’s Flonase bottle was observed sitting on a dining room table in front of her while other residents were present, including residents with severe and moderate cognitive impairment. The resident had an order for Flonase, but the MAR showed she was not due for her next dose yet, and the record contained no documentation that she could self-administer meds. The DON confirmed the bottle should not have been left out and that the resident could not self-administer medications.
Food was not served in an appetizing or attractive manner when a test tray included green beans that appeared plain and unseasoned. A resident said the food was terrible, and the FSD agreed the beans were not seasoned. The facility recipe called for salt, pepper, and margarine, and the Exec Chef, FSD, and NHA stated recipes should be followed.
The facility failed to provide adequate care for three residents, including improper use of a temporary chair for a resident with Alzheimer's, inconsistent weight monitoring for a resident with dysphagia, and lack of documentation for a resident with a pacemaker. These deficiencies highlight issues in communication and adherence to care standards.
A facility failed to adhere to its policy on psychotropic medication management for a resident with Alzheimer's, anxiety, and delusional disorder. The resident was prescribed haloperidol and lorazepam without a 14-day stop date or in-person evaluation by a physician, and there was no documented consent from the resident's representative. The NHA confirmed the lack of necessary documentation and policy compliance.
A resident with mobility issues was subjected to mental abuse and neglect by an employee who refused to assist her to the bathroom, instructing her to use her brief instead. The resident experienced humiliation and fear, and the facility's investigation substantiated the allegations of mental abuse.
The facility failed to serve food at appetizing temperatures, as evidenced by a test tray and resident feedback. A resident reported receiving cold food, and a test tray revealed that a cheese quesadilla and sweet potato fries were served at temperatures below appetizing levels. These findings were discussed with the Nursing Home Administrator.
Failure to Provide Ordered Adaptive Eating Devices
Penalty
Summary
The facility failed to provide adaptive eating devices and utensils for two residents who had orders for special mealtime equipment. Facility policy stated that residents identified as requiring special utensils or adaptive eating devices would be provided those items at all meals and snack times. Resident 21 had diagnoses including dysphagia and Parkinson's disease, and his record included an order for small maroon spoons, a dietician note indicating he was to use a small maroon spoon for feeding, a nutritional risk screening noting he fed himself using a maroon spoon, and a care plan intervention for adaptive equipment. However, observations on two separate lunch meals showed Resident 21 eating without a maroon spoon, even though his tray tickets indicated the spoon was ordered. The DON confirmed he should have received the maroon spoon during lunch as ordered. Resident 27 had diagnoses including dementia, lack of coordination, and muscle weakness, and her physician orders included a two-handled mug. A dietician note indicated the mug was in use, but observations during lunch, breakfast, and lunch again showed Resident 27 eating without a two-handled mug. Each meal ticket reviewed immediately after observation indicated that she was to have a two-handled mug. During interview, an LPN stated the kitchen had not provided Resident 27 with a two-handled mug in at least a month and that she was not aware it was still part of the resident's orders because it had not been sent with meals. The DON confirmed that Resident 27 should have received her two-handled mug as ordered.
Food Storage and Temperature Log Deficiencies
Penalty
Summary
The facility failed to store food and use kitchen equipment in accordance with professional standards for food service safety in the main kitchen. During observation, one bin of sugar in the main kitchen was not labeled or dated. In reach-in cooler 1, surveyors observed one pan of beef and one bin of meat sauce that were not dated, along with a container of tomato paste labeled use by December 10, 2025. In the dry storage area, one bag each of linguini pasta, spaghetti pasta, and ditalini pasta were open without an open date. In the walk-in freezer, one bag of sausage links and one open bag of tater tots were not dated, and one container of orzo soup dated use by November 12, 2025 was left open to air and not properly sealed. Additional observations showed one sliced lemon and one bin of cucumbers in reach-in cooler 2 that were not dated. Facility policy required dry goods to be neat, easily identified, and date marked as appropriate, and cold food items to be stored in covered containers, labeled and dated, and arranged to prevent cross contamination. Employee 2 stated the foodservice department was dealing with staffing issues and was down 10 FTEs. Review of dish machine and temperature logs also showed multiple missing temperature recordings across February, March, May, and June 2025, blank refrigerator logs in July 2025, and unavailable dish machine logs from August through October 2025, with only limited November 2025 logs available for review.
Medication Left Accessible on Dining Room Table
Penalty
Summary
The facility failed to ensure the resident environment was free from accident hazards for one resident. Resident 64 had diagnoses including hyperlipidemia and hypertension, and her physician had ordered Fluticasone Propionate Nasal Suspension (Flonase) one spray in both nostrils two times a day for allergy symptoms. Her December 2025 MAR showed she received Flonase at 8:00 AM on December 15, 2025, with a second dose scheduled for 4:00 PM. During observation on December 15, 2025, a bottle of Flonase was seen sitting on the dining room table in front of Resident 64 while three other residents were present at the table, including one resident with severe cognitive impairment and another with moderate impairment. Review of the record showed no documentation that Resident 64 was capable of self-administering medications. Her care plan identified multiple care needs, including weakness, limited mobility, impaired cognition, stroke with left-sided weakness, dementia, edema, congestive heart failure, and dysphagia. During interview, the DON stated the bottle should not have been on the dining room table and confirmed that Resident 64 could not self-administer medications.
Food Not Prepared According to Recipe
Penalty
Summary
The facility failed to provide food that was appetizing and attractive. During an interview, a resident stated that the food at the facility was terrible. A test tray was completed with the Food Service Director and included cheese ravioli, green beans, and chicken noodle soup; the tray was presented on the Memory Support unit after all residents had been served. The green beans appeared unseasoned, and surveyor sensory evaluation found them plain and not seasoned. The Food Service Director agreed the green beans were not seasoned and was unsure whether they should be, then said she would obtain the recipe for review. Review of the facility recipe for Seasoned Green Beans showed that the recipe called for cut green beans, salt, pepper, and margarine, with directions to simmer or steam until tender, drain, toss with margarine before serving, and season to taste. An Executive Chef stated he would expect recipes to be followed, and the Food Service Director and Nursing Home Administrator stated their expectation that recipes should be followed.
Deficiencies in Resident Care and Documentation
Penalty
Summary
The facility failed to provide care and services in accordance with professional standards for three residents. Resident 6, diagnosed with Alzheimer's Disease and physical debility, was observed using a temporary broda chair without leg rests for over a week due to their normal chair needing repairs. Staff were instructed not to use leg rests due to safety concerns, but this left Resident 6's legs dangling, which was not addressed promptly. The facility's Director of Nursing (DON) was aware of the chair issue but did not ensure timely resolution or proper interim measures. Resident 22, with diagnoses including dysphagia and Alzheimer's Disease, experienced significant weight loss. Despite a dietitian's assessment and plans to monitor weights, there was inconsistency in weight monitoring. The resident's weight was not recorded for November, and previous weights were taken under varying conditions, such as different times of day and using different scales. This inconsistency was acknowledged by the DON, who admitted that weight monitoring was an ongoing issue at the facility. Resident 63, diagnosed with atrial fibrillation and Alzheimer's Disease, had a pacemaker monitoring device in their room, but there was no documentation in their clinical record indicating they had a pacemaker. Staff were unaware of the pacemaker until it was confirmed by the resident's daughter. The facility had not been informed about the pacemaker or the monitoring device, and there was no record of cardiology follow-up for the resident. The DON confirmed the lack of awareness and documentation regarding the pacemaker, highlighting a communication gap between the facility and the resident's family.
Failure to Adhere to Psychotropic Medication Management Policy
Penalty
Summary
The facility failed to ensure that a resident was free of unnecessary psychotropic medications, as evidenced by the lack of adherence to facility policy regarding the administration of PRN antipsychotic drugs. The policy mandates that PRN orders for antipsychotic drugs are limited to 14 days unless an in-person evaluation by the attending physician is conducted, followed by a new order. However, the resident's clinical record revealed that haloperidol was ordered without a 14-day stop date and was continued beyond this period without the required in-person evaluation. Additionally, the resident's representative did not receive education on the risks versus benefits of the medications, nor was consent obtained prior to their use. The resident in question had diagnoses including Alzheimer's Disease, anxiety disorder, and delusional disorder, and was prescribed haloperidol and lorazepam for dementia with aggression and agitation, respectively. Despite these prescriptions, the facility failed to document any in-person evaluations by the physician for the continuation of haloperidol, and there was no evidence of consent for the use of these medications. During an interview, the Nursing Home Administrator confirmed the absence of necessary documentation and acknowledged that the facility did not comply with the policy requirements for medication management.
Failure to Protect Resident from Mental Abuse and Neglect
Penalty
Summary
The facility failed to protect a resident from mental abuse and neglect by an employee. The resident, who had difficulty walking and muscle weakness, required maximum assistance for toileting and moving between surfaces. On a specific morning, the resident rang the call bell for assistance to go to the bathroom. Employee 3 responded but refused to help the resident to the bathroom, instructing her to use her brief instead. This caused the resident humiliation and fear, leading her to not question the employee further. The resident later suggested a compromise to use a bedpan, which Employee 3 agreed to, but the resident was unable to void with the employee present in the room. Eventually, another staff member assisted the resident to the bathroom, where she was able to void. The resident filed a grievance form later that day. The facility's investigation confirmed that Employee 3 did not honor the resident's choice to use the bathroom, causing mental anguish, and substantiated the allegations of mental abuse.
Failure to Serve Food at Appetizing Temperatures
Penalty
Summary
The facility failed to provide food at appetizing temperatures during a meal service, as determined by a test tray and resident interviews. A resident reported frequently receiving cold food on her meal tray, necessitating reheating. A test tray was conducted, which included a cheese quesadilla, sweet potato fries, tomato florentine soup, coffee, and water. The tray was served from the steam table and placed in a closed food cart before delivery. Upon testing, the cheese quesadilla was found to be 121.6 degrees Fahrenheit and tasted cold, while the sweet potato fries were 105.8 degrees Fahrenheit and also tasted cold. These findings were discussed with the Nursing Home Administrator, but no further information was provided.
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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 Mechanicsburg
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Fox Subacute At Mechanicsburg | 1.4 mi | ★★★★★ | 7 | 0 |
| Vibra Rehabilitation Center | 1.6 mi | ★★★★★ | 14 | 0 |
| Messiah Lifeways At Messiah Village | 1.6 mi | ★★★★★ | 4 | 0 |
| Camp Hill Skilled Nursing And Rehabilitation Ctr | 3.7 mi | ★★★★★ | 15 | 0 |
| Gardens At West Shore, The | 4.1 mi | ★★★★★ | 5 | 1 |
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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.