Bethany Lutheran Home
CMS
Actual Harm
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Resident Neglect
Wound Care
Penalty
$55,846
Outcome
Bethany Lutheran Home in Council Bluffs, IA was fined $55,846 by CMS across 3 separate penalties following 48 deficiency citations identified during federal surveys.
Details
Bethany Lutheran Home (Council Bluffs, IA) — $55,846 in CMS Fines
Outcome: Bethany Lutheran Home in Council Bluffs, IA was fined $55,846 by CMS across 3 separate penalties following 48 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure services provided by the nursing facility meet professional standards of quality.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
- Assess the resident when there is a significant change in condition
- Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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