Bethany Board and Lodge

The agency failed to ensure the maltreatment policy included actions related to protecting clients from further maltreatment during the investigation period.

The agency failed to notify the Common Entry Point (CEP) of a reportable incident for 1 of 3 client's (C1) reviewed who had medication errors.

The agency failed to ensure medication profiles were accurate for 1 of 3 patients (P1) observed during home visits to ensure accuracy of medications and to ensure a comprehensive review of all medications was conducted to ensure there were no potential adverse side effects and/or noncompliance.

The agency failed to ensure pneumococcal and influenza policy and procedures had been developed, and failed to ensure 7 of 7 clients had current influenza and or pneumococcal vaccinations.