Not rated by CMS — ratings are suppressed for new or low-volume facilities.
A standard survey is most likely before around December 2026
Estimate from public CMS data, current as of June 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at New Bethany Skilled Nursing during CMS and state inspections, most recent first.
A resident with significant mobility limitations and a high fall risk was transferred by a CNA using a stand-up lift instead of the required Hoyer lift, and without the mandated two-person assistance. The resident, who had a history of spinal stenosis, neuropathy, morbid obesity, and lower extremity edema, slid out of the lift and fell, resulting in discomfort and a subsequent emergency department evaluation. Staff interviews and documentation confirmed that the care plan and physician's order specified the use of a Hoyer lift with two staff members, but these protocols were not followed.
The facility failed to employ a full-time qualified person for food and nutrition services, as both the RD and DSS were part-time. This resulted in inadequate oversight, with staff not adhering to food safety protocols. Observations showed improper use of hair restraints and personal items in the kitchen, risking cross-contamination. Interviews highlighted the need for a full-time supervisor to ensure proper management and adherence to standards.
The facility failed to meet food service safety standards, with expired food products found in storage and personal items in the kitchen, risking cross-contamination. Staff were observed with improper hair restraints, exposing food to potential contamination. The part-time Dietary Services Supervisor was deemed insufficient for proper oversight.
A resident was transferred to a hospital for diabetic ketoacidosis, and the facility failed to provide a written Bed-hold notice to the responsible party at the time of transfer, as required by federal regulations. The facility's process involved providing a written Bed-hold policy during admission only, with subsequent notifications made by phone. Interviews with staff confirmed that the responsible party did not receive the required written notice, and the facility's policy was not followed.
A resident was not permitted to return to the facility after hospitalization due to unpaid bills and an expired bed-hold, despite being medically cleared. The facility cited concerns about the resident's behaviors and the need for a higher level of care, although staff noted the behaviors were not dangerous. This decision caused hardship for the resident's spouse, who had to reduce visit frequency.
Two residents were not treated with dignity in a facility. A resident with severe cognitive impairment was fed without communication or focus by a CNA, while another resident's urinary catheter bag was left uncovered, violating facility policy. Both incidents reflect a failure to maintain resident dignity.
The facility failed to meet professional standards by not explaining medications to residents during administration and not verifying meal trays against dietary orders. An LVN administered medications without explanation, and CNAs distributed meals without licensed staff verification, risking resident safety.
A long-term care facility failed to maintain effective infection control practices. A resident on contact precautions did not have isolation gowns available, and a CNA did not use alcohol-based hand rubs (ABHR) when distributing breakfast trays or feeding residents. These actions were contrary to the facility's policies, as confirmed by staff interviews and observations.
Failure to Follow Transfer Protocols Results in Resident Fall
Penalty
Summary
A deficiency occurred when a certified nursing assistant (CNA) transferred a resident using a stand-up lift instead of the Hoyer lift as required by the resident's care plan and physician's order. The resident, who had a history of intervertebral disc stenosis, neuropathy, morbid obesity, osteoarthritis of the knee, and significant lower extremity edema, was assessed as high risk for falls and unable to bear weight safely. Despite clear documentation and staff awareness that the resident required a Hoyer lift and two-person assistance for transfers, the CNA proceeded alone with the stand-up lift. During the transfer from a shower chair to bed, the resident slid out of the stand-up lift and fell to the floor. The resident reported discomfort and pain, particularly in her shoulders, which had previously been replaced. She stated that the stand-up lift caused pressure and discomfort, and that she had warned the CNA she was falling. The incident was witnessed by an ultrasound technician present in the room. The resident was later transported to the emergency department for evaluation due to shoulder pain, but imaging showed no acute fracture or dislocation. Interviews with staff, including other CNAs, the Director of Staff Development, and the Director of Nursing, confirmed that the resident's care plan and physician's order specified the use of a Hoyer lift with two staff members for all transfers. The CNA involved acknowledged awareness of these requirements but stated she used the stand-up lift at the resident's request and performed the transfer alone. Facility policy also required two staff for mechanical lift transfers. The failure to follow established protocols and orders resulted in the resident's fall and subsequent discomfort.
Lack of Full-Time Oversight in Food and Nutrition Services
Penalty
Summary
The facility failed to ensure there was a full-time qualified person responsible for food and nutrition services (FNS), as both the Registered Dietitian (RD) and Dietary Services Supervisor (DSS) were employed part-time. This lack of full-time oversight had the potential to compromise the dietary and nutritional needs of the residents. Observations and interviews revealed that the DSS was only present at the facility during limited hours, often in the early mornings or late evenings, and was not able to provide adequate supervision of the FNS staff. During observations, it was noted that several staff members, including dietary aides and cooks, were not adhering to proper food safety protocols, such as wearing hair restraints correctly. Personal items were also found in the kitchen, which could lead to cross-contamination. Interviews with staff, including the Assistant and the Infection Preventionist, highlighted the need for a full-time supervisor to ensure proper oversight and adherence to food safety standards. The RD, who worked as a consultant for six hours weekly, was unaware that the DSS was not full-time and emphasized the importance of having a full-time DSS for proper management of FNS. The DSS herself acknowledged the need for full-time presence to fulfill her duties effectively, which included scheduling, inventory management, and staff training. The facility's job descriptions and state regulations require a full-time dietetic services supervisor if the RD is not employed full-time, which was not being met in this case.
Food Safety and Storage Deficiencies
Penalty
Summary
The facility failed to adhere to professional standards for food service safety, as evidenced by several observations and interviews. Expired food products were found in the spice storage area, including a bottle of vanilla extract and chili powder that had been opened since 2022. The Assistant Cook acknowledged that these items should have been discarded according to facility policies, as expired food could lead to contamination and illness. The Licensed Vocational Nurse, who serves as the Infection Preventionist, admitted to not noticing these expired items during her weekly audits, highlighting a lapse in monitoring and oversight. Additionally, personal belongings and used items were found on a cart in the kitchen area, posing a risk of cross-contamination. The cart contained various personal items such as empty egg cartons, food in plastic bags, personal bags, and unmarked jars. Both the Assistant Cook and Dietary Aide recognized that these items should not have been in the kitchen, as they could potentially contaminate food. The Dietary Services Supervisor (DSS) confirmed that the presence of personal items in the kitchen had been an ongoing issue, and staff were expected to keep their belongings in the breakroom. Furthermore, four staff members were observed not wearing their hair restraints properly, with hair exposed around their ears, temples, and forehead. This improper use of hair restraints was acknowledged by the staff, including the Cook, who admitted that exposed hair could shed and contaminate food. The Registered Dietitian and DSS both emphasized the importance of proper hair coverage to prevent physical contamination. The report also noted that the DSS worked part-time, which was deemed insufficient for proper oversight of the Food and Nutrition Services, as it limited the ability to ensure staff competencies, retraining, and inventory management.
Failure to Provide Written Bed-hold Notice at Time of Transfer
Penalty
Summary
The facility failed to provide a written Bed-hold notice to a resident's responsible party at the time of transfer to an acute care hospital, as required by federal regulations. The resident, who was transferred to the hospital for diabetic ketoacidosis, was not given a written notice specifying the duration of the Bed-hold policy. This oversight was identified during interviews and record reviews, where it was revealed that the responsible party had signed the Bed-hold policy upon admission but did not receive a written notice at the time of transfer. The facility's process involved providing a written Bed-hold policy during admission only, and subsequent notifications were made by phone. The Business Office Manager stated that it was the family's responsibility to contact the facility for a Bed-hold when a resident was transferred. However, there was no documentation of a written notice being provided at the time of transfer, and the facility's policy and procedure did not align with federal regulations requiring written notice upon transfer. Interviews with facility staff, including the Administrator and Director of Nursing, confirmed that the responsible party was not provided a written Bed-hold notice when the resident was transferred to the hospital. The facility's policy and procedure documents were reviewed, and it was acknowledged that the policy was not followed, as the written notice was not provided as required by federal regulations.
Facility Fails to Allow Resident Return Post-Hospitalization
Penalty
Summary
The facility failed to permit a resident to return after hospitalization, violating the bed-hold policy. Resident 1, who was medically cleared to return from an acute care hospital, was not allowed back into the skilled nursing facility. This decision was made despite the resident's proximity to the facility and the hardship it caused for the resident's spouse, who had to reduce visit frequency due to the resident being transferred to a facility in another city. The facility's administration cited unpaid bills and expired bed-hold as reasons for not allowing the resident's return. The Administrator and Director of Nursing mentioned that Resident 1 was private pay and had not settled the bill, and the seven-day bed-hold had expired. Additionally, they expressed concerns about the resident's behaviors, which they considered dangerous, although the Licensed Vocational Nurse noted that the behaviors were mostly yelling and did not endanger other residents. The Social Services and Business Office Manager provided conflicting information regarding the bed-hold policy and the resident's discharge. The Social Services staff mentioned that the resident's spouse did not agree to pay for a bed-hold, and the Business Office Manager stated that the family was responsible for contacting the facility for a bed-hold. Despite the facility's policy requiring them to take residents back after hospitalization, the resident was discharged due to the bed-hold not being paid and the facility's assessment that the resident required a higher level of care.
Failure to Maintain Resident Dignity
Penalty
Summary
The facility failed to ensure that two residents were treated with dignity and respect. Resident 19, who was nonverbal and had severe cognitive impairment, was assisted with lunch by a CNA who did not engage in conversation with her or inform her when providing food or beverages. The CNA also wiped Resident 19's face without warning, while engaging in conversation with others in the dining room. This lack of communication and focus on the resident resulted in a dining experience that did not respect Resident 19's dignity. Additionally, Resident 128's urinary catheter bag was left uncovered while attached to her wheelchair. During an observation, it was noted that the bag contained urine and was not placed in a dignity bag as required by the facility's policy. Resident 128 was unaware that the bag should be covered to maintain her dignity. The facility's policy clearly states that urinary catheter bags should be covered to ensure privacy and dignity for the residents. Both incidents highlight a failure to adhere to the facility's policy on maintaining resident dignity. The CNA and LVN involved acknowledged that the actions did not meet the facility's expectations for respectful and dignified care. The Director of Nursing confirmed that the facility's policy was not followed in both cases, emphasizing the importance of treating all residents with respect and dignity at all times.
Failure in Medication Explanation and Meal Verification
Penalty
Summary
The facility failed to meet professional standards of practice in two key areas, affecting 17 out of 25 sampled residents. Firstly, during medication administration, an LVN did not explain the medication names and their indications to several residents, including those with conditions such as hypertension, anemia, major depressive disorder, and neuropathy. This oversight was observed during medication pass observations, where medications like Gabapentin and Ferrous Sulfate were administered without explanation. The LVN acknowledged the failure to inform residents about their medications, which is a violation of the facility's policy and procedure guidelines that emphasize the importance of explaining procedures to residents. Secondly, the facility did not ensure that a licensed nurse confirmed that lunch meal trays matched the residents' dietary orders. Observations in the dining room revealed that CNAs distributed meal trays without verification from licensed staff, which is contrary to the facility's policy requiring licensed nurses to check meal trays for accuracy. This lapse was confirmed by interviews with CNAs and the DON, who stated that licensed staff are responsible for verifying meal orders before distribution. The failure to verify meal trays could potentially lead to residents receiving incorrect meals, posing risks such as choking, allergic reactions, and weight loss. The report highlights specific instances where the facility's practices did not align with established policies and procedures, particularly in medication administration and meal distribution. The deficiencies were identified through direct observations and interviews with staff, including the LVN and DON, who acknowledged the lapses in following the facility's expectations. The report underscores the importance of adhering to professional standards to ensure resident safety and well-being.
Infection Control Deficiencies in LTC Facility
Penalty
Summary
The facility failed to maintain an effective infection control program, as evidenced by several deficiencies observed during the survey. Resident 177, who was on contact precautions due to shingles, did not have isolation gowns stocked outside their room for staff use. This was confirmed by multiple staff members, including the Laundry Staff, CNA 2, the Infection Preventionist, and the Director of Nursing, all of whom acknowledged the importance of having gowns available to prevent the spread of infections. The facility's policy and procedure on using gowns clearly indicated the necessity of wearing protective equipment when treating residents on contact isolation. Additionally, CNA 1 did not use an alcohol-based hand rub (ABHR) when distributing breakfast trays to several residents, including Residents 128, 8, 1, 9, and 177. Despite entering the rooms, CNA 1 believed that ABHR was only necessary when physically touching residents. This practice was contrary to the facility's hand hygiene policy, which required the use of ABHR before and after entering a resident's room, handling food, and providing care. Interviews with CNA 3, the Infection Preventionist, and the Director of Nursing confirmed that the expected protocol was not followed, highlighting a lapse in infection control practices. Furthermore, CNA 1 also failed to use ABHR before and after feeding two residents, Residents 16 and 19. This oversight was noted during observations and confirmed by the Infection Preventionist and the Director of Nursing, who reiterated the importance of hand hygiene in preventing the transmission of pathogens. The facility's hand hygiene policy emphasized the need for ABHR use before and after direct contact with residents and when handling food, underscoring the significance of these practices in maintaining infection control standards.
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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 Los Banos
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Los Banos Post Acute | 2 mi | — | 0 | 0 |
| San Luis Care Center | 21.7 mi | — | 22 | 0 |
| Grace Home Inc. | 23.3 mi | — | 0 | 0 |
| Anberry Post Acute | 23.5 mi | — | 0 | 0 |
| Anberry Nursing And Rehabilitation Center | 24.3 mi | — | 13 | 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 August 2026) and official state health department websites.