Not rated by CMS — ratings are suppressed for new or low-volume facilities.
The next survey window likely opens around November 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 Bethany Village Retirement Center during CMS and state inspections, most recent first.
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.
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 | — | 0 | 0 |
| Messiah Lifeways At Messiah Village | 1.6 mi | — | 0 | 0 |
| Camp Hill Skilled Nursing And Rehabilitation Ctr | 3.7 mi | — | 15 | 0 |
| Gardens At West Shore, The | 4.1 mi | — | 4 | 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 August 2026) and official state health department websites.