Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Bethany Home

Dubuque, IA · 66 certified beds · Last Life Safety survey June 18, 2026

CMS Certification Number 165584 · first certified April 2009

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
0
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within IA

8 citations — more than 24% of the 387 certified nursing homes in IA. Compared within IA rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Improvingfewer citations at the latest survey than at its earlier surveys in the window.

The latest survey found 2 citations; the earlier surveys in the window averaged 3. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens May 2027 — about 7 months from now. This facility’s last Life Safety survey was June 2026. Facilities in IA are typically surveyed 11–13 months after the last one (median 12), measured over 700 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

Physical environment (health survey)

1 physical-environment citation on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 8 Life Safety citations above. The Physical Environment Index

  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in IA, and nationally. Surveyors differ markedly between states, so the IA figure is the meaningful one.

This facility8IA median12National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in IA12
Median facility nationally11

Survey history

Citations at each Life Safety survey
32024-0632025-0522026-06
Citations at each Life Safety survey
Survey dateCitations
June 27, 20243
May 1, 20253
June 18, 20262

Most-cited tags

Most-cited tags at this facility
K-07531K-02221K-09221K-09181K-03531K-07111K-03211K-03411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0753Have restrictions on the use of highly flammable decorations.12026-06-18
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-06-27
K-0922Meet requirements for the use and maintenance of medical gas equipment.12026-06-18
K-0918Have generator or other power source capable of supplying service within 10 seconds.12025-05-01
K-0353Inspect, test, and maintain automatic sprinkler systems.12025-05-01
K-0711Provide a written emergency evacuation plan.12024-06-27
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12024-06-27
K-0341Install a fire alarm system that can be heard throughout the facility.12025-05-01

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 3
  • Miscellaneous Deficiencies 2
  • Gas, Vacuum, and Electrical Systems Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies3
Miscellaneous Deficiencies2
Gas, Vacuum, and Electrical Systems Deficiencies2
Egress Deficiencies1

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

June 18, 2026 — 2 citations

Citations issued on June 18, 2026
TagWhat the surveyor checksStatus
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (June 17, 2026)
K-0922Meet requirements for the use and maintenance of medical gas equipment.Deficient, Provider has date of correction (June 17, 2026)

May 1, 2025 — 3 citations

Citations issued on May 1, 2025
TagWhat the surveyor checksStatus
K-0341Install a fire alarm system that can be heard throughout the facility.Deficient, Provider has date of correction (April 30, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (April 30, 2025)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Deficient, Provider has date of correction (May 5, 2025)

June 27, 2024 — 3 citations

Citations issued on June 27, 2024
TagWhat the surveyor checksStatus
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (July 12, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (August 2, 2024)
K-0711Provide a written emergency evacuation plan.Deficient, Provider has date of correction (July 23, 2024)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.