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

BETHANY HOME ASSOCIATION

LINDSBORG, KS · 85 certified beds · Last Life Safety survey June 10, 2026

CMS Certification Number 175507 · first certified September 2008

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.

Citations on file

Rolling three-year window

Life Safety surveys

In the same window

Tags cited more than once

Across separate surveys

Inspection & testing records

Of the citations on file

Position within KS

38 citations — more than 83% of the 296 certified nursing homes in KS. Compared within KS 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 10 citations; the earlier surveys in the window averaged 14. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2028 — about 16 months from now. This facility’s last Life Safety survey was June 2026. Facilities in KS are typically surveyed 20–22 months after the last one (median 21), measured over 298 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

Get an email about BETHANY HOME ASSOCIATION

One email when it happens. No account; stop it any time with one click.

8 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

2 of the 38 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations 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 38 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.
F-0880 Provide and implement an infection prevention and control program.

How that compares

Citations on file over three years

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

Citations on file over three years, compared
Measure	Citations
This facility	38
Median facility in KS	27
Median facility nationally	11

Survey history

Citations at each Life Safety survey

Citations at each Life Safety survey
Survey date	Citations
March 15, 2023	12
August 14, 2024	16
June 10, 2026	10

Most-cited tags

Most-cited tags at this facility

Most-cited tags at this facility
Tag	What the surveyor checks	Times cited	Last cited
K-0511	Have properly installed electrical wiring and gas equipment.	3	2026-06-10
K-0920	Ensure proper usage of power strips and extension cords.	3	2026-06-10
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	3	2026-06-10
K-0363	Install corridor and hallway doors that block smoke.	3	2026-06-10
K-0353	Inspect, test, and maintain automatic sprinkler systems.	3	2026-06-10
K-0324	Provide properly protected cooking facilities.	2	2024-08-14
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	2	2024-08-14
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	2	2024-08-14

What the citations cover

Citations by CMS category

Smoke Deficiencies 18
Gas, Vacuum, and Electrical Systems Deficiencies 6
Services Deficiencies 6
Miscellaneous Deficiencies 4
Other 4

Citations by CMS category
Category	Citations
Smoke Deficiencies	18
Gas, Vacuum, and Electrical Systems Deficiencies	6
Services Deficiencies	6
Miscellaneous Deficiencies	4
Emergency Preparedness Deficiencies	2
Egress Deficiencies	2

Every citation on file

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

June 10, 2026 — 10 citations

Citations issued on June 10, 2026
Tag	What the surveyor checks	Status
K-0325	Have properly installed hallway dispensers for alcohol-based hand rub.	Deficient, Provider has no plan of correction
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has no plan of correction
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has no plan of correction
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has no plan of correction
K-0372	Ensure smoke barriers are constructed to a 1 hour fire resistance rating.	Deficient, Provider has no plan of correction
K-0374	Install smoke barrier doors that can resist smoke for at least 20 minutes.	Deficient, Provider has no plan of correction
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has no plan of correction
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has no plan of correction
K-0741	Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.	Deficient, Provider has no plan of correction
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has no plan of correction

August 14, 2024 — 16 citations

Citations issued on August 14, 2024
Tag	What the surveyor checks	Status
E-0036	Establish emergency prep training and testing.	Deficient, Provider has date of correction (October 11, 2024)
E-0041	Implement emergency and standby power systems.	Deficient, Provider has date of correction (October 11, 2024)
K-0223	Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.	Deficient, Provider has date of correction (October 11, 2024)
K-0293	Have properly located and lighted "Exit" signs.	Deficient, Provider has date of correction (October 11, 2024)
K-0321	Ensure 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 (October 11, 2024)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (October 11, 2024)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (October 11, 2024)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (October 11, 2024)
K-0362	Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.	Deficient, Provider has date of correction (October 11, 2024)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (October 11, 2024)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (October 11, 2024)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Waiver has been granted (October 11, 2024)
K-0751	Have restrictions on the use of flammable curtains.	Deficient, Provider has date of correction (October 11, 2024)
K-0761	To conduct inspection, testing and maintenance of fire doors by qualified individuals.	Deficient, Provider has date of correction (October 11, 2024)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (October 11, 2024)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (October 11, 2024)

March 15, 2023 — 12 citations

Citations issued on March 15, 2023
Tag	What the surveyor checks	Status
K-0321	Ensure 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 (May 4, 2023)
K-0324	Provide properly protected cooking facilities.	Deficient, Provider has date of correction (May 4, 2023)
K-0345	Have approved installation, maintenance and testing program for fire alarm systems.	Deficient, Provider has date of correction (May 4, 2023)
K-0353	Inspect, test, and maintain automatic sprinkler systems.	Deficient, Provider has date of correction (May 4, 2023)
K-0355	Properly select, install, inspect, or maintain portable fire extinguishes.	Deficient, Provider has date of correction (May 4, 2023)
K-0363	Install corridor and hallway doors that block smoke.	Deficient, Provider has date of correction (May 4, 2023)
K-0511	Have properly installed electrical wiring and gas equipment.	Deficient, Provider has date of correction (May 4, 2023)
K-0521	Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	Deficient, Provider has date of correction (May 4, 2023)
K-0712	Have simulated fire drills held at unexpected times.	Deficient, Provider has date of correction (May 4, 2023)
K-0914	Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing.	Deficient, Provider has date of correction (May 4, 2023)
K-0918	Have generator or other power source capable of supplying service within 10 seconds.	Deficient, Provider has date of correction (May 4, 2023)
K-0920	Ensure proper usage of power strips and extension cords.	Deficient, Provider has date of correction (May 4, 2023)

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