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

HERITAGE PARK

BETHANY, OK · 55 certified beds · Last Life Safety survey October 23, 2024

CMS Certification Number 375511 · first certified October 2007

Ownership

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

  • Ownership changed April 1, 2024 (change of ownership)from C AND Y MANGEMENT COMPANY INC
8
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
1
Tags cited more than once
Across separate surveys
2
Inspection & testing records
Of the citations on file

Position within OK

8 citations — more than 47% of the 283 certified nursing homes in OK. Compared within OK 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 3 citations; the earlier surveys in the window averaged 2.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

Well past the typical window (December 2025 to February 2026), and past the point by which nine in ten OK facilities have been surveyed. This facility’s last Life Safety survey was October 2024. Facilities in OK are typically surveyed 14–16 months after the last one (median 15), measured over 277 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)

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 8 Life Safety citations above. The Physical Environment Index

  • F-0584 Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
  • F-0925 Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
  • 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 OK, and nationally. Surveyors differ markedly between states, so the OK figure is the meaningful one.

This facility8OK median8National median11
Citations on file over three years, compared
MeasureCitations
This facility8
Median facility in OK8
Median facility nationally11

Survey history

Citations at each Life Safety survey
52022-1002023-0932024-10
Citations at each Life Safety survey
Survey dateCitations
October 13, 20225
September 19, 20230
October 23, 20243

Most-cited tags

Most-cited tags at this facility
K-07412K-03741K-03531K-03211K-03621K-02111K-03721
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.22024-10-23
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12024-10-23
K-0353Inspect, test, and maintain automatic sprinkler systems.12022-10-13
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12022-10-13
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.12024-10-23
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.12022-10-13
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.12022-10-13

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 5
  • Miscellaneous Deficiencies 2
  • Egress Deficiencies 1
Citations by CMS category
CategoryCitations
Smoke Deficiencies5
Miscellaneous Deficiencies2
Egress Deficiencies1

Every citation on file

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

October 23, 2024 — 3 citations

Citations issued on October 23, 2024
TagWhat the surveyor checksStatus
K-0362Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.Deficient, Provider has date of correction (December 5, 2024)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (December 5, 2024)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (December 5, 2024)

October 13, 2022 — 5 citations

Citations issued on October 13, 2022
TagWhat the surveyor checksStatus
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (November 10, 2022)
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 (November 10, 2022)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (November 10, 2022)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (November 10, 2022)
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.Deficient, Provider has date of correction (November 10, 2022)

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