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

THE GRAND AT BETHANY SKILLED NURSING AND THERAPY

BETHANY, OK · 161 certified beds · Last Life Safety survey January 7, 2026

CMS Certification Number 375107 · first certified October 1990

Ownership

Operated by BRIDGES HEALTH · For profit - Partnership

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

13
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
10
Inspection & testing records
Of the citations on file

Position within OK

13 citations — more than 81% 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

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 4 citations; the earlier surveys in the window averaged 4.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens February 2027 — about 5 months from now. This facility’s last Life Safety survey was January 2026. 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

3 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.

Physical environment (health survey)

4 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 13 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 OK, and nationally. Surveyors differ markedly between states, so the OK figure is the meaningful one.

This facility13OK median8National median11
Citations on file over three years, compared
MeasureCitations
This facility13
Median facility in OK8
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-0752024-0942026-01
Citations at each Life Safety survey
Survey dateCitations
July 27, 20234
September 3, 20245
January 7, 20264

Most-cited tags

Most-cited tags at this facility
K-02913K-07612K-03242K-03211K-03531K-07121K-03741K-07411
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0291Install emergency lighting that can last at least 1 1/2 hours.32026-01-07
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.22024-09-03
K-0324Provide properly protected cooking facilities.22024-09-03
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.12026-01-07
K-0353Inspect, test, and maintain automatic sprinkler systems.12024-09-03
K-0712Have simulated fire drills held at unexpected times.12024-09-03
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.12026-01-07
K-0741Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.12026-01-07

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 6
  • Miscellaneous Deficiencies 4
  • Egress Deficiencies 3
Citations by CMS category
CategoryCitations
Smoke Deficiencies6
Miscellaneous Deficiencies4
Egress Deficiencies3

Every citation on file

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

January 7, 2026 — 4 citations

Citations issued on January 7, 2026
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (January 28, 2026)
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 (January 28, 2026)
K-0374Install smoke barrier doors that can resist smoke for at least 20 minutes.Deficient, Provider has date of correction (January 28, 2026)
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 (January 28, 2026)

September 3, 2024 — 5 citations

Citations issued on September 3, 2024
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (October 15, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (October 15, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 25, 2024)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 15, 2024)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (October 15, 2024)

July 27, 2023 — 4 citations

Citations issued on July 27, 2023
TagWhat the surveyor checksStatus
K-0291Install emergency lighting that can last at least 1 1/2 hours.Deficient, Provider has date of correction (December 27, 2023)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (December 27, 2023)
K-0372Ensure smoke barriers are constructed to a 1 hour fire resistance rating.Deficient, Provider has date of correction (December 27, 2023)
K-0761To conduct inspection, testing and maintenance of fire doors by qualified individuals.Deficient, Provider has date of correction (December 27, 2023)

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