Bethel Health Care Center
13 Park Lawn Drive, Bethel, CT 06801 · Western Ct County · 161 certified beds · avg 152 residents/day · certified since Mar 16, 1994
Part of chain: NATIONAL HEALTH CARE ASSOCIATES (42 facilities, chain avg rating 3.2★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · May 10, 2024 · F-0656 · triggered by a complaint
The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines.
Why it matters: Without a complete, working care plan, important needs can slip through the cracks and no one is accountable for results.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 5, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · May 10, 2024 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jul 27, 2023 (Past Non-Compliance)
All citations in the current public record (31)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 22, 2025 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Jul 22, 2025 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Oct 29, 2024 | E · Potential for harm, repeated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| May 10, 2024 | ▲ G · Actual harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| May 10, 2024 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Sep 6, 2023 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not provide enough food and fluids to keep residents healthy, such as preventing unplanned weight loss or dehydration. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not safely and appropriately administer IV fluids (fluids given through a vein) for residents who needed them. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not prepare and serve food in a form that meets each resident's individual needs — for example, chopped, pureed, or softened food for residents with chewing or swallowing problems. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not keep all essential equipment working safely — things like heating and cooling systems, kitchen equipment, and medical devices. |
| Sep 6, 2023 | D · Potential for harm, one-off | The facility did not regularly inspect bed frames, mattresses, and bed rails for safety, or the rails and mattresses were not attached safely to the frames. |
| Jul 21, 2021 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Jul 21, 2021 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jul 21, 2021 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Jul 21, 2021 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Jul 21, 2021 | D · Potential for harm, one-off | The facility did not observe each nurse aide's job performance or provide regular training as required. |
| Jul 21, 2021 | D · Potential for harm, one-off | The facility did not provide routine dental care and 24-hour emergency dental care for residents. |
| Jul 21, 2021 | D · Potential for harm, one-off | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (15 → 6).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2021 | 7 | 0 | E |
| 2023 | 15 | 0 | E |
| 2024 | 3 | 2 | G ▲ |
| 2025 | 6 | 0 | E |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
2 fines totaling $16,036.
| Date | Type | Amount / length |
|---|---|---|
| May 10, 2024 | Fine | $8,018 |
| May 10, 2024 | Fine | $8,018 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | Connecticut avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.69 | 3.80 | 3.95 | bottom 50% in Connecticut; bottom 46% in the U.S. |
| Registered Nurse hours | 0.67 | 0.70 | 0.69 | top 39% in Connecticut; top 40% in the U.S. |
| Weekend total nurse staffing | 3.22 | 3.43 | 3.50 | bottom 40% in Connecticut; bottom 43% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.46 | 0.46 | 0.48 | top 37% in Connecticut; top 38% in the U.S. |
| Total nursing staff turnover (%) | 35.9 | 37.4 | 45.8 | top 50% in Connecticut; top 26% in the U.S. |
| RN turnover (%) | 34.6 | 38.6 | 42.9 | top 42% in Connecticut; top 38% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.22, RN 0.76, weekend 3.69. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Bethel Investors, LLC | Organization | 5% or Greater Direct Ownership Interest | 51% | 01/01/2017 |
| BPB Equity Holdings LLC | Organization | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2018 |
| Butler, Helen | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Butler, Mary | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Butler, Matthew | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Butler, Robert | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Cedar Hill NG Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/14/2025 |
| Estate of Roland Charles Butler | Organization | 5% or Greater Direct Ownership Interest | 37% | 04/07/2025 |
| Flight, Grace | Individual | 5% or Greater Direct Ownership Interest | 7% | 06/06/2007 |
| Geffner, Ira | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Juniper NG Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/14/2025 |
| McCollam, Mary | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Miller, Meaghan | Individual | Direct Ownership Interest | NOT APPLICABLE | 01/01/2017 |
| Oak Drive NG Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/14/2025 |
| Rolling Hill NG Trust | Organization | Indirect Ownership Interest | NOT APPLICABLE | 05/14/2025 |
| Almeida, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| Barry Bokow 2012 Family Trust | Organization | ADP of the SNF | NOT APPLICABLE | 08/07/2020 |
| Bethel Health Care Realty, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 06/13/2017 |
| Bethel Investors, LLC | Organization | ADP of the SNF | NOT APPLICABLE | 01/01/2017 |
| Bokow, Barry | Individual | Individual Is an Owner, Partner or Trustee of Any ADP of the SNF | NOT APPLICABLE | 01/02/2026 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Autumn Lake Healthcare at Glen Hill | 2.6 mi | Danbury, CT | ★★★★☆ | 3/5 | |
| Civita Care Center at Danbury | 2.7 mi | Danbury, CT | ★★☆☆☆ | 2/5 | abuse |
| Saint John Paul II Center | 4.0 mi | Danbury, CT | ★★☆☆☆ | 2/5 | abuse |
| Havencare at Hancock Hall | 4.3 mi | Danbury, CT | ★★★★★ | 5/5 | |
| Havencare at Filosa | 4.3 mi | Danbury, CT | ★★★★★ | 5/5 | |
| Stone Bridge Center for Health & Rehabilitation | 7.5 mi | Newtown, CT | ★★★★☆ | 3/5 | |
| Laurel Ridge Center for Health & Rehabilitation | 8.0 mi | Ridgefield, CT | ★★★☆☆ | 2/5 | abuse |
| River Glen Health Care Center | 8.8 mi | Southbury, CT | ★★★★★ | 4/5 | |
| Putnam Ridge | 9.0 mi | Brewster, NY | ★☆☆☆☆ | 1/5 | |
| Pomperaug Woods Health Center | 10.1 mi | Southbury, CT | ★★★★☆ | 3/5 | |
| Village Crest Center for Health & Rehabilitation | 11.0 mi | New Milford, CT | ★★★★☆ | 3/5 | |
| Lutheran Home of Southbury INC | 11.2 mi | Southbury, CT | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 075400.