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Bethany Lutheran Home

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About Bethany Lutheran Home

General Information

Legal Business NameBethany Lutheran Home
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareNovember 1, 2003 (13 years)
Capacity121
Residents101
Percent Occupied83%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Bethany Lutheran Home

Bethany Lutheran Home
was reviewed by Medicare to have a rating of 2 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Iowa Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

August 27, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionExits that are accessible at all times.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
DFewPotential for HarmFire Safety InspectionProperly maintained smoke detectors.

August 20, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care.
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionMake sure that doctors visit residents regularly, as required.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.

August 11, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.
DFewPotential for HarmComplaintProtect each resident from all abuse, physical punishment, and involuntary separation from others.

July 1, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
---Payment DenialPayment denial for 61 days
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

June 27, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.
DFewPotential for HarmFire Safety InspectionPortable fire extinguishers.

June 26, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionEnsure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionEnsure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.
DFewPotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Bethany Lutheran Home require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 45min
2hr 30min
ReportedExpected
CNA
1hr
35min
ReportedExpected
LPN
40min
45min
ReportedExpected
RN
4hr 25min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 15min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.1%
97.4%
97.4%
97.4%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Seasonal Influenza Vaccine
99.1%
99.1%
94.3%
95.8%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Pneumococcal Vaccine
45.2%
47.7%
42.9%
39.8%
Q1 2015Q2 2015Q3 2015IA
Low Risk Residents Who Lose Control of Their Bowel or Bladder
15.0%
13.9%
15.5%
17.4%
Q1 2015Q2 2015Q3 2015IA
Received an Antipsychotic Medication
5.9%
8.9%
14.6%
16.4%
Q1 2015Q2 2015Q3 2015IA
Need for Help with ADLs has Increased
1.5%
3.5%
1.1%
8.8%
Q1 2015Q2 2015Q3 2015IA
Self Report Moderate to Severe Pain
4.7%
5.5%
9.6%
6.8%
Q1 2015Q2 2015Q3 2015IA
Lose Too Much Weight
2.7%
5.4%
10.3%
3.9%
Q1 2015Q2 2015Q3 2015IA
High Risk Residents With Pressure Ulcers
1.0%
0.0%
0.0%
5.9%
Q1 2015Q2 2015Q3 2015IA
Have Depressive Symptoms
15.0%
10.9%
7.7%
6.2%
Q1 2015Q2 2015Q3 2015IA
With a Urinary Tract Infection
2.8%
4.5%
3.8%
3.6%
Q1 2015Q2 2015Q3 2015IA
Experiencing One or More Falls with Major Injury
6.4%
7.8%
6.5%
4.1%
Q1 2015Q2 2015Q3 2015IA
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.5%
Q1 2015Q2 2015Q3 2015IA
Were Physically Restrained

Quality Measures for Short Stay Residents

79.2%
62.7%
37.3%
86.8%
Q1 2015Q2 2015Q3 2015IA
Assessed and Appropriately Given the Pneumococcal Vaccine
83.0%
83.0%
83.0%
84.8%
Q1 2015Q2 2015Q3 2015IA
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
11.4%
8.9%
6.8%
17.7%
Q1 2015Q2 2015Q3 2015IA
Self Report Moderate to Severe Pain
2.4%
0.0%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015IA
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015IA
With Pressure Ulcers That Are New or Worsened