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Bethesda Heritage Center

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About Bethesda Heritage Center

General Information

Legal Business NameBethesda
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 10, 1989 (28 years)
Capacity125
Residents105
Percent Occupied84%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Bethesda Heritage Center

Bethesda Heritage Center
was reviewed by Medicare to have a rating of 5 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Minnesota 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

May 7, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
CManyPotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.
DFewPotential for HarmHealth InspectionOperate and provide services according to Federal, State, and local laws and professional standards.
DFewPotential 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.

May 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.
FManyPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.

April 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.
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 InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

April 22, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionHeating and ventilation systems that have been properly installed according to the manufacturer's instructions.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
CManyPotential for Minimal HarmFire Safety InspectionExit stairways and towers that are smoke proof.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Bethesda Heritage Center 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 35min
2hr 25min
ReportedExpected
CNA
1hr 10min
35min
ReportedExpected
LPN
35min
50min
ReportedExpected
RN
4hr 20min
3hr 50min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

98.1%
98.3%
98.3%
97.0%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
99.1%
98.0%
99.0%
94.9%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
42.1%
43.8%
36.9%
48.6%
Q1 2015Q2 2015Q3 2015MN
Low Risk Residents Who Lose Control of Their Bowel or Bladder
8.0%
12.6%
13.4%
13.4%
Q1 2015Q2 2015Q3 2015MN
Received an Antipsychotic Medication
12.2%
12.9%
16.5%
14.8%
Q1 2015Q2 2015Q3 2015MN
Need for Help with ADLs has Increased
3.3%
8.2%
8.3%
11.2%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
3.7%
5.1%
6.9%
7.0%
Q1 2015Q2 2015Q3 2015MN
Lose Too Much Weight
5.5%
2.9%
1.4%
4.2%
Q1 2015Q2 2015Q3 2015MN
High Risk Residents With Pressure Ulcers
1.0%
3.0%
8.0%
5.1%
Q1 2015Q2 2015Q3 2015MN
Have Depressive Symptoms
2.8%
2.0%
5.0%
4.2%
Q1 2015Q2 2015Q3 2015MN
With a Urinary Tract Infection
1.9%
1.0%
1.0%
4.2%
Q1 2015Q2 2015Q3 2015MN
Experiencing One or More Falls with Major Injury
1.7%
2.5%
2.0%
3.2%
Q1 2015Q2 2015Q3 2015MN
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015MN
Were Physically Restrained

Quality Measures for Short Stay Residents

85.1%
82.8%
84.6%
83.3%
Q1 2015Q2 2015Q3 2015MN
Assessed and Appropriately Given the Pneumococcal Vaccine
83.6%
82.4%
82.4%
82.9%
Q1 2015Q2 2015Q3 2015MN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
23.9%
20.3%
19.1%
22.6%
Q1 2015Q2 2015Q3 2015MN
Self Report Moderate to Severe Pain
2.9%
0.0%
0.0%
1.7%
Q1 2015Q2 2015Q3 2015MN
Newly Received an Antipsychotic Medication
0.0%
2.8%
9.7%
1.2%
Q1 2015Q2 2015Q3 2015MN
With Pressure Ulcers That Are New or Worsened