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Bethany On University

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About Bethany On University

General Information

Legal Business NameAmerican Lutheran Homes Inc
Ownership TypeNon Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareDecember 1, 1978 (38 years)
Capacity172
Residents172
Percent Occupied100%
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 On University

Bethany On University
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 North Dakota 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

July 23, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint+InspectionReview or revise the resident's care plan after any major change in physical or mental health.
BSomePotential for Minimal HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

March 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.

June 19, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaint+InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaint+InspectionHave a program that investigates, controls and keeps infection from spreading.

May 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionWeekly inspections and monthly testing of generators.
FManyPotential for HarmFire Safety InspectionAutomatic sprinkler systems that have been maintained in working order.
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
DFewPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionA two-hour-resistant firewall separation.
DFewPotential for HarmFire Safety InspectionAn approved automatic sprinkler system connected to the fire alarm system.

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 On University 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.

3hr 25min
2hr 35min
ReportedExpected
CNA
50min
35min
ReportedExpected
LPN
50min
50min
ReportedExpected
RN
5hr
3hr 55min
ReportedExpected
Total Nursing

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

Quality Measures for Long Stay Residents

100.0%
99.4%
99.4%
98.2%
Q1 2015Q2 2015Q3 2015ND
Assessed and Appropriately Given the Seasonal Influenza Vaccine
100.0%
100.0%
100.0%
95.8%
Q1 2015Q2 2015Q3 2015ND
Assessed and Appropriately Given the Pneumococcal Vaccine
45.3%
43.6%
58.3%
44.8%
Q1 2015Q2 2015Q3 2015ND
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.2%
17.4%
16.4%
19.1%
Q1 2015Q2 2015Q3 2015ND
Received an Antipsychotic Medication
15.7%
15.6%
11.8%
16.8%
Q1 2015Q2 2015Q3 2015ND
Need for Help with ADLs has Increased
8.0%
6.9%
11.5%
10.9%
Q1 2015Q2 2015Q3 2015ND
Self Report Moderate to Severe Pain
7.1%
7.8%
9.4%
7.2%
Q1 2015Q2 2015Q3 2015ND
Lose Too Much Weight
3.8%
4.7%
0.8%
4.4%
Q1 2015Q2 2015Q3 2015ND
High Risk Residents With Pressure Ulcers
3.3%
2.7%
1.2%
6.5%
Q1 2015Q2 2015Q3 2015ND
Have Depressive Symptoms
5.8%
3.9%
3.8%
5.1%
Q1 2015Q2 2015Q3 2015ND
With a Urinary Tract Infection
1.9%
3.2%
3.1%
5.1%
Q1 2015Q2 2015Q3 2015ND
Experiencing One or More Falls with Major Injury
2.0%
0.0%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015ND
With a Catheter Inserted and Left in Their Bladder
0.6%
0.6%
0.6%
0.3%
Q1 2015Q2 2015Q3 2015ND
Were Physically Restrained

Quality Measures for Short Stay Residents

100.0%
100.0%
100.0%
80.7%
Q1 2015Q2 2015Q3 2015ND
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
98.7%
98.7%
80.7%
Q1 2015Q2 2015Q3 2015ND
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
18.0%
13.4%
3.5%
18.9%
Q1 2015Q2 2015Q3 2015ND
Self Report Moderate to Severe Pain
1.9%
0.0%
0.0%
2.1%
Q1 2015Q2 2015Q3 2015ND
Newly Received an Antipsychotic Medication
2.4%
1.2%
2.6%
1.8%
Q1 2015Q2 2015Q3 2015ND
With Pressure Ulcers That Are New or Worsened