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Bethesda Of Beresford

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About Bethesda Of Beresford

General Information

Legal Business NameBethesda Of Beresford
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareSeptember 1, 1994 (22 years)
Capacity67
Residents57
Percent Occupied85%
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 Bethesda Of Beresford

Bethesda Of Beresford
was reviewed by Medicare to have a rating of 4 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of South 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

September 30, 2015 - 14 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.

October 9, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential 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.
ESomePotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
ESomePotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
ESomePotential for HarmHealth InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
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 InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
DFewPotential for HarmHealth InspectionAllow residents to self-administer drugs if determined safe.

January 23, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
GFewActual HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
GFewActual HarmComplaintDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property.
ESomePotential for HarmComplaintEstablish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility
ESomePotential for HarmComplaintMake sure that the facility is administered in an acceptable way that maintains the well-being of each resident .
DFewPotential for HarmComplaintProvide medically-related social services to help each resident achieve the highest possible quality of life.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure services provided by the nursing facility meet professional standards of quality.

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 Of Beresford 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
2hr 20min
ReportedExpected
CNA
30min
35min
ReportedExpected
LPN
45min
45min
ReportedExpected
RN
4hr 15min
3hr 35min
ReportedExpected
Total Nursing

This facility also provides approximately 45min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
98.5%
98.5%
97.9%
Q1 2015Q2 2015Q3 2015SD
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.7%
98.2%
100.0%
95.7%
Q1 2015Q2 2015Q3 2015SD
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
32.3%
44.6%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
11.7%
12.5%
12.7%
17.4%
Q1 2015Q2 2015Q3 2015SD
Received an Antipsychotic Medication
21.4%
4.4%
5.9%
17.3%
Q1 2015Q2 2015Q3 2015SD
Need for Help with ADLs has Increased
0.0%
9.2%
10.2%
10.7%
Q1 2015Q2 2015Q3 2015SD
Self Report Moderate to Severe Pain
3.4%
15.8%
10.7%
7.6%
Q1 2015Q2 2015Q3 2015SD
Lose Too Much Weight
2.4%
0.0%
0.0%
4.7%
Q1 2015Q2 2015Q3 2015SD
High Risk Residents With Pressure Ulcers
5.0%
1.9%
1.8%
5.9%
Q1 2015Q2 2015Q3 2015SD
Have Depressive Symptoms
8.5%
14.3%
1.8%
4.9%
Q1 2015Q2 2015Q3 2015SD
With a Urinary Tract Infection
3.3%
3.5%
3.6%
5.0%
Q1 2015Q2 2015Q3 2015SD
Experiencing One or More Falls with Major Injury
12.2%
16.2%
11.9%
4.2%
Q1 2015Q2 2015Q3 2015SD
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.6%
Q1 2015Q2 2015Q3 2015SD
Were Physically Restrained

Quality Measures for Short Stay Residents

-
-
-
79.5%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
81.5%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
-
-
-
19.2%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
2.1%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
-
-
-
1.6%
Q1 2015Q2 2015Q3 2015SD
* The data for this facility for some quarters is unavailable.
With Pressure Ulcers That Are New or Worsened