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Bethesda Health Care Center

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About Bethesda Health Care Center

General Information

Legal Business NameBethesda Health Care Center Inc
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 13, 2001 (15 years)
Capacity120
Residents111
Percent Occupied93%
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 Health Care Center

Bethesda Health Care Center
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 Tennessee 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

April 29, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
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 a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionGive notice to the resident before a room or roommate change.
DFewPotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.

April 27, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionCorridor and hallway doors that block smoke.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.

February 20, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

February 19, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
DFewPotential for HarmFire Safety InspectionProperly installed electrical wiring and equipment.

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 Health Care 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 10min
2hr 45min
ReportedExpected
CNA
1hr 15min
40min
ReportedExpected
LPN
55min
1hr 5min
ReportedExpected
RN
4hr 20min
4hr 30min
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%
100.0%
100.0%
94.3%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Seasonal Influenza Vaccine
98.8%
98.9%
100.0%
92.4%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
61.8%
64.7%
-
53.2%
Q1 2015Q2 2015Q3 2015TN
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
22.9%
28.2%
27.5%
21.2%
Q1 2015Q2 2015Q3 2015TN
Received an Antipsychotic Medication
9.5%
12.3%
12.7%
16.7%
Q1 2015Q2 2015Q3 2015TN
Need for Help with ADLs has Increased
12.0%
7.9%
16.7%
6.0%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
8.4%
8.6%
12.7%
8.9%
Q1 2015Q2 2015Q3 2015TN
Lose Too Much Weight
1.4%
1.4%
5.5%
5.4%
Q1 2015Q2 2015Q3 2015TN
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
2.9%
Q1 2015Q2 2015Q3 2015TN
Have Depressive Symptoms
2.4%
1.2%
5.1%
6.2%
Q1 2015Q2 2015Q3 2015TN
With a Urinary Tract Infection
5.9%
5.7%
4.9%
3.4%
Q1 2015Q2 2015Q3 2015TN
Experiencing One or More Falls with Major Injury
2.5%
1.5%
5.4%
3.2%
Q1 2015Q2 2015Q3 2015TN
With a Catheter Inserted and Left in Their Bladder
3.5%
2.3%
2.4%
2.1%
Q1 2015Q2 2015Q3 2015TN
Were Physically Restrained

Quality Measures for Short Stay Residents

96.4%
96.9%
96.8%
81.2%
Q1 2015Q2 2015Q3 2015TN
Assessed and Appropriately Given the Pneumococcal Vaccine
95.8%
91.8%
91.8%
81.3%
Q1 2015Q2 2015Q3 2015TN
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
26.2%
27.4%
28.4%
14.8%
Q1 2015Q2 2015Q3 2015TN
Self Report Moderate to Severe Pain
2.1%
2.8%
1.6%
2.3%
Q1 2015Q2 2015Q3 2015TN
Newly Received an Antipsychotic Medication
0.3%
0.0%
0.4%
0.8%
Q1 2015Q2 2015Q3 2015TN
With Pressure Ulcers That Are New or Worsened