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Bethany Riverside

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About Bethany Riverside

General Information

Legal Business NameBethany Lutheran Homes, Inc.
Ownership TypeNon Profit - Church Related
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1990 (27 years)
Capacity123
Residents113
Percent Occupied92%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsNone
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Bethany Riverside

Bethany Riverside
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 Wisconsin 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 4, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.
ESomePotential for HarmFire Safety InspectionWalls that prevent smoke from passing through and would resist fire for at least one hour.
CManyPotential for Minimal HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
CManyPotential for Minimal HarmFire Safety InspectionPortable fire extinguishers.
DFewPotential for HarmFire Safety InspectionProperly protected cooking facilities.

July 23, 2015 - 17 months ago

 Residents AffectedSeveritySource/TypeDescription
KSomeImmediate JeopardyHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionGive residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.
ESomePotential for HarmHealth InspectionTry to resolve each resident's complaints quickly.
ESomePotential for HarmHealth InspectionDevelop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
ESomePotential for HarmHealth InspectionAllow residents the right to participate in the planning or revision of care and treatment.
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 InspectionHave a program that investigates, controls and keeps infection from spreading.
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 Inspection1) 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 HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.

July 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmFire Safety InspectionEmergency lighting that can last at least 1 1/2 hours.
FManyPotential for HarmFire Safety InspectionRecord of quarterly fire drills for each shift under varying conditions.
ESomePotential for HarmFire Safety InspectionAn approved installation, maintenance and testing program for fire alarm systems.

July 22, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential 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.
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
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 InspectionGive proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible.

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 Riverside 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 35min
ReportedExpected
CNA
30min
35min
ReportedExpected
LPN
1hr 5min
55min
ReportedExpected
RN
4hr 20min
4hr 5min
ReportedExpected
Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

100.0%
99.1%
99.1%
97.6%
Q1 2015Q2 2015Q3 2015WI
Assessed and Appropriately Given the Seasonal Influenza Vaccine
99.0%
99.0%
100.0%
97.9%
Q1 2015Q2 2015Q3 2015WI
Assessed and Appropriately Given the Pneumococcal Vaccine
40.5%
46.3%
48.8%
45.1%
Q1 2015Q2 2015Q3 2015WI
Low Risk Residents Who Lose Control of Their Bowel or Bladder
12.6%
14.6%
16.3%
13.3%
Q1 2015Q2 2015Q3 2015WI
Received an Antipsychotic Medication
12.4%
14.0%
6.0%
14.3%
Q1 2015Q2 2015Q3 2015WI
Need for Help with ADLs has Increased
10.2%
9.9%
15.8%
9.3%
Q1 2015Q2 2015Q3 2015WI
Self Report Moderate to Severe Pain
11.7%
10.8%
5.9%
7.5%
Q1 2015Q2 2015Q3 2015WI
Lose Too Much Weight
3.4%
5.6%
5.5%
4.3%
Q1 2015Q2 2015Q3 2015WI
High Risk Residents With Pressure Ulcers
12.1%
13.1%
15.3%
5.6%
Q1 2015Q2 2015Q3 2015WI
Have Depressive Symptoms
3.9%
7.8%
3.0%
4.5%
Q1 2015Q2 2015Q3 2015WI
With a Urinary Tract Infection
5.8%
7.8%
5.8%
3.1%
Q1 2015Q2 2015Q3 2015WI
Experiencing One or More Falls with Major Injury
0.9%
1.0%
0.9%
3.9%
Q1 2015Q2 2015Q3 2015WI
With a Catheter Inserted and Left in Their Bladder
0.0%
0.0%
0.0%
0.4%
Q1 2015Q2 2015Q3 2015WI
Were Physically Restrained

Quality Measures for Short Stay Residents

96.6%
96.3%
92.8%
89.6%
Q1 2015Q2 2015Q3 2015WI
Assessed and Appropriately Given the Pneumococcal Vaccine
90.4%
85.2%
85.2%
88.4%
Q1 2015Q2 2015Q3 2015WI
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
31.2%
21.3%
26.7%
20.3%
Q1 2015Q2 2015Q3 2015WI
Self Report Moderate to Severe Pain
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015WI
Newly Received an Antipsychotic Medication
0.8%
1.4%
3.6%
1.0%
Q1 2015Q2 2015Q3 2015WI
With Pressure Ulcers That Are New or Worsened