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BETHANY HOME ASSOCIATION

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BETHANY HOME ASSOCIATION VS
All other Nursing Homes USA
General
Percent of short-stay residents with Pressure ulcers that are new or worsened 75.2 % 
City LINDSBORG   vs 0% Nursing Homes USA have LINDSBORG
State attribute explanation KS   vs 2.2% Nursing Homes USA have KS
Street 321 N CHESTNUT ST  
Zip Code 67456  
Phone 7852272334  
Overall Star Rating
(1.89 higher than average)
vs
3.11

Health Inspections Star Rating
(2.17 higher than average)
vs
2.83

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

Quality Measures Star Rating
(1.31 lower than average)
vs
3.31

RN Only Star Rating
(0.83 higher than average)
vs
3.17

Number of Certified Beds
118  (9.06 higher than average)
vs
108.94

Total Number of Residents
93  (1.75 higher than average)
vs
91.25

Percent of Occupied Beds
79 % (4.65 % lower than average)
vs
83.65 %

Health Survey Date 5/17/2012  
Fire Survey Date 2/21/2012  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Church Related  vs 4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? Yes  vs 9.1% Nursing Homes USA have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  vs 31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(5.48 lower than average)
vs
7.48

Staff Information
Number of Residents
93  (1.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.8  (0.03 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.72  (0.12 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.53  (0.06 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 05/17/2012
date Of Correction: 06/15/2012 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 05/17/2012
date Of Correction: 06/15/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
29.9 % (4.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
26.9 % (10.24 % higher than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
6.3 % (6.28 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
6.5 % (5.33 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
57.4 % (12.86 % higher than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
5 % (10.63 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
13.2 % (0.26 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
18.3 % (10.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
75.2 % (31.52 % higher than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
65.2 % (19.44 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
65.2 % (18.74 % lower than average)
vs
83.94 %

Percent of long-stay residents experiencing one or more falls with major injury
5.4 % (10.12 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
31.8 % (6.41 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
1.7 % (22 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
28.1 % (14 % higher than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
4.4 % (4.82 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
5.4 % (3.1 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
47.3 % (3.92 % higher than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
3.9 % (6.75 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
10.8 % (1.22 % higher than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
20.7 (69.3) % (0.84 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
75.2 % (36.67 % higher than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.9 % (6.83 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
51.9 % (27.14 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
63.2 % (18.24 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
20.9 % (53.85 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (57.86 % higher than average)
vs
17.34 %



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