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BETHANY MHS HEALTH CARE CENTER

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BETHANY MHS HEALTH CARE CENTER VS
Nursing Homes USA
General
City LAFAYETTE   0.1% Nursing Homes USA have LAFAYETTE
State attribute explanation LA   1.8% Nursing Homes USA have LA
Street 406 ST JULIEN STREET  
Zip Code 70506  
Phone 3372342459  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
42 
108.94
Total Number of Residents
41 
91.25
Percent of Occupied Beds
98 %
83.65 %
Health Survey Date 10/27/2011  
Fire Survey Date 10/25/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership Non Profit - Church Related  4.4% Nursing Homes USA have Non profit - Church related
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
7.48
Staff Information
Number of Residents
41 
91.38
Number of RN Hours Per Resident Per Day
0.52 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.79 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.31 
1.59
Number of CNA Hours Per Resident Per Day
0.03 
5.49
Number Therapy Hours Per Resident Per Day
0.03 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Try To Resolve Each Resident's Complaints Quickly.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/08/2011
date Of Correction: 09/25/2011 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
15.4 %
25.09 %
Percent of long-stay high-risk residents with pressure ulcers
10 %
12.58 %
Percent of long-stay residents who lose too much weight
5.1 %
11.83 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
15.63 %
Percent of long-stay residents with a urinary tract infection
7.7 %
13.46 %
Percent of long-stay residents who have depressive symptoms
75.2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
9.8 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
14 %
25.39 %
Percent of long-stay residents who self-report moderate to severe pain
8.3 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers
4.7 %
9.22 %
Percent of long-stay residents who lose too much weight
1.7 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
46.8 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 %
10.65 %
Percent of long-stay residents with a urinary tract infection
7.8 %
9.58 %
Percent of long-stay residents who have depressive symptoms
75.2 %
19.86 %
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
14.3 %
10.73 %

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