BETHANY MHS HEALTH CARE CENTER

The information listed below provides an in-depth look into the type and quality of care offered at Bethany Mhs Health Care Center. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

BETHANY MHS HEALTH CARE CENTER
406 ST JULIEN STREET
LAFAYETTE, LA 70506
(337) 234-2459

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

100%

Number of Residents and Certified Beds

  • Residents: 42
  • Certified Beds: 42

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By Non Profit - Church Related
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

Broussard | Carencro | Breaux Bridge

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Bethany Mhs Health Care Center. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1611.3%
ADL Index Range: 6-1067.6%
Total Percent:78.9%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-102.1%
Total Percent:2.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 6-1019.0%
Total Percent:19.0%
 

Rating Details For Bethany Mhs Health Care Center

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours25 Minutes1 Hour and 6 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours58 Minutes42 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 33 Minutes2 Hours and 25 Minutes
Total Licensed Nurse Hours1 Hour and 22 Minutes1 Hour and 48 Minutes
Total Nurse Hours3 Hours and 56 Minutes4 Hours and 13 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Louisiana are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityLouisiana Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%91%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination68%87%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection13%10%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder1%5%
Percent of Long-Stay Residents Who Lose Too Much Weight4%9%
Percent of Long-Stay Residents Who Are More Depressed or Anxious9%15%
Percent of Long-Stay Residents Who Were Physically Restrained-8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased20%20%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder56%42%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%15%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain3%4%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse9%10%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%8%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%83%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination47%80%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium-4%
Percent of Short-Stay Residents Who Have Pressure Sores3%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain-14%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 11/10/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 11/19/2008
  • Correction Date: 01/01/1900
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/30/2009

Environmental

Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 11/19/2008
  • Correction Date: 01/03/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/25/2010

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 11/19/2008
  • Correction Date: 02/16/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 11/19/2008
  • Correction Date: 01/03/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/30/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/30/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/19/2008
  • Correction Date: 01/03/2009

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 11/19/2008
  • Correction Date: 02/16/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 11/19/2008
  • Correction Date: 01/03/2009

Resident Rights

Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 11/19/2008
  • Correction Date: 01/03/2009
Try to Resolve Each Resident's Complaints Quickly.
  • Inspection Date: 09/16/2009
  • Correction Date: 10/30/2009

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Bethany Mhs Health Care Center, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Hire Nurse Aides Who Have Shown That They Are Skilled and Care for Residents Safely On-The-Job.
  • Complaint Filed: 08/21/2008
  • Correction Date: 09/23/2008

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Bethany Mhs Health Care Center had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 11/10/2010.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System.
  • Inspection Date: 11/18/2008
  • Correction Date: 01/03/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/15/2009
  • Correction Date: 10/16/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 11/18/2008
  • Correction Date: 12/23/2008
Corridors or Aisles That Are Unobstructed and Are at Least 8 Feet in Width.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/25/2010

Furnishings and Decorations

Properly Sized and Located Linen or Trash Receptacles.
  • Inspection Date: 11/10/2010
  • Correction Date: 12/25/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 09/15/2009
  • Correction Date: 11/12/2009
Source: Medicare Nursing Home Compare; Department of Health and Hospitals of Louisiana - Health Standards Section - Retrieved 2011