BETHEL HOME

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.

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 Kansas are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

Long-Term Stay Preventive Actions

Long-Term Stay Deficiencies

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 02/14/2011.

Quality Care

Make Sure That Residents Receive Treatment/Services to Continue to Be Able to Care for Themselves, Unless a Change is Unavoidable. Inspection Date: 10/28/2009 Correction Date: 12/09/2009

The table below lists incident reports by the nursing staff or administration for Bethel Home, as well as complaints by residents or their family in the previous three years.

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 10/28/2009 Correction Date: 12/09/2009
Have a Program to Keep Infection from Spreading. Complaint Filed: 10/28/2009 Correction Date: 01/12/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way. Complaint Filed: 10/28/2009 Correction Date: 12/09/2009

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. Complaint Filed: 10/28/2009 Correction Date: 12/09/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes. Complaint Filed: 10/28/2009 Correction Date: 12/09/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 10/28/2009 Correction Date: 01/12/2010
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Complaint Filed: 10/28/2009 Correction Date: 01/12/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations. Complaint Filed: 10/28/2009 Correction Date: 12/09/2009
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Complaint Filed: 10/28/2009 Correction Date: 01/12/2010
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan. Complaint Filed: 10/28/2009 Correction Date: 01/12/2010

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 Bethel Home 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 02/14/2011.

Automatic Sprinkler Systems

Properly Working Alarms on Sprinkler Valves. Inspection Date: 09/08/2008 Correction Date: 10/07/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/08/2008 Correction Date: 10/07/2008
Automatic Sprinkler Systems That Have Been Maintained in Working Order. Inspection Date: 09/29/2009 Correction Date: 10/28/2009

Building Construction

A Two-Hour-Resistant Firewall in Common Walls. Inspection Date: 09/08/2008 Correction Date: 09/08/2008

Electrical

Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/08/2008 Correction Date: 09/08/2008
Weekly Inspections and Monthly Testing of Generators. Inspection Date: 09/29/2009 Correction Date: 10/28/2009
Properly Installed Electrical Wiring and Equipment. Inspection Date: 09/29/2009 Correction Date: 10/28/2009

Emergency Plans and Fire Drills

Record of Quarterly Fire Drills for Each Shift Under Varying Conditions. Inspection Date: 09/29/2009 Correction Date: 10/28/2009

Exits and Egress

Exits That Are Accessible at All Times. Inspection Date: 09/29/2009 Correction Date: 10/28/2009

Fire Alarm Systems

A Fire Alarm System That Can Be Heard Throughout the Facility. Inspection Date: 09/08/2008 Correction Date: 10/07/2008

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 09/08/2008 Correction Date: 10/07/2008

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 09/08/2008 Correction Date: 10/07/2008
Proper Backup Exit Lighting. Inspection Date: 09/29/2009 Correction Date: 10/28/2009

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour. Inspection Date: 09/29/2009 Correction Date: 10/28/2009