BETHANY HOME
The information listed below provides an in-depth look into the type and quality of care offered at Bethany Home. 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 HOME
1020 LARK STREET
ALEXANDRIA, MN 56308
(320) 762-1567
1020 LARK STREET
ALEXANDRIA, MN 56308
(320) 762-1567
Nursing Home Ratings
| Health Inspections | |
| Quality Measures | |
| Nursing Staff | |
| R.N. Staff Only | |
| Overall Rating | |
Percent of Beds Occupied
98%Number of Residents and Certified Beds
- Residents: 81
- Certified Beds: 83
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Church Related
- Offers Both Resident and Family Counseling Services
- This Facility is Part of a Chain or Franchise
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 Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.
| Resident Services | Resident Conditions | Percent of Service Days |
Ultra-High Rehabilitation Plus Extensive Services
Rehabilitation 720 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- A second rehabilitation discipline three days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 2-10 | 0.4% |
| Total Percent: | 0.4% |
Very High Rehabilitation Plus Extensive Services
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
- Tracheostomy care
- Ventilator or respirator
- Isolation for active infectious disease while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 11-16 | 1.0% |
| Total Percent: | 1.0% |
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: 11-16 | 17.8% |
| ADL Index Range: 6-10 | 24.9% |
| ADL Index Range: 0-5 | 19.6% |
| Total Percent: | 62.3% |
Very High Rehabilitation
Rehabilitation 500 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 12.7% |
| ADL Index Range: 6-10 | 10.6% |
| ADL Index Range: 0-5 | 5.3% |
| Total Percent: | 28.7% |
High Rehabilitation
Rehabilitation 325 Minutes Per Week Minimum
- At least one rehabilitation discipline five days/week
| ADL Index Range: 11-16 | 0.9% |
| ADL Index Range: 6-10 | 0.9% |
| ADL Index Range: 0-5 | 0.06% |
| Total Percent: | 1.8% |
Medium Rehabilitation
Rehabilitation 150 Minutes Per Week Minimum
- Five days any combination of three rehabilitation disciplines
| ADL Index Range: 11-16 | 1.7% |
| ADL Index Range: 6-10 | 0.7% |
| ADL Index Range: 0-5 | 0.2% |
| Total Percent: | 2.5% |
Special Care High
- Comatose
- Septicemia
- Diabetes with daily injections and a change of order two or more days
- Quadriplegia with ADL score greater or equal to 5
- Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
- Fever with pneumonia, or vomiting, or weight loss, or feeding tube
- Parenteral/IV feedings
- Respiratory therapy for 7 days
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 15-16 - No Signs of depression | 0.2% |
| Total Percent: | 0.2% |
Special Care Low
- Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
- Respiratory failure and oxygen therapy while a resident
- Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
- Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
- Ulcers: 2 or more venous or arterial ulcers
- Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
- Foot infection/diabetic foot ulcer/open lesions of foot with treatment
- Radiation therapy while a resident
- Dialysis while a resident
- Activities of Daily Living (ADL) score of 2 or more
| ADL Index Range: 6-10 - Signs of depression | 0.9% |
| Total Percent: | 0.9% |
Clinically Complex
- Pneumonia, hemiplegia with ADL score >=5
- Surgical wounds or open lesions with treatment
- Burns
- Chemotherapy while a resident
- Oxygen therapy while a resident
- IV medications or transfusions while a resident
- Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
| ADL Index Range: 15-16 - No Signs of depression | 0.7% |
| ADL Index Range: 11-14 - No Signs of depression | 0.3% |
| ADL Index Range: 6-10 - No Signs of depression | 0.3% |
| ADL Index Range: 2-5 - No Signs of depression | 0.9% |
| ADL Index Range: 0-1 - No Signs of depression | 0.1% |
| Total Percent: | 2.3% |
Rating Details For Bethany Home
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 Day | Reported | Expected |
| Registered Nurse (RN) Hours | 51 Minutes | 1 Hour and 11 Minutes |
| Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 1 Hour and 26 Minutes | 41 Minutes |
| Certified Nursing Assistant (CNA) Hours | 2 Hours and 7 Minutes | 2 Hours and 33 Minutes |
| Total Licensed Nurse Hours | 2 Hours and 17 Minutes | 1 Hour and 51 Minutes |
| Total Nurse Hours | 4 Hours and 24 Minutes | 4 Hours and 24 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 Minnesota are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
| This Facility | Minnesota Average |
Long-Term Stay Preventive Actions
| Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 93% |
| Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 94% |
Long-Term Stay Deficiencies
| Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 5% | 3% |
| Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 20% | 14% |
| Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 5% | 4% |
| Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 6% | 7% |
| Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 10% | 11% |
| Percent of Long-Stay Residents Who Were Physically Restrained | - | 3% |
| Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 56% | 53% |
| Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 3% | 7% |
| Percent of Long-Stay Residents Who Lose Too Much Weight | 9% | 7% |
| Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 5% | 6% |
| Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 2% |
| Percent of Long-Stay Residents Who Are More Depressed or Anxious | 38% | 23% |
Short-Term Stay Preventive Actions
| Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 88% |
| Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 90% |
Short-Term Stay Deficiencies
| Percent of Short-Stay Residents Who Have Delirium | 2% | 3% |
| Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 40% | 23% |
| Percent of Short-Stay Residents Who Have Pressure Sores | 7% | 9% |
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 01/07/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Environmental
Provide Needed Housekeeping and Maintenance.
|  |  |
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
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Mistreatment
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Nutrition and Dietary
Store, Cook, and Give out Food in a Safe and Clean Way.
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Store, Cook, and Give out Food in a Safe and Clean Way.
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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.
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At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
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Properly Mark Drugs and Other Similar Products.
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Properly Mark Drugs and Other Similar Products.
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Quality Care
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Develop/Implement Required Procedures for the Administration of Immunizations.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene.
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Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
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Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
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Resident Assessment
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.
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Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
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Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
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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 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 01/06/2011.
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 Inspectors | Degree of Harm | Residents Affected |
Automatic Sprinkler Systems
Automatic Sprinkler Systems That Have Been Maintained in Working Order.
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Building Construction
A Two-Hour-Resistant Firewall in Common Walls.
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Approved Construction Type or Materials.
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Building Service Equipment
Properly Protected Cooking Facilities.
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Emergency Plans and Fire Drills
Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Record of Quarterly Fire Drills for Each Shift Under Varying Conditions.
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Furnishings and Decorations
Exits That Are Free from Obstructions and Can Be Used at All Times.
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Hazardous Area
Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
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Miscellaneous
Fire Safety Features Required by Current Fire Safety Codes.
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Vertical Openings
Proper Stairway Enclosures and Vertical Shafts.
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Source: Medicare Nursing Home Compare; Health Facility Complaints and Provider Compliance Division of Minnesota - Retrieved 2011
