BETHANY LUTHERAN HOME
Address
1901 SOUTH HOLLY AVENUE
SIOUX FALLS, SD 57105
(605) 338-2351
Nursing Home Ratings
Health Inspections | |
Quality Measures | |
Nursing Staff | |
R.N. Staff Only | |
Overall Rating |
Percent of Beds Occupied
Number of Residents and Certified Beds
- Residents: 101
- Certified Beds: 51
This Facility Accepts
- Medicare
- Medicaid
Operational Details
- Operated By Non Profit - Church Related
- Offers Only Resident Counseling
- 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 "Medium 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 Lutheran 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 |
Very High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 0-5 | 16.3% |
Total Percent: | 16.3% |
High Rehabilitation
- At least one rehabilitation discipline five days/week
ADL Index Range: 11-16 | 6.1% |
ADL Index Range: 0-5 | 5.1% |
Total Percent: | 11.2% |
Medium Rehabilitation
- Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-16 | 18.4% |
ADL Index Range: 6-10 | 7.1% |
ADL Index Range: 0-5 | 34.7% |
Total Percent: | 60.2% |
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 | 4.1% |
ADL Index Range: 0-1 - Signs of depression | 8.2% |
Total Percent: | 12.2% |
Rating Details For Bethany Lutheran 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 | 45 Minutes | 54 Minutes |
Licensed Practical/Vocational Nurse (LPN/LVN) Hours | 24 Minutes | 36 Minutes |
Certified Nursing Assistant (CNA) Hours | 2 Hours and 29 Minutes | 2 Hours and 30 Minutes |
Total Licensed Nurse Hours | 1 Hour and 9 Minutes | 1 Hour and 30 Minutes |
Total Nurse Hours | 3 Hours and 39 Minutes | 4 Hours |
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 South Dakota are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.
This Facility | South Dakota Average |
Long-Term Stay Preventive Actions
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season | 90-100% | 93% |
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 90-100% | 94% |
Long-Term Stay Deficiencies
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased | 17% | 15% |
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder | 12% | 7% |
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse | 11% | 12% |
Percent of Long-Stay Residents Who Had a Urinary Tract Infection | 5% | 7% |
Percent of Long-Stay Residents Who Have Moderate to Severe Pain | 4% | 4% |
Percent of Long-Stay Residents Who Are More Depressed or Anxious | 20% | 27% |
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder | 51% | 49% |
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores | 12% | 9% |
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair | 1% | 2% |
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores | 1% | 3% |
Percent of Long-Stay Residents Who Lose Too Much Weight | 6% | 8% |
Percent of Long-Stay Residents Who Were Physically Restrained | 4% | 3% |
Short-Term Stay Preventive Actions
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination | 88% | 89% |
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season | 78% | 88% |
Short-Term Stay Deficiencies
Percent of Short-Stay Residents Who Have Delirium | - | 3% |
Percent of Short-Stay Residents Who Had Moderate to Severe Pain | 25% | 24% |
Percent of Short-Stay Residents Who Have Pressure Sores | 16% | 11% |
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 01/12/2011.
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
Have a Program to Keep Infection from Spreading.
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Have a Program to Keep Infection from Spreading.
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Mistreatment
Protect Residents from Mistreatment, Neglect, And/Or Theft of Personal Property.
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1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
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Pharmacy Service
Keep the Rate of Medication Errors (Wrong Drug, Wrong Dose, Wrong Time) to Less Than 5%.
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Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
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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
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
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Give Professional Services That Meet a Professional Standard of Quality.
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Give Professional Services That Follow Each Resident's Written Care Plan.
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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
Make Sure That a Doctor Approves a Resident's Admission in Writing and That Each Resident Has a Doctor.
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Resident Rights
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
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Keep Each Resident's Personal and Medical Records Private and Confidential.
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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 Lutheran 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 01/11/2011.
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 |
Building Service Equipment
Properly Protected Cooking Facilities.
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