BETHANY LUTHERAN HOME

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 Lutheran Home. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Ultra-High Rehabilitation

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 Iowa 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

Short-Term Stay Preventive Actions

Short-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 04/21/2011.

Administration

Follow All Laws and Professional Standards. Inspection Date: 03/26/2009 Correction Date: 04/22/2009

Environmental

Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Have a Program to Keep Infection from Spreading. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Keep Safe, Clean and Homelike Surroundings. Inspection Date: 03/04/2010 Correction Date: 03/22/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Inspection Date: 03/04/2010 Correction Date: 06/14/2010
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 03/04/2010 Correction Date: 03/25/2010
Provide Needed Housekeeping and Maintenance. Inspection Date: 04/21/2011 Correction Date: 05/17/2011
Have a Program to Keep Infection from Spreading. Inspection Date: 04/21/2011 Correction Date: 05/17/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable. Inspection Date: 04/21/2011 Correction Date: 05/17/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 03/04/2010 Correction Date: 03/31/2010
Make Sure That Residents Are Well Nourished. Inspection Date: 04/21/2011 Correction Date: 05/17/2011
Make Sure That the Attending Doctor Orders Special Diets. Inspection Date: 04/21/2011 Correction Date: 01/01/1900
Store, Cook, and Give out Food in a Safe and Clean Way. Inspection Date: 04/21/2011 Correction Date: 05/17/2011

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: 03/26/2009 Correction Date: 04/22/2009
Properly Mark Drugs and Other Similar Products. Inspection Date: 04/21/2011 Correction Date: 05/17/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Give Professional Services That Follow Each Resident's Written Care Plan. Inspection Date: 03/04/2010 Correction Date: 05/12/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 03/04/2010 Correction Date: 05/12/2010
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores. Inspection Date: 03/04/2010 Correction Date: 03/08/2010
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion. Inspection Date: 03/04/2010 Correction Date: 03/30/2010
Make Sure That Each Resident's Nutritional Needs Were Met. Inspection Date: 03/04/2010 Correction Date: 03/31/2010
Give Professional Services That Meet a Professional Standard of Quality. Inspection Date: 04/21/2011 Correction Date: 05/17/2011
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Inspection Date: 04/21/2011 Correction Date: 05/06/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary. Inspection Date: 04/21/2011 Correction Date: 05/17/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured. Inspection Date: 03/04/2010 Correction Date: 03/24/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Keep Each Resident's Personal and Medical Records Private and Confidential. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect. Inspection Date: 03/26/2009 Correction Date: 04/22/2009
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 03/04/2010 Correction Date: 03/05/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help. Inspection Date: 04/21/2011 Correction Date: 05/17/2011
Quickly Give a Resident's Personal Money to the Heads of His or Her Estate After the Resident's Death. Inspection Date: 04/21/2011 Correction Date: 05/17/2011
Provide Proof That All Residents' Personal Money Which is Deposited with the Nursing Home, is Secure. Inspection Date: 04/21/2011 Correction Date: 05/17/2011
Allow Residents to Easily See the Results of the Nursing Home's Most Recent Survey. Inspection Date: 04/21/2011 Correction Date: 05/17/2011

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

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

Administration

Follow All Laws and Professional Standards. Complaint Filed: 12/08/2009 Correction Date: 12/23/2009

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 04/08/2010 Correction Date: 06/14/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 05/12/2010 Correction Date: 06/14/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 12/01/2010 Correction Date: 12/29/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents. Complaint Filed: 03/04/2011 Correction Date: 03/29/2011

Mistreatment

Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 08/13/2008 Correction Date: 08/27/2008
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property. Complaint Filed: 12/08/2009 Correction Date: 01/04/2010

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible. Complaint Filed: 08/13/2008 Correction Date: 08/27/2008
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 08/13/2008 Correction Date: 08/27/2008
Give Professional Services That Meet a Professional Standard of Quality. Complaint Filed: 08/05/2009 Correction Date: 08/27/2009
Make Sure That Residents Who Cannot Care for Themselves Receive Help with Eating/Drinking, Grooming and Hygiene. Complaint Filed: 10/22/2010 Correction Date: 11/16/2010

Resident Assessment

Make Sure That Doctors Visit Residents Regularly, As Required. Complaint Filed: 12/08/2009 Correction Date: 12/28/2009

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. Complaint Filed: 03/26/2009 Correction Date: 04/22/2009

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 04/26/2011.

Automatic Sprinkler Systems

An Approved Automatic Sprinkler System Connected to the Fire Alarm System. Inspection Date: 03/31/2009 Correction Date: 04/09/2009
Portable Fire Extinguishers. Inspection Date: 03/31/2009 Correction Date: 04/14/2009
Properly Working Alarms on Sprinkler Valves. Inspection Date: 03/05/2010 Correction Date: 03/25/2010

Building Construction

Approved Construction Type or Materials. Inspection Date: 03/31/2009 Correction Date: 03/31/2009

Building Service Equipment

Restrictions on the Use of Portable Space Heaters. Inspection Date: 03/05/2010 Correction Date: 03/14/2010

Corridor Walls and Doors

Corridors That Are Separated from Common Areas by Walls Constructed to Limit the Passage of Smoke. Inspection Date: 03/31/2009 Correction Date: 04/06/2009

Electrical

Properly Installed Electrical Wiring and Equipment. Inspection Date: 03/31/2009 Correction Date: 04/10/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/31/2009 Correction Date: 04/10/2009
Properly Maintained Smoke Detectors. Inspection Date: 03/31/2009 Correction Date: 04/04/2009
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 03/05/2010 Correction Date: 03/16/2010
An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems. Inspection Date: 04/26/2011 Correction Date: 06/01/2011

Furnishings and Decorations

Restrictions on the Use of Flammable Curtains. Inspection Date: 03/05/2010 Correction Date: 03/14/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System. Inspection Date: 04/26/2011 Correction Date: 06/01/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours. Inspection Date: 03/31/2009 Correction Date: 04/03/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 03/31/2009 Correction Date: 04/10/2009
Properly Located and Lighted "Exit" Signs. Inspection Date: 04/26/2011 Correction Date: 06/01/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes. Inspection Date: 04/26/2011 Correction Date: 06/01/2011

Smoke Compartmentation and Control

Smoke Barrier Doors That Can Resist Smoke for at Least 20 Minutes. Inspection Date: 03/05/2010 Correction Date: 03/11/2010