BETHESDA HOME

The information listed below provides an in-depth look into the type and quality of care offered at Bethesda 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

BETHESDA HOME
129 W HWY 12
WEBSTER, SD 57274
(605) 345-3331

Nursing Home Ratings

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

Percent of Beds Occupied

81%

Number of Residents and Certified Beds

  • Residents: 47
  • Certified Beds: 58

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:

Bristol | Groton | Sisseton

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 Bethesda Home. 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

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-168.0%
ADL Index Range: 0-516.5%
Total Percent:24.5%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 0-537.5%
Total Percent:37.5%
 

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
7.0%
ADL Index Range: 6-10
- No Signs of depression
7.0%
Total Percent:14.0%
 

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
1.0%
ADL Index Range: 6-10
- No Signs of depression
4.0%
ADL Index Range: 2-5
- No Signs of depression
6.0%
Total Percent:11.0%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 6-10
- Less restorative nursing
7.0%
ADL Index Range: 2-5
- Less restorative nursing
6.0%
Total Percent:13.0%
 

Rating Details For Bethesda 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 DayReportedExpected
Registered Nurse (RN) Hours1 Hour and 16 Minutes54 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours10 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 50 Minutes2 Hours and 20 Minutes
Total Licensed Nurse Hours1 Hour and 26 Minutes1 Hour and 32 Minutes
Total Nurse Hours4 Hours and 16 Minutes3 Hours and 52 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 South Dakota are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilitySouth Dakota Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%93%
Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%94%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious38%27%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair6%2%
Percent of Long-Stay Residents Who Were Physically Restrained1%3%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain12%4%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores3%3%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection9%7%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse13%12%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores16%9%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder57%49%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder8%7%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased16%15%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%89%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain48%24%
Percent of Short-Stay Residents Who Have Delirium3%3%

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 05/05/2010.

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

Environmental

Have a Program to Keep Infection from Spreading.
  • Inspection Date: 05/29/2008
  • Correction Date: 07/06/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 05/05/2010
  • Correction Date: 06/21/2010
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 05/05/2010
  • Correction Date: 06/21/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 04/01/2009
  • Correction Date: 05/15/2009
Write and Use Policies That Forbid Mistreatment, Neglect and Abuse of Residents and Theft of Residents' Property.
  • Inspection Date: 04/01/2009
  • Correction Date: 04/27/2009

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 05/05/2010
  • Correction Date: 06/21/2010
Prepare Food That is Nutritional, Appetizing, Tasty, Attractive, Well-Cooked, and at the Right Temperature.
  • Inspection Date: 05/05/2010
  • Correction Date: 06/21/2010

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: 04/01/2009
  • Correction Date: 05/15/2009

Quality Care

Provide Activities to Meet the Needs of Each Resident.
  • Inspection Date: 04/01/2009
  • Correction Date: 05/08/2009

Resident Rights

Keep Each Resident's Personal and Medical Records Private and Confidential.
  • Inspection Date: 05/05/2010
  • Correction Date: 06/21/2010

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 Bethesda 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 05/04/2010.

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

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 04/07/2009
  • Correction Date: 04/24/2009

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/07/2009
  • Correction Date: 06/02/2009

Fire Alarm Systems

An Approved Installation, Maintenance and Testing Program for Fire Alarm Systems.
  • Inspection Date: 05/04/2010
  • Correction Date: 06/18/2010

Hazardous Area

Construction That Can Resist Fire for One Hour or an Approved Fire Extinguishing System.
  • Inspection Date: 04/07/2009
  • Correction Date: 04/29/2009
Source: Medicare Nursing Home Compare; South Dakota Department of Health - Retrieved 2011