Bethel Nursing and Rehabilitation

Total Number of Beds: 200	Percent of Occupied Beds: 85%
Total Number of Residents: 170	Located Within a Hospital: No
Type of Ownership: For profit - Corporation	Multiple Nursing Homes by Same Owner: No
Councils the Nursing Home Participates in: Family & Resident	Medicare/Medicaid: Participating in Medicare and Medicaid
* Details Last Reported on: 05/19/2003

Nursing Home Staff Information:

Number of RN Hours per Nursing Home Resident per Day: 0.29

Number of LPN/LVN Hours per Nursing Home Resident per Day: 0.31

Number of CNA Hours per Nursing Home Resident per Day: 1.28

Number of Staff Hours per Nursing Home Resident per Day: 1.88

Nursing Home Resident Information**:

Percent of Low-Risk Residents Who Have Pressure Sores: 9%
Percent of Short-Stay Residents With Pressure Sores: 17%
Percent of High-Risk Residents Who Have Pressure Sores: 11%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain: 17%
Percent of Residents Who Have Moderate to Severe Pain: 7%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse: 22%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair: 2%
Percent of Residents Whose Need for Help With Daily Activities Has Increased: 13%
Percent of Residents Who are More Depressed or Anxious: 10%
Percent of Short-Stay Residents With Delirium: 0%
Percent of Residents Who Were Physically Restrained: 1%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder: 67%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder: 1%
Percent of Residents With a Urinary Tract Infection: 8%
** Details Last Reported on: 5/19/2003

Nursing Home Inspection Violations:

Date of Violation	Date Corrected	Type of Violation	Deficiency	Scope	Level of Harm
2001-12-28	2002-03-11	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2001-12-28	2002-03-11	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Pattern	Minimal harm or potential for actual harm
2001-12-28	2002-03-11	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	Isolated	Actual harm
2001-12-28	2002-03-11	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	Isolated	Actual harm
2001-12-28	2002-03-11	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Isolated	Actual harm
2001-12-28	2002-03-11	Pharmacy Service Deficiencies	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.	Isolated	Minimal harm or potential for actual harm
2001-12-28	2002-03-11	Pharmacy Service Deficiencies	Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.	Pattern	Minimal harm or potential for actual harm
2001-12-28	2002-03-11	Resident Assessment Deficiencies	Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing.	Isolated	Actual harm
2002-12-06	2003-02-01	Mistreatment Deficiencies	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.	Pattern	Minimal harm or potential for actual harm
2002-12-06	2003-02-01	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Pattern	Minimal harm or potential for actual harm
2002-12-06	2003-02-01	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Minimal harm or potential for actual harm
2002-12-06	2003-02-01	Quality Care Deficiencies	Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable.	Isolated	Minimal harm or potential for actual harm
2002-12-06	2003-01-15	Nutrition and Dietary Deficiencies	Store, cook, and give out food in a safe and clean way.	Pattern	Potential for minimal harm
2002-12-06	2003-02-01	Environmental Deficiencies	Have a program to keep infection from spreading.	Pattern	Minimal harm or potential for actual harm
2003-05-19	2003-07-08	Resident Rights Deficiencies	Provide services to meet the needs and preferences of each resident.	Pattern	Minimal harm or potential for actual harm
2003-05-19	2003-07-08	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	Isolated	Minimal harm or potential for actual harm
2003-05-19	2003-07-08	Quality Care Deficiencies	Give professional services that follow each resident's written care plan.	Isolated	Minimal harm or potential for actual harm
2003-05-19	2003-07-08	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	Isolated	Actual harm
2003-05-19	2003-07-08	Quality Care Deficiencies	Make sure that each resident's nutritional needs were met.	Isolated	Minimal harm or potential for actual harm
2003-05-19	2003-07-08	Quality Care Deficiencies	Give each resident enough fluids to keep them healthy and prevent dehydration.	Pattern	Immediate jeopardy to resident health or safety
2003-05-19	2003-07-08	Resident Assessment Deficiencies	Make sure that a doctor approves a resident's admission in writing and that each resident has a doctor.	Isolated	Actual harm
2003-05-19	2003-07-08	Environmental Deficiencies	Have a program to keep infection from spreading.	Isolated	Minimal harm or potential for actual harm
2003-05-19	2003-07-08	Administration Deficiencies	Be administered in a way that leads to the highest possible level of well being for each resident.	Pattern	Immediate jeopardy to resident health or safety
2003-05-19	2003-07-08	Administration Deficiencies	1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator.	Pattern	Immediate jeopardy to resident health or safety
2003-05-19	2003-07-08	Administration Deficiencies	Choose a doctor to be the medical director.	Pattern	Immediate jeopardy to resident health or safety
2003-05-19	2003-07-08	Administration Deficiencies	Keep accurate and appropriate medical records.	Isolated	Minimal harm or potential for actual harm
2003-05-19	2003-07-08	Administration Deficiencies	Hold committee meetings every 3 months to review and ensure quality in the nursing home.	Pattern	Actual harm

*** All violations listed are based on federal government records.