General Information: OAKS - BETHANY SKILLED NURSING, THE
Nursing home name OAKS - BETHANY SKILLED NURSING, THE
Address1305 EAST NORTH STREET
VIDALIA, GA 30475
Phone number (912) 537-7922
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesYes
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils Resident
Certified number of beds 168
Total number of residents 159
Perc of occupied beds 94
Sprinkler status Partial
Number of Facility Reported Incidents0
Number of Substantiated Complaints0
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: OAKS - BETHANY SKILLED NURSING, THE
Overall rating 3
3
Nursing Home Staffing 2
2
Registered Nurses only 1
1
Health Inspections 2
2
Quality Measures 5
5
Nursing Home Staffing Info: OAKS - BETHANY SKILLED NURSING, THE
National AverageGeorgia AverageOAKS - BETHANY SKILLED NURSING, THE
Overall staff rating NA NA 2
2
Registered Nurses only rating NANA 1
1
Total Number of Residents NA NA 159
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 3.8 hours 4.3 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.59 hours 1.59 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.53 hours 0.34 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 1.05 hours 1.25 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.21 hours 2.71 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.08 hours 0.04 hours
Health Survey: OAKS - BETHANY SKILLED NURSING, THE
Heath Survey Summary on 2012-10-04
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2011-03-09
Total Number of Health Deficiencies 12
Scope and Severity of most Severe Health Deficiency Isolated/Actual harm
Heath Survey Summary on 2009-11-19
Total Number of Health Deficiencies 13
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: OAKS - BETHANY SKILLED NURSING, THE
Inspection Results: 03/09/2011
Corrected Deficiency Scope and Severity
04/08/2011 Give residents a notice of rights, rules, services and charges. Pattern/Potential for minimal harm
04/08/2011 Keep residents' personal and medical records private and confidential. Isolated/Minimal harm or potential for actual harm
04/08/2011 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated/Minimal harm or potential for actual harm
04/08/2011 Provide housekeeping and maintenance services. Pattern/Minimal harm or potential for actual harm
04/08/2011 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
04/08/2011 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
04/08/2011 Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. Isolated/Actual harm
04/08/2011 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated/Minimal harm or potential for actual harm
04/08/2011 Store, cook, and serve food in a safe and clean way. Pattern/Minimal harm or potential for actual harm
04/08/2011 Make sure that doctors visit residents regularly, as required. Pattern/Minimal harm or potential for actual harm
04/08/2011 Give or get specialized rehabilitative services per the patient's assessment or plan of care. Isolated/Minimal harm or potential for actual harm
04/08/2011 Have a program that investigates, controls and keeps infection from spreading. Isolated/Minimal harm or potential for actual harm
Inspection Results: 11/19/2009
Corrected Deficiency Scope and Severity
01/01/2010 Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated/Minimal harm or potential for actual harm
01/01/2010 Ensure services provided by the nursing facility meet professional standards of quality. Isolated/Minimal harm or potential for actual harm
01/01/2010 Provide care by qualified persons according to each resident's written plan of care. Pattern/Minimal harm or potential for actual harm
01/01/2010 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
01/01/2010 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Isolated/Minimal harm or potential for actual harm
01/01/2010 Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated/Minimal harm or potential for actual harm
01/01/2010 Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. Pattern/Minimal harm or potential for actual harm
01/01/2010 Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. Pattern/Minimal harm or potential for actual harm
01/01/2010 Ensure residents maintain acceptable nutritional status. Isolated/Minimal harm or potential for actual harm
01/01/2010 Provide food in a way that meets a resident's needs. Isolated/Minimal harm or potential for actual harm
01/01/2010 Provide special eating equipment and utensils for each resident who needs them. Isolated/Minimal harm or potential for actual harm
01/01/2010 At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. Isolated/Minimal harm or potential for actual harm
01/01/2010 Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. Isolated/Minimal harm or potential for actual harm

Fire Safety Survey: OAKS - BETHANY SKILLED NURSING, THE
Fire Safety Survey Summary on 2012-10-04
Total Number of Fire SafetyDeficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-03-09
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2009-11-19
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey: OAKS - BETHANY SKILLED NURSING, THE
Fire Safety Survey Results: 10/04/2012
Corrected Deficiency Severity
10/19/2012 Exits that are accessible at all times. Isolated/Minimal harm or potential for actual harm
Fire Safety Survey Results: 03/09/2011
Corrected Deficiency Severity
04/08/2011 Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Isolated/Minimal harm or potential for actual harm
04/08/2011 Emergency lighting that can last at least 1 1/2 hours. Pattern/Minimal harm or potential for actual harm
04/08/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: OAKS - BETHANY SKILLED NURSING, THE
Not available

Quality Measures: OAKS - BETHANY SKILLED NURSING, THE
Quality Measures National Average Georgia Average OAKS - BETHANY SKILLED NURSING, THE
Overall quality rating NA NA 5
5
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 16.6% 11.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 11.0%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 6.8% 4.5%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 8.3% 11.9%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 44.5% 48.4%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 2.2% 0.6%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.5% 2.7%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 9.3% 65.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.1% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 2.4%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.0% 99.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.6% 97.8%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 21.6% 21.4%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 17.8% 25.7%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 0.2%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.7% 90.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 83.8% 91.5%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 3.3% 1.4%

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