US Nursing Home Finder: BETHESDA HERITAGE CENTER WILLMAR MN

General Information: BETHESDA HERITAGE CENTER
Nursing home name	BETHESDA HERITAGE CENTER
Address	1012 EAST THIRD STREET WILLMAR, MN 56201
Phone number	(320) 235-3924
Located within a hospital	No
Type of ownership	Non profit - Corporation
Owner operates multiple homes	No
Accept Medicare or Medicaid	Medicare and Medicaid
Continue Care Retirement Community	No
Resident and family councils	RESIDENT
Certified number of beds	128
Total number of residents	120
Perc of occupied beds	94
Sprinkler status	fully sprinklered
Last health survey date	06/11/2009
Fire survey date:	06/09/2009

Ratings Summary: BETHESDA HERITAGE CENTER
Overall rating	4 out of 5 stars
Nursing Home Staffing	4 out of 5 stars
Registered Nurses only	4 out of 5 stars
Health Inspections	4 out of 5 stars
Quality Measures	4 out of 5 stars

Nursing Home Staffing Info: BETHESDA HERITAGE CENTER
	National Average	BETHESDA HERITAGE CENTER
Overall staff rating	Not Available.	4 out of 5 stars
Registered Nurses only rating	Not Available	4 out of 5 stars
Total Number of Residents	94.2	120
Total Number of Licensed Nurse Staff Hours per Resident per Day	1.4 hours	1.47 hours
Registered Nurses Hours per Residents per Day	0.6 hours	0.6 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day	0.8 hours	0.87 hours
Certified Nursing Assistants Hours per Residents per Day	0.6 hours	0.6 hours

Health Inpections: BETHESDA HERITAGE CENTER
Inspection Results: 06/11/2009
Corrected	Category	Deficiency	Severity
07/15/2009	Environmental Deficiencies	Make sure there is a program to prevent/deal with mice, insects, or other pests.	C
07/15/2009	Environmental Deficiencies	Have a program to keep infection from spreading.	E
07/15/2009	Quality Care Deficiencies	Give or get dental care for each resident.	D
07/15/2009	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	D
07/15/2009	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	D
Inspection Results: 03/13/2008
Corrected	Category	Deficiency	Severity
04/21/2008	Resident Rights Deficiencies	Let residents give themselves their drugs if they are able.	D
04/21/2008	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
04/21/2008	Quality Care Deficiencies	Provide social services for related medical problems to help each resident achieve the highest possible quality of life.	D
04/21/2008	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.	E
Inspection Results: 01/05/2007
Corrected	Category	Deficiency	Severity
02/12/2007	Quality Care Deficiencies	Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores.	E
04/05/2007	Quality Care Deficiencies	Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary.	D
02/12/2007	Environmental Deficiencies	Make sure that the nursing home area is free of dangers that cause accidents.	E
02/09/2007	Quality Care Deficiencies	Make sure that residents who cannot care for themselves receive help with eating/drinking, grooming and hygiene.	D
02/06/2007	Quality Care Deficiencies	Give each resident care and services to get or keep the highest quality of life possible.	G
02/13/2007	Resident Assessment Deficiencies	1) Develop a complete care plan within 7 days of each resident's admission; 2) prepare a care plan with the care team, including the primary nurse, doctor, resident or resident's family or representative; or 3) check and update the care plan.	D
02/06/2007	Resident Assessment Deficiencies	Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured.	D
02/13/2007	Resident Assessment Deficiencies	Make a complete assessment that covers all questions for areas that are listed in official regulations.	E

Fire Safety Inpections: BETHESDA HERITAGE CENTER
Inspection Results: 06/09/2009
Corrected	Category	Deficiency	Severity
07/02/2009	Building Service Equipment Deficiencies	properly constructed linen or trash chutes.	D
07/21/2009	Building Service Equipment Deficiencies	heating and ventilation systems that have been properly installed according to the manufacturer's instructions.	F
07/08/2009	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	F
06/24/2009	Fire Alarm Systems Deficiencies	an approved installation, maintenance and testing program for fire alarm systems.	D
Inspection Results: 01/03/2007
Corrected	Category	Deficiency	Severity
02/16/2007	Automatic Sprinkler Systems Deficiencies	an approved automatic sprinkler system connected to the fire alarm system.	D
02/16/2007	Electrical Deficiencies	weekly inspections and monthly testing of generators.	F
02/16/2007	Automatic Sprinkler Systems Deficiencies	automatic sprinkler systems that have been maintained in working order.	D
02/16/2007	Electrical Deficiencies	properly installed electrical wiring and equipment.	D
02/16/2007	Emergency Plans and Fire Drills Deficiencies	record of quarterly fire drills for each shift under varying conditions.	F
02/16/2007	Emergency Plans and Fire Drills Deficiencies	did not have a written emergency evacuation plan.	F
02/16/2007	Illumination and Emergency Power Deficiencies	emergency lighting that can last at least 1 1/2 hours.	E
02/16/2007	Hazardous Area Deficiencies	construction that can resist fire for one hour or an approved fire extinguishing system.	F
02/16/2007	Smoke Compartmentation and Control Deficiencies	walls or barriers that prevent smoke from passing through and would resist fire for at least one hour.	F
02/16/2007	Corridor Walls and Doors Deficiencies	corridor and hallway doors that block smoke.	F
02/16/2007	Corridor Walls and Doors Deficiencies	corridors that are separated from common areas by walls constructed to limit the passage of smoke.	D

Resident Complaints: BETHESDA HERITAGE CENTER
Not available

Quality Measures: BETHESDA HERITAGE CENTER
Quality Measures	National Average	BETHESDA HERITAGE CENTER
Overall quality rating	Not Available	4 out of 5 stars
Long-Stay Residents
Percent of long-stay residents who were assessed and given pneumococcal vaccination	89%	90+%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder	5%	0%
Percent of high-risk long-stay residents who have pressure sores	11%	6%
Percent of long-stay residents who had a urinary tract infection	9%	5%
Percent of long-stay residents who were physically restrained	3%	0%
Percent of long-stay residents who are more depressed or anxious	14%	32%
Percent of long-stay residents whose need for help with daily activities has increased	14%	12%
Percent of long-stay residents who have moderate to severe pain	3%	2%
Percent of long-stay residents who spend most of their time in bed or in a chair	4%	0%
Percent of long-stay residents given influenza vaccination during the flu season	91%	90+%
Percent of long-stay residents who lose too much weight	8%	7%
Percent of low-risk long-stay residents who have pressure sores	2%	0%
Percent of long-stay residents whose ability to move about in and around their room got worse	11%	11%
Percent of low-risk long-stay residents who lose control of their bowels or bladder	50%	51%
Short-Stay Residents
Percent of short-stay residents who have delirium	2%	1%
Percent of short-stay residents who had moderate to severe pain	19%	17%
Percent of short-stay residents who have pressure sores	13%	9%
Percent of short-stay residents who were assessed and given pneumococcal vaccination	83%	90+%
Percent of short-stay residents given influenza vaccination during the flu season	83%	90+%

Severity Codes Explanation. Note: The higher the letter, the higher the severity.
A	Isolated /Potential for minimal harm
B	Pattern /Potential for minimal harm
C	Widespread /Potential for minimal harm
D	Isolated /Minimal harm or potential for actual harm
E	Pattern /Minimal harm or potential for actual harm
F	Widespread /Minimal harm or potential for actual harm
G	Isolated /Actual harm
H	Pattern /Actual harm
I	Widespread /Actual harm
J	Isolated /Immediate jeopardy to resident health or safety
K	Pattern /Immediate jeopardy to resident health or safety
L	Widespread /Immediate jeopardy to resident health or safety

US Nursing Home Finder™: BETHESDA HERITAGE CENTER WILLMAR MN