General Information: BETHANY VILLAGE
Nursing home name BETHANY VILLAGE
Address6451 FAR HILLS AVENUE
DAYTON, OH 45459
Phone number (937) 436-6841
Located within a hospital No
Type of ownership Non profit - Church related
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityYes
Resident and family councils Resident
Certified number of beds 252
Total number of residents 246
Perc of occupied beds 97
Sprinkler status Yes
Number of Facility Reported Incidents1
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BETHANY VILLAGE
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 4
4
Nursing Home Staffing Info: BETHANY VILLAGE
National AverageOhio AverageBETHANY VILLAGE
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 246
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.0 hours 4.45 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.69 hours 1.63 hours
Registered Nurses Hours per Residents per Day 0.81 hours 0.79 hours 0.74 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.9 hours 0.89 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.31 hours 2.83 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.07 hours 0.03 hours
Health Survey: BETHANY VILLAGE
Heath Survey Summary on 2013-11-07
Total Number of Health Deficiencies 1
Scope and Severity of most Severe Health Deficiency Isolated/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-07-26
Total Number of Health Deficiencies 0
Scope and Severity of most Severe Health Deficiency
Heath Survey Summary on 2011-04-05
Total Number of Health Deficiencies 3
Scope and Severity of most Severe Health Deficiency Pattern /Immediate jeopardy to resident health or safety
Health Survey Details: BETHANY VILLAGE
Inspection Results: 11/07/2013
Corrected Deficiency Scope and Severity
12/06/2013 Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. Isolated/Minimal harm or potential for actual harm
Inspection Results: 04/05/2011
Corrected Deficiency Scope and Severity
04/29/2011 1) Hire only people with 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 /Immediate jeopardy to resident health or safety
04/29/2011 Protect each resident from all abuse, physical punishment, and involuntary separation from others. Isolated/Actual harm
04/29/2011 Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. Isolated/Actual harm

Fire Safety Survey: BETHANY VILLAGE
Fire Safety Survey Summary on 2013-11-07
Total Number of Fire SafetyDeficiencies 2
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2012-07-26
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2011-03-25
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: BETHANY VILLAGE
Fire Safety Survey Results: 11/07/2013
Corrected Deficiency Severity
12/06/2013 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
12/06/2013 Properly installed electrical wiring and equipment. Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Results: 03/25/2011
Corrected Deficiency Severity
04/29/2011 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
04/29/2011 Smoke barrier doors that can resist smoke for at least 20 minutes. Pattern/Minimal harm or potential for actual harm
04/29/2011 Properly installed electrical wiring and equipment. Isolated/Minimal harm or potential for actual harm

Resident Complaints: BETHANY VILLAGE
Date Complaint Substantiated: 01/18/2014
CorrectedCategoryDeficiencySeverity
02/21/2014Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. D

Quality Measures: BETHANY VILLAGE
Quality Measures National Average Ohio Average BETHANY VILLAGE
Overall quality rating NA NA 4
4
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.3% 12.7%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 8.7% 12.3%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 5.6% 4.2%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.4% 10.4%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 38.6% 66.2%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.2% 2.3%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 6.0% 5.6%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 14.4% 10.3%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 1.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 3.1%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 92.1% 95.2%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 95.2% 97.4%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 22.8% 15.0%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 22.1% 21.4%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.0% 1.4%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 84.9% 96.0%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 85.2% 97.8%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 2.5% 0.9%

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