General Information: BETHANY RIVERSIDE
Nursing home name BETHANY RIVERSIDE
Address2575 S 7TH ST
LA CROSSE, WI 54601
Phone number (608) 775-8200
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 CommunityNo
Resident and family councils None
Certified number of beds 123
Total number of residents 113
Perc of occupied beds 91
Sprinkler status Yes
Number of Facility Reported Incidents0
Number of Substantiated Complaints1
Number of Fines0
Total Amount of Fines$0
Total Number of Penalties0
Total Number of Penalties0
Ratings Summary: BETHANY RIVERSIDE
Overall rating 3
3
Nursing Home Staffing 4
4
Registered Nurses only 4
4
Health Inspections 2
2
Quality Measures 3
3
Nursing Home Staffing Info: BETHANY RIVERSIDE
National AverageWisconsin AverageBETHANY RIVERSIDE
Overall staff rating NA NA 4
4
Registered Nurses only rating NANA 4
4
Total Number of Residents NA NA 113
Total Number of Nurse Staff Hours per Resident per Day 4.11 hours 4.16 hours 4.51 hours
Total Number of Licensed Nurse Staff Hours per Resident per Day 1.64 hours 1.55 hours 1.59 hours
Registered Nurses Hours per Residents per Day 0.81 hours 1.0 hours 0.84 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 0.83 hours 0.55 hours 0.75 hours
Certified Nursing Assistants Hours per Residents per Day 2.47 hours 2.61 hours 2.92 hours
Physical Therapy Staffing Hours per Resident Per Day 0.1 hours 0.09 hours 0.05 hours
Health Survey: BETHANY RIVERSIDE
Heath Survey Summary on 2013-06-17
Total Number of Health Deficiencies 6
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Heath Survey Summary on 2012-05-10
Total Number of Health Deficiencies 23
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Heath Survey Summary on 2011-04-05
Total Number of Health Deficiencies 4
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Health Survey Details: BETHANY RIVERSIDE
Inspection Results: 06/17/2013
Corrected Deficiency Scope and Severity
07/25/2013 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
07/25/2013 Allow residents to self-administer drugs if determined safe. Pattern/Minimal harm or potential for actual harm
07/25/2013 Review or revise the resident's care plan after any major change in physical or mental health. Isolated/Minimal harm or potential for actual harm
07/25/2013 Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Isolated/Minimal harm or potential for actual harm
07/25/2013 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
07/25/2013 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: 05/10/2012
Corrected Deficiency Scope and Severity
07/01/2012 Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated/Minimal harm or potential for actual harm
07/01/2012 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
07/01/2012 Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. Isolated/Minimal harm or potential for actual harm
07/01/2012 Have enough nurses to care for every resident in a way that maximizes the resident's well being. Pattern/Minimal harm or potential for actual harm
07/01/2012 Give each resident enough fluids to keep them healthy and prevent dehydration. Isolated/Minimal harm or potential for actual harm
07/01/2012 Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Pattern/Minimal harm or potential for actual harm
07/01/2012 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
07/01/2012 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
07/01/2012 Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Pattern/Minimal harm or potential for actual harm
07/01/2012 Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated/Minimal harm or potential for actual harm
07/01/2012 Have a program that investigates, controls and keeps infection from spreading. Widespread /Minimal harm or potential for actual harm
07/01/2012 Provide care by qualified persons according to each resident's written plan of care. Isolated/Minimal harm or potential for actual harm
07/01/2012 Allow residents the right to participate in the planning or revision of care and treatment. Pattern/Minimal harm or potential for actual harm
07/01/2012 Keep accurate, complete and organized clinical records on each resident that meet professional standards. Isolated/Minimal harm or potential for actual harm
07/01/2012 Ensure each resident receives an accurate assessment by a qualified health professional. Isolated/Minimal harm or potential for actual harm
07/01/2012 Review or revise the resident's care plan after any major change in physical or mental health. Isolated/Minimal harm or potential for actual harm
07/01/2012 Conduct initial and periodic assessments of each resident's functional capacity. Isolated/Minimal harm or potential for actual harm
07/01/2012 Provide housekeeping and maintenance services. Isolated/Minimal harm or potential for actual harm
07/01/2012 Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Pattern/Minimal harm or potential for actual harm
07/01/2012 Keep each resident free from physical restraints, unless needed for medical treatment. Isolated/Minimal harm or potential for actual harm
07/01/2012 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
07/01/2012 Employ staff that are licensed, certified, or registered in accordance with state laws. Isolated/Minimal harm or potential for actual harm
07/01/2012 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Pattern/Minimal harm or potential for actual harm
Inspection Results: 04/05/2011
Corrected Deficiency Scope and Severity
05/05/2011 Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Isolated/Minimal harm or potential for actual harm
05/05/2011 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
05/05/2011 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
05/05/2011 Have a program that investigates, controls and keeps infection from spreading. Pattern/Minimal harm or potential for actual harm

Fire Safety Survey: BETHANY RIVERSIDE
Fire Safety Survey Summary on 2013-06-17
Total Number of Fire SafetyDeficiencies 0
Scope and Severity of most Severe Health Deficiency
Fire Safety Survey Summary on 2012-05-10
Total Number of Fire SafetyDeficiencies 5
Scope and Severity of most Severe Health Deficiency Pattern/Minimal harm or potential for actual harm
Fire Safety Survey Summary on 2011-04-13
Total Number of Fire SafetyDeficiencies 3
Scope and Severity of most Severe Health Deficiency Widespread /Minimal harm or potential for actual harm
Fire Safety Survey: BETHANY RIVERSIDE
Fire Safety Survey Results: 05/10/2012
Corrected Deficiency Severity
06/23/2012 Corridor and hallway doors that block smoke. Pattern/Minimal harm or potential for actual harm
06/23/2012 Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. Pattern/Minimal harm or potential for actual harm
06/23/2012 An approved installation, maintenance and testing program for fire alarm systems. Isolated/Minimal harm or potential for actual harm
06/23/2012 Back-up procedures in place for a faulty automatic sprinkler system. Widespread/Potential for minimal harm
06/23/2012 An approved back-up procedure for a faulty fire alarm system. Widespread/Potential for minimal harm
Fire Safety Survey Results: 04/13/2011
Corrected Deficiency Severity
05/06/2011 Exits that are accessible at all times. Pattern/Minimal harm or potential for actual harm
05/06/2011 An approved installation, maintenance and testing program for fire alarm systems. Pattern/Minimal harm or potential for actual harm
05/06/2011 Weekly inspections and monthly testing of generators. Widespread /Minimal harm or potential for actual harm

Resident Complaints: BETHANY RIVERSIDE
Date Complaint Substantiated: 08/26/2013
CorrectedCategoryDeficiencySeverity
09/30/2013Develop 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. E
09/30/20131) 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. E
09/30/2013Protect each resident from all abuse, physical punishment, and involuntary separation from others. E

Quality Measures: BETHANY RIVERSIDE
Quality Measures National Average Wisconsin Average BETHANY RIVERSIDE
Overall quality rating NA NA 3
3
Long-Stay Residents
Percent of Long Stay Residents Whose Need for Help with ADLs has Increased 15.4% 14.4% 13.0%
Percent of Long Stay Residents Who Self Report Moderate to Severe Pain 8.3% 9.0% 9.6%
Percent of High Risk Long Stay Residents With Pressure Ulcers 6.1% 4.3% 7.0%
Percent of Long Stay Residents Who Lose Too Much Weight 7.2% 7.0% 6.6%
Percent of Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 43.9% 43.7% 46.7%
Percent of Long Stay Residents with a Catheter Inserted and Left in Their Bladder 3.2% 3.8% 3.4%
Percent of Long Stay Residents With a Urinary Tract Infection 6.2% 5.5% 6.9%
Percent of Long Stay Residents Who Have Depressive Symptoms 6.3% 5.8% 10.7%
Percent of Long Stay Residents Who Were Physically Restrained 1.4% 0.7% 0.0%
Percent of Long Stay Residents Experiencing One or More Falls with Major Injury 3.2% 3.4% 4.9%
Percent of Long Stay Residents Assessed and Appropriately Given the Seasonal Influenza Vaccine 92.7% 94.4% 95.3%
Percent of Long Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 94.3% 98.2% 99.3%
Percent of Long Stay Residents Who Received an Antipsychotic Medication 20.7% 16.5% 11.4%
Short-Stay Residents
Percent of Short Stay Residents Who Self Report Moderate to Severe Pain 19.2% 21.1% 26.0%
Percent of Short Stay Residents With Pressure Ulcers That Are New or Worsened 1.2% 1.1% 3.5%
Percent of Short Stay Residents Who Were Assessed and Appropriately Given the Seasonal Influenza Vaccine 83.4% 88.6% 90.9%
Percent of Short Stay Residents Assessed and Appropriately Given the Pneumococcal Vaccine 82.4% 91.2% 95.3%
Percent of Short Stay Residents Who Newly Received an Antipsychotic Medication 2.6% 1.5% 0.0%

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