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Bethel Home

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300 S Aztec St
Montezuma, KS 67867
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Details

Type of Ownership For profit - Corporation
Participates in Medicare? No
Participates in Medicaid? Yes
Certified Beds 55
Continuing Care? No
Resident Council? No
Family Council? No
Multi-Home Chain? No
Located in a Hospital? No
Special Focus Facility? No

View:    Health Inspections  |  Quality Measures  |  Staffing  |  Fire Inspections

Health Inspections  

Most Recent Inspection: 02/14/2011

Date of last standard health inspection: 02/14/2011
Quality Indicator Survey No
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Health Deficiencies for this nursing home: 0
Average number of Health Deficiencies in KS: 11
Average number of Health Deficiencies in US: 8
Range of Health Deficiencies in KS: 0 - 60

Inspection, 10/28/2009

Environmental Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that the nursing home area is free of dangers that cause accidents. 10/28/2009 12/09/2009 Actual harm Isolated
Have a program to keep infection from spreading. 10/28/2009 01/12/2010 Minimal harm or potential for actual harm Pattern
Nutrition and Dietary Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Store, cook, and give out food in a safe and clean way. 10/28/2009 12/09/2009 Minimal harm or potential for actual harm Pattern
Pharmacy Service Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
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. 10/28/2009 12/09/2009 Minimal harm or potential for actual harm Pattern
At least once a month, have a licensed pharmacist check the drugs that each resident takes. 10/28/2009 12/09/2009 Minimal harm or potential for actual harm Pattern
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make sure that residents receive treatment/services to continue to be able to care for themselves, unless a change is unavoidable. 10/28/2009 12/09/2009 Minimal harm or potential for actual harm Isolated
Quality Care Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Give each resident care and services to get or keep the highest quality of life possible. 10/28/2009 01/12/2010 Minimal harm or potential for actual harm Isolated
Make sure that each resident who enters the nursing home without a catheter is not given a catheter, unless it is necessary. 10/28/2009 01/12/2010 Actual harm Isolated
Resident Assessment Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
Make a complete assessment that covers all questions for areas that are listed in official regulations. 10/28/2009 12/09/2009 Minimal harm or potential for actual harm Pattern
Develop a complete care plan that meets all of a resident's needs, with timetables and actions that can be measured. 10/28/2009 01/12/2010 Minimal harm or potential for actual harm Pattern
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. 10/28/2009 01/12/2010 Minimal harm or potential for actual harm Pattern

Nursing Home Staffing  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

National Average Average in KS Golden Living Center, Asheville
RN Staff Only1 N/A N/A 2 out of 5 stars
Total Number of Residents 86 54 52
Total, Licensed Nurse Staff Hours
per Resident per Day
1 hour 29 minutes 1 hour 20 minutes 1 hour 3 minutes
RN Hours
per Resident per Day
40 minutes 40 minutes 21 minutes
LPN/LVN Hours
per Resident per Day
49 minutes 39 minutes 42 minutes
CNA Hours
per Resident per Day
2 hours 25 minutes 2 hours 34 minutes 2 hours 59 minutes

1 The star rating a nursing home received for the information it provided about its Registered Nurse (RN) staffing. RNs have between 2 and 6 years of education.

Quality Measures  

Information comes from data that the nursing home reports to its state agency. It contains the nursing home staffing hours for a two-week period prior to the time of the state inspection. CMS receives this data and converts it into the number of staff hours per resident per day.

Long-Term Residents

Percent of high-risk long-stay residents who have pressure sores 7%
Percent of long-stay residents given influenza vaccination during the flu season 90+%
Percent of long-stay residents who are more depressed or anxious 21%
Percent of long-stay residents who had a urinary tract infection 5%
Percent of long-stay residents who have moderate to severe pain 5%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder 9%
Percent of long-stay residents who spend most of their time in bed or in a chair 5%
Percent of long-stay residents who were assessed and given pneumococcal vaccination 90+%
Percent of long-stay residents who were physically restrained 0%
Percent of long-stay residents whose ability to move about in and around their room got worse 22%
Percent of long-stay residents whose need for help with daily activities has increased 20%
Percent of low-risk long-stay residents who have pressure sores 0%
Percent of low-risk long-stay residents who lose control of their bowels or bladder 28%

Short-Term Residents

Percent of long-stay residents who lose too much weight 6%
Percent of short-stay residents given influenza vaccination during the flu season Not Available
Percent of short-stay residents who had moderate to severe pain Not Available
Percent of short-stay residents who have delirium Not Available
Percent of short-stay residents who have pressure sores Not Available
Percent of short-stay residents who were assessed and given pneumococcal vaccination Not Available

Fire Safety Inspections

Lists the fire safety requirements that the nursing home failed to meet. Fire safety results are not included in the nursing home's Overall Rating.

Most Recent Inspection: 02/14/2011

Automatic Sprinkler Systems in all required areas fully sprinklered
Date of last standard fire safety inspection: 02/14/2011
Dates of Complaint Investigations: 12/01/2010 - 11/30/2011
Total number of Fire Safety Deficiencies for this nursing home: 0
Average number of Fire Safety Deficiencies in KS: 1
Average number of Fire Safety Deficiencies in US: 4
Range of Fire Safety Deficiencies in KS: 0 - 1

Inspection, 09/29/2009

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
automatic sprinkler systems that have been maintained in working order. 09/29/2009 10/28/2009 Minimal harm or potential for actual harm Widespread
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
weekly inspections and monthly testing of generators. 09/29/2009 10/28/2009 Minimal harm or potential for actual harm Widespread
properly installed electrical wiring and equipment. 09/29/2009 10/28/2009 Minimal harm or potential for actual harm Widespread
Emergency Plans and Fire Drills Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
record of quarterly fire drills for each shift under varying conditions. 09/29/2009 10/28/2009 Minimal harm or potential for actual harm Widespread
Exits and Egress Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
exits that are accessible at all times. 09/29/2009 10/28/2009 Minimal harm or potential for actual harm Isolated
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
proper backup exit lighting. 09/29/2009 10/28/2009 Minimal harm or potential for actual harm Isolated
Smoke Compartmentation and Control Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
walls or barriers that prevent smoke from passing through and would resist fire for at least one hour. 09/29/2009 10/28/2009 Minimal harm or potential for actual harm Widespread

Inspection, 09/08/2008

Automatic Sprinkler Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
properly working alarms on sprinkler valves. 09/08/2008 10/07/2008 Minimal harm or potential for actual harm Widespread
automatic sprinkler systems that have been maintained in working order. 09/08/2008 10/07/2008 Minimal harm or potential for actual harm Widespread
Building Construction Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
a two-hour-resistant firewall in common walls. 09/08/2008 09/08/2008 Minimal harm or potential for actual harm Pattern
Electrical Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
weekly inspections and monthly testing of generators. 09/08/2008 09/08/2008 Minimal harm or potential for actual harm Widespread
Fire Alarm Systems Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
a fire alarm system that can be heard throughout the facility. 09/08/2008 10/07/2008 Minimal harm or potential for actual harm Widespread
Furnishings and Decorations Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
restrictions on the use of flammable curtains. 09/08/2008 10/07/2008 Minimal harm or potential for actual harm Pattern
Illumination and Emergency Power Deficiencies
Deficiency Inspection Date Correction Date Level of Harm Residents Affected
emergency lighting that can last at least 1 1/2 hours. 09/08/2008 10/07/2008 Minimal harm or potential for actual harm Widespread