BETHESDA HERITAGE CENTER - WILLMAR, MN

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BETHESDA HERITAGE CENTER
1012 EAST THIRD STREET
WILLMAR, MN, 56201

Phone (make sure to verify first before calling): (320) 235-3924

Number of Certified Beds: 128
Total Number of Residents: 112
Percent of Occupied Beds: 88%
Sprinkler Status: Fully sprinklered
Program Participation: Medicare and Medicaid
Type of Ownership: Non profit - Church related
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Both
Continuing Care Retirement Community?: No
Quality Indicator Survey?: Yes
Special Focus Facility?: No
Type: Skilled Nursing Facilities

Overall Star Rating: 4 Stars
Health Inspections Star Rating: 3 Stars
Nurse Staffing Star Rating: 4 Stars
Quality Measures Star Rating: 4 Stars
RN Only Star Rating: 4 Stars

Employment Full-Time Equivalent

Administrative Staff - Full Time: 4.57
Administrative Staff - Part Time: 0.46
Certified Nurse Aides - Full Time: 38.86
Certified Nurse Aides - Part Time: 9.71
Dietitians - Under Contract: 0.11
Food Service Personnel - Full Time: 1.14
Food Service Personnel - Part Time: 15.80
Housekeeping Personnel - Full Time: 3.43
Licensed Practical/ Vocational Nurses - Full Time: 22.86
Licensed Practical/ Vocational Nurses - Part Time: 4.91
Medical Directors - Under Contract: 0.01
Mental Health Services Personnel - Under Contract: 0.01
Nurses With Administrative Duties - Full Time: 1.14
Persons Not Included In Any Other Categories - Full Time: 5.71
Physical Therapists - Under Contract: 0.86
Registered Nurses - Full Time: 5.71
Rn Director Of Nursing - Full Time: 1.00
Activities Professionals - Full Time: 2.29
Dentists - Under Contract: 0.01
Nurses With Administrative Duties - Part Time: 1.91
Occupational Therapists - Under Contract: 0.57
Pharmacists - Under Contract: 0.01
Podiatrists - Under Contract: 0.01
Other Physicians - Under Contract: 0.01
Physician Extenders - Under Contract: 0.14
Sppech Pathologists - Full Time: 1.14
Persons Not Included In Any Other Categories - Part Time: 1.83
Occupational Therapy Assistants - Under Contract: 0.29
Social Workers - Part Time: 2.44
Housekeeping Personnel - Part Time: 1.71
Physical Therapy Aide - Under Contract: 1.14
Medication Aides/ Technicians - Part Time: 0.57
Medication Aides/ Technicians - Full Time: 8.00

Provided Services

Activities Services Are Provided Onsite To Residents
Administration And Storage Of Blood Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Offsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Offsite To Residents
Dietary Services Are Provided Onsite To Non Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Occupational Therapy Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Offsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physical Therapy Services Are Provided Onsite To Residents
Physician Extender Services Are Provided Offsite To Residents
Physician Extender Services Are Provided Onsite To Residents
Physician Services Are Provided Offsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Offsite To Residents
Social Work Services Are Provided Onsite To Residents
Speech/Language Pathology Services Are Provided Onsite To Residents

Quality Measures

Percent of long-stay residents given influenza vaccination during the flu season

This Nursing Home:	98.0%
Minnesota:	95.3%

Percent of long-stay residents who were assessed and given pneumococcal vaccination

This Nursing Home:	93.0%
Minnesota:	93.4%

Percent of long-stay residents whose need for help with daily activities has increased

Here:	14.0%
State:	13.5%

Percent of long-stay residents who have moderate to severe pain

Here:	3.0%
Minnesota:	3.4%

Percent of high-risk long-stay residents who have pressure sores

Here:	4.0%
State:	6.9%

Percent of low-risk long-stay residents who have pressure sores

Here:	3.0%
Minnesota:	2.1%

Percent of long-stay residents who are more depressed or anxious

This Nursing Home:	29.0%
State:	22.5%

Percent of low-risk long-stay residents who lose control of their bowels or bladder

This Nursing Home:	48.0%
State:	54.3%

Percent of long-stay residents who have/had a catheter inserted and left in their bladder

This Nursing Home:	1.0%
State:	5.7%

Percent of long-stay residents whose ability to move about in and around their room got worse

Here:	13.0%
Minnesota:	10.4%

Percent of long-stay residents who had a urinary tract infection

Here:	4.0%
Minnesota:	6.6%

Percent of long-stay residents who lose too much weight

This Nursing Home:	2.0%
Minnesota:	7.4%

Percent of short-stay residents given influenza vaccination during the flu season

Here:	97.0%
State:	89.9%

Percent of short-stay residents who were assessed and given pneumococcal vaccination

Here:	90.0%
State:	86.4%

Percent of short-stay residents who have delirium

This Nursing Home:	1.0%
Minnesota:	1.2%

Percent of short-stay residents who had moderate to severe pain

Here:	29.0%
State:	24.3%

Percent of short-stay residents who have pressure sores

Here:	2.0%
State:	8.1%

Staff Information

Number of Registered Nurses Hours Per Resident Per Day

Here:	0.710
Minnesota:	0.747

Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day

This Nursing Home:	0.960
State:	0.741

Total Number of Licensed Staff Hours Per Resident Per Day

This Nursing Home:	1.670
State:	1.488

Number of ,Certified Nurse Assistant Hours Per Resident Per Day

This Nursing Home:	2.590
Minnesota:	2.445

Complaint Deficiency

1) Hire only people who have 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: Isolated (Minimal harm or potential for actual harm)

Write and use policies that forbid mistreatment, neglect and abuse of residents and theft of residents' property: Isolated (Minimal harm or potential for actual harm)

Give each resident care and services to get or keep the highest quality of life possible: Isolated (Actual harm)

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