Abuse.com - BETHLEHEM WOODS NURSING REHA

Abuse.com Nursing Home Profile

Detailed information for BETHLEHEM WOODS NURSING & REHA

Nursing Home Results

Contact Information:

	Long Term Care Ombudsman	Not Available
	State Survey Agency	Not Available
	State Quality Improvement Organization	Not Available

BETHLEHEM WOODS NURSING & REHA	As of 10/31/2003
4430 ELSDALE DR FORT WAYNE, IN 46835 (260) 485-8157	Not located within a Hospital Resident Councils Only 90 Certified Beds
Initial Date of Certification: 10/26/2000 Type of Ownership: For profit - Corporation A Multi-Nursing home (chain) Ownership Date of Last Change of Ownership: 12/01/2003	Medicare Certified Medicaid Certified

Medicare.gov is pleased to provide information about Quality Measures, Inspection Results and Nursing Home Staffing for the nursing home you have selected.

Quality Measures information comes from resident assessment data that nursing homes routinely collect on all residents at specific intervals during their stay. The information collected pertains to the resident’s physical, clinical conditions and abilities.

Inspection Results information refers to the regulatory requirement that the nursing home failed to meet but does not reflect the entire inspection report.

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

Quality Measures

Quality Measures	Percentage for BETHLEHEM WOODS NURSING & REHA	National Average
Percent of Residents Whose Need for Help With Daily Activities Has Increased	44%	16%
Percent of Residents Who Have Moderate to Severe Pain	7%	6%
Percent of High-Risk Residents Who Have Pressure Sores	9%	14%
Percent of Low-Risk Residents Who Have Pressure Sores	NOT AVAILABLE	3%
Percent of Residents Who Were Physically Restrained	21%	8%
Percent of Residents Who are More Depressed or Anxious	17%	15%
Percent of Low-Risk Residents Who Lose Control of Their Bowels or Bladder	45%	47%
Percent of Residents Who Have/Had a Catheter Inserted and Left in Their Bladder	8%	6%
Percent of Residents Who Spend Most of Their Time in Bed or in a Chair	8%	4%
Percent of Residents Whose Ability to Move About in and Around Their Room Got Worse	NOT AVAILABLE	13%
Percent of Residents With a Urinary Tract Infection	4%	8%
Percent of Short-Stay Residents With Delirium	NOT AVAILABLE	3%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain	NOT AVAILABLE	22%
Percent of Short-Stay Residents With Pressure Sores	NOT AVAILABLE	21%

Inspection Results

BETHLEHEM WOODS NURSING & REHA 4430 ELSDALE DR FORT WAYNE, IN 46835 (260) 485-8157
Date of this inspection: 10/31/2003 Complaint Investigations During: 04/01/2003 - 06/30/2004 Total number of health deficiencies for this nursing home: 15 Average number of Health Deficiencies in : 5 Average number of Health Deficiencies in the United States: 7 Range of Health Deficiencies in : 1 - 12 View Previous Inspection Results
Mistreatment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
1. Keep each resident free from physical restraints, unless needed for medical treatment. (10/31/2003)	11/21/2003	2 = Minimal harm or potential for actual harm	Few
Quality Care Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
2. Make sure each resident is being watched and has assistance devices when needed, to prevent accidents. (05/08/2003)	05/23/2003	4 = Immediate jeopardy to resident health or safety	Few
3. Give professional services that follow each resident's written care plan. (06/05/2003)	06/05/2003	2 = Minimal harm or potential for actual harm	Some
4. Give professional services that meet a professional standard of quality. (06/05/2003)	09/05/2003	2 = Minimal harm or potential for actual harm	Some
Resident Assessment Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
5. 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. (06/05/2003)	06/05/2003	2 = Minimal harm or potential for actual harm	Some
6. Get doctor orders for the resident's immediate care when admitted. (06/05/2003)	06/05/2003	2 = Minimal harm or potential for actual harm	Few
Resident Rights Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
7. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. (05/23/2003)	06/11/2003	2 = Minimal harm or potential for actual harm	Few
8. Provide enough notice before discharging or transferring a resident. (05/23/2003)	06/11/2003	2 = Minimal harm or potential for actual harm	Few
9. Immediately tell the resident, doctor, and a family member if: the resident is injured, there is a major change in resident's physical/mental health, there is a need to alter treatment significantly, or the resident must be transferred or discharged. (10/31/2003)	11/21/2003	2 = Minimal harm or potential for actual harm	Few
Pharmacy Service Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
10. Keep drugs and other similar products locked safely and properly stored. (10/31/2003)	11/21/2003	2 = Minimal harm or potential for actual harm	Few
Administration Deficiencies
Inspectors determined that the nursing home failed to:	Date of Correction	Level of Harm (Least -> Most)	Residents Affected (Few -> Some -> Many)
11. 1) Set up a group that is legally responsible for writing and setting up policies for leading and running the nursing home; or 2) hire a properly licensed administrator. (06/05/2003)	06/05/2003	2 = Minimal harm or potential for actual harm	Some
12. Be administered in a way that leads to the highest possible level of well being for each resident. (06/05/2003)	06/05/2003	2 = Minimal harm or potential for actual harm	Some
13. Get services outside the nursing home that meet professional standards. (06/05/2003)	06/05/2003	2 = Minimal harm or potential for actual harm	Some
14. Give or get lab tests to meet the needs of residents. (06/05/2003)	06/05/2003	2 = Minimal harm or potential for actual harm	Few
15. Keep accurate and appropriate medical records. (06/05/2003)	06/05/2003	2 = Minimal harm or potential for actual harm	Some

Nursing Home Staffing

Nursing Staff Hours Per Resident Per Day
	BETHLEHEM WOODS NURSING & REHA	State Average in	National Average
Number of Residents	57	42.8	89.2
RN Hours per Resident per Day*	0.34	1.7	0.7
LPN/LVN Hours per Resident per Day*	0.66	0.7	0.8
CNA Hours per Resident per Day*	1.61	4	2.4
Total Number of Nursing Staff Hours per Resident per Day*	2.61	6.4	3.9

*Hours per resident per day is the average daily work (in hours) given by the entire group of nurses or nursing assistants divided by total number of residents. The amount of care given to each resident varies.

Please use our Nursing Home Checklist for help with narrowing your nursing homes choices. The checklist provides questions and observations that are important to keep in mind as you visit nursing homes and will help you make a good choice for you or your relative.

Page Last Updated: January 22, 2004
Data Last Updated: August 2, 2004

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