Bethany Home Sioux Falls - Sioux Falls Nursing Home
General Information
UPDATEFederal Provider Number
435096
Provider Name
BETHANY HOME SIOUX FALLS
Provider Address
1901 SOUTH HOLLY AVENUE
SIOUX FALLS, SD 57105
SIOUX FALLS, SD 57105
Provider Phone Number
6053382351
Provider SSA County
490
Provider County Name
Minnehaha
Ownership Type
Non profit - Church related
Number of Certified Beds
52
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY LUTHERAN HOME
Date First Approved to Provide Medicare and Medicaid services
1996-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.44886
Reported LPN Staffing Hours per Resident per Day
0.78068
Reported RN Staffing Hours per Resident per Day
0.78523
Reported Licensed Staffing Hours per Resident per Day
1.56591
Reported Total Nurse Staffing Hours per Resident per Day
5.01477
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.58232
Expected LPN Staffing Hours per Resident per Day
0.64592
Expected RN Staffing Hours per Resident per Day
0.97484
Expected Total Nurse Staffing Hours per Resident per Day
4.20307
Adjusted CNA Staffing Hours per Resident per Day
3.27708
Adjusted LPN Staffing Hours per Resident per Day
1.00317
Adjusted RN Staffing Hours per Resident per Day
0.60187
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80935
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Good Samaritan Society Luther Manor
1500 W 38th St |
SIOUX FALLS SD 57105 | 0.9 mile away
Southridge Health Care Center
3600 South Norton Avenue |
SIOUX FALLS SD 57105 | 1.5 miles away
Golden Livingcenter - Covington Heights
3900 S Cathy Ave |
SIOUX FALLS SD 57106 | 2.1 miles away
Good Samaritan Society Sioux Falls Center
401 West Second Street |
SIOUX FALLS SD 57104 | 2.2 miles away
Good Samaritan Society Sioux Falls Village
3901 S Marion Rd |
SIOUX FALLS SD 57106 | 2.3 miles away
Dow Rummel Village
1321 W Dow Rummel St |
SIOUX FALLS SD 57104 | 2.3 miles away
Avera Prince Of Peace
4500 Prince Of Peace Place |
SIOUX FALLS SD 57103 | 3.9 miles away
Bethany Home - Brandon
3012 E Aspen Blvd |
BRANDON SD 57005 | 10.9 miles away
Palisade Healthcare Community
920 4th St |
GARRETSON SD 57030 | 18.5 miles away
Dells Nursing And Rehab Center Inc
1400 Thresher Dr |
DELL RAPIDS SD 57022 | 21.1 miles away
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