Bethel Lutheran Home - Madison Nursing Home
General Information
UPDATEFederal Provider Number
435076
Provider Name
BETHEL LUTHERAN HOME
Provider Address
1001 S EGAN AVE
MADISON, SD 57042
MADISON, SD 57042
Provider Phone Number
6052564539
Provider SSA County
390
Provider County Name
Lake
Ownership Type
Non profit - Church related
Number of Certified Beds
59
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHEL LUTHERAN HOME
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72018
Reported LPN Staffing Hours per Resident per Day
0.23684
Reported RN Staffing Hours per Resident per Day
1.04737
Reported Licensed Staffing Hours per Resident per Day
1.28421
Reported Total Nurse Staffing Hours per Resident per Day
4.00439
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01228
Expected CNA Staffing Hours per Resident per Day
2.50906
Expected LPN Staffing Hours per Resident per Day
0.58862
Expected RN Staffing Hours per Resident per Day
0.88065
Expected Total Nurse Staffing Hours per Resident per Day
3.97834
Adjusted CNA Staffing Hours per Resident per Day
2.66016
Adjusted LPN Staffing Hours per Resident per Day
0.33396
Adjusted RN Staffing Hours per Resident per Day
0.88865
Adjusted Total Nurse Staffing Hours per Resident per Day
4.05730
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-23
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
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
8
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Golden Livingcenter - Madison
718 Ne 8th St |
MADISON SD 57042 | 1.4 miles away
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