BETHANY SKILLED NURSING FACILITY Nursing Home


BETHANY SKILLED NURSING FACILITY (CCN: 225535) is a Non profit - Church related facility located in FRAMINGHAM, MA (01701). The facility has an overall rating of 5/5, health inspection rating of 5/5, and a staffing rating of 5/5. It offers 169 certified beds and maintains an average of 79.5 residents per day. The nursing staff includes Nurse Aides, LPNs, and RNs working 5.78369 total hours per resident per day. It has been certified since May 1, 1991 and the last listed health inspection was on October 17, 2022, The facility is located in Middlesex county and provides senior and nursing home care.

BETHANY SKILLED NURSING FACILITY Summary


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Provider Name: BETHANY SKILLED NURSING FACILITY

Address: 97 BETHANY ROAD, FRAMINGHAM, MA 01701

Phone: (508) 872-6750

County: Middlesex (090)

Ownership Type: Non profit - Church related

Certified Beds: 169

Average Residents Per Day: 79.5 ()

Provider Type: Medicare and Medicaid, Resides in Hospital: No

Legal Business Name: BETHANY HEALTH CARE CENTER INC

First Approved Date: May 1, 1991

Affiliated Entity: ()

Retirement Community: N, Special Focus Status:

Ownership Change in Last 12 Months: N

Resident Family Council: Both

Sprinkler System Status: Yes

Overall Rating: 5 ()

Health Inspection Rating: 5 ()

QM Rating: 5 ()

Long Stay QM Rating: 5 ()

Short Stay QM Rating: (2)

Staffing Rating: 5 ()

Staffing Report Note:

PT Staffing Note:

Nurse Aide Staff Hours Per Day, per resident: 3.66257, LPN Staff Hours Per Day: 1.3482, RN Staff Hours Per Day: 0.7728, Licensed Staff Hours Per Day: 2.1211

Total Nurse Staff Hours Per Day, per resident: 5.78369

Weekend Nurse Staff Hours: 5.53559, Weekend RN Staff Hours: 0.5956

PT Staff Hours Per Day, per resident: 0.0501

Nurse Staff Turnover: 32.4, Nurse Turnover Note:

RN Turnover: 40.0, RN Turnover Note:

Admin Left Number: 0, Admin Turnover Note:

Case Mix Nurse Aide Hours Per Day, per resident: 2.1552, Case Mix LPN Hours Per Day: 0.6239, Case Mix RN Hours Per Day: 0.2737

Adjusted Nurse Aide Hours Per Day, per resident: 3.46205, Adjusted LPN Hours Per Day: 1.5945, Adjusted RN Hours Per Day: 1.0637

Total Adjusted Nurse Hours Per Day, per resident: 5.97130

Adjusted Weekend Nurse Hours Per Day, per resident: 5.71515

Health Survey Dates and Scores: Cycle 1: 2022-10-17 (Score: 4), Cycle 2: 2019-09-19 (Score: 4), Cycle 3: 2018-12-07 (Score: 64)

Total Weighted Health Score: 14.000

Reported Incidents: 0, Substantiated Complaints: 0

Infection Control Citations:

Fines and Penalties: Number of Fines: 2, Total Fines in Dollars: 28328.30, Payment Denials Number: 0, Total Penalties Number: 2

Location and GPS: 97 BETHANY ROAD,FRAMINGHAM,MA,01701 (42.2690, -71.431)

Process Date: 2024-03-01


Health Inspection Citations Details

Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2022-10-17

Type: Health, Deficiency: Ensure staff are vaccinated for COVID-19

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-11-04

Citation on 2019-09-19

Type: Health, Deficiency: Respond appropriately to all alleged violations.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-10-04

Citation on 2018-12-07

Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-07

Citation on 2018-12-07

Type: Health, Deficiency: Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-07

Citation on 2018-12-07

Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-07

Citation on 2018-12-07

Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-07

Citation on 2018-12-07

Type: Health, Deficiency: Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2018-12-10

Citation on 2018-12-07

Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-07

Citation on 2018-12-07

Type: Health, Deficiency: Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2019-01-07


Fire Safety Citations Details

Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:

Citation on 2022-10-27

Type: Fire Safety, Tag: 0353, Version: New

Description: Inspect, test, and maintain automatic sprinkler systems.

Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-11-25

Citation on 2022-10-27

Type: Fire Safety, Tag: 0372, Version: New

Description: Ensure smoke barriers are constructed to a 1 hour fire resistance rating.

Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-11-25

Citation on 2022-10-27

Type: Fire Safety, Tag: 0712, Version: New

Description: Have simulated fire drills held at unexpected times.

Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.

Corrected: Deficient, Provider has date of correction on 2022-11-25