Bethlehem Woods Nursing And Rehabilitation

4430 Elsdale Dr
Fort Wayne, IN 46835
Allen County
Phone: 260-485-8157
Provider Number: 155679
Last Inspection: 04/07/2015

About the Nursing Home About the Staff

Number of Beds
Number of
Beds
90
Number of Residents
Number of
Residents
84
Number of Beds Available
Beds Available
6
Percent Occupancy
Percent Occupancy
93%
Accepts Insurance
Insurance Accepted
Medicare & Medicaid
Types of Councils
Types of Councils
Resident
Type of Ownership
Type of Ownership
Government - State
Within a Hospital?
Within Hospital?
NO

State Inspection Deficiencies About State Inspection Deficiencies

Findings in these inspections do not present a complete picture of the quality of care provided. Information in this database should be interpreted carefully and used in conjunction with other sources, as well as a visit to the nursing home. We suggest you use our Nursing Home Checklist to help evaluate the nursing homes you plan to visit.


Deficiency Ratings what is a deficiency rating?
By Region


  • Facility
  • County
  • IN
  • USA
  • 0
  • 14
  • 18
  • 20
Lower Numbers are Better

Deficiency Ratings what is a deficiency rating?
By Year


  • 2015
  • 2014
  • 2013
  • 0
  • 0
  • 9
Lower Numbers are Better

Details by Inspection Date

 

4/5/2013 Inspection

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Isolated : Minimal 3 4/26/2013
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 4/26/2013
Failed To: Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. Isolated : Minimal 3 4/26/2013


 

Complaint Investigation Deficiencies

These deficiencies resulted from complaints investigated by the state inspectors and substantiated.

 

8/26/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Allow residents the right to participate in the planning or revision of care and treatment. Isolated : Minimal 3 9/10/2015
Failed To: Provide care by qualified persons according to each resident's written plan of care. Isolated : Minimal 3 9/10/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 9/10/2015
Failed To: Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Isolated : Minimal 3 9/10/2015
 

6/25/2015 Investigation

 
Deficiency Description Scope : Level of Harm 1 -- Rating -- 7 Corrected
Failed To: Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Isolated : Minimal 3 7/10/2015
Failed To: Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. Isolated : Minimal 3 7/10/2015
Failed To: Provide necessary care and services to maintain or improve the highest well being of each resident . Isolated : Minimal 3 7/10/2015
Failed To: Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. Isolated : Minimal 3 7/10/2015

 

About The Staff About the Staff

(Higher Numbers Are Better)

Staffing Hours Per Day Per Resident... This Facility County Avg IN State Avg
Number of Residents 84 73.65 72.40
Registered Nurses 1.15 1.01 0.94
Licensed Practical / Vocational Nurses 0.60 0.90 0.93
Certified Nursing Assistants 2.65 2.09 2.20
Total Staff Hours 4.40 4.00 4.07

About the Residents About the Staff

(Lower Numbers Are Better)

Percent of Residents... This Facility% County Avg% IN State Avg%
High Risk Long Stay Residents With Pressure Ulcers 1 5 6
Long Stay Residents Experiencing One or More Falls with Major Injury 1 3 3
Long Stay Residents Who Have Depressive Symptoms 12 7 6
Long Stay Residents Who Lose Too Much Weight 14 7 8
Long Stay Residents Who Received an Antipsychotic Medication 13 16 17
Long Stay Residents Who Self Report Moderate to Severe Pain 0 6 7
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 0 6 6
Long Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 0 4 5
Long Stay Residents Who Were Physically Restrained 0 0 0
Long Stay Residents Whose Need for Help with ADLs has Increased 2 14 16
Long Stay Residents with a Catheter Inserted and Left in Their Bladder 0 2 2
Long Stay Residents With a Urinary Tract Infection 0 4 4
Low Risk Long Stay Residents Who Lose Control of Their Bowel or Bladder 48 59 48
Short Stay Residents Who Newly Received an Antipsychotic Medication 2 2 2
Short Stay Residents Who Self Report Moderate to Severe Pain 5 16 16
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Pneumococcal Vaccine 1 13 18
Short Stay Residents Who Were NOT Assessed and Appropriately Given the Seasonal Influenza Vaccine 2 13 17
Short Stay Residents With Pressure Ulcers That Are New or Worsened 2 1 1