| Bethesda Home | |
| 22427 Montgomery Street, Hayward, California 94541 | |
| (510) 538-8300 | |
| Name | Bethesda Home |
|---|---|
| Location | 22427 Montgomery Street, Hayward, California |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 40 |
| Occupancy Rate | 2.5% |
| Medicare ID (CCN) | 056370 |
| Legal Business Name | Christian Retirement Center of Northern California |
| Ownership Type | Non Profit - Church Related |
| NPI Number | 1194835017 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Christian Retirement Center of Northern California |
| Doing Business As | Bethesda Home |
| Address | 22427 Montgomery St, Hayward, CA 94541 |
| Phone Number | 510-538-8300 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: the nursing home did not submit staffing data | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: the nursing home did not submit staffing data | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: the nursing home did not submit staffing data | 0.86 |
| Nurse aide hours per resident per day | Not available: the nursing home did not submit staffing data | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: the nursing home did not submit staffing data | 3.42 |
| RN hours per resident per day on the weekend | Not available: the nursing home did not submit staffing data | 0.48 |
| Physical therapist hours per resident per day | Not available: the nursing home did not submit staffing data | 0.07 |
| Total nursing staff turnover | Not available: no valid staffing data was submitted | 45.8% |
| Registered nurse turnover | Not available: no valid staffing data was submitted | 42.9% |
| Number of administrators who have left the nursing home | Not available: no valid staffing data was submitted | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Oct 25, 2024 | Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. F0727, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Oct 25, 2024 | Observe each nurse aide's job performance and give regular training. F0730, Nursing and Physician Services, Standard inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Oct 25, 2024 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Oct 25, 2024 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Oct 25, 2024 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Oct 25, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Oct 25, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 20, 2024 |
| Nov 2, 2023 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 28, 2023 |
| Nov 2, 2023 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 28, 2023 |
| Nov 2, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Nov 28, 2023 |
| Nov 2, 2023 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 28, 2023 |
| Oct 21, 2022 | Keep residents' personal and medical records private and confidential. F0583, Resident Rights, Standard inspection | Potential for harm, widespread | Corrected by Nov 17, 2022 |
| Oct 21, 2022 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 17, 2022 |
| Oct 21, 2022 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. F0802, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 17, 2022 |
| Oct 21, 2022 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Nov 17, 2022 |
| Oct 21, 2022 | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Nov 17, 2022 |
| Oct 21, 2022 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Nov 17, 2022 |
| Oct 21, 2022 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Nov 17, 2022 |
| Oct 21, 2022 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Nov 17, 2022 |
| Oct 21, 2022 | Ensure staff are vaccinated for COVID-19 F0888, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Nov 17, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 24 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 11.94 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 5 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 2.47 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Not Available | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | Not Available | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 14.57 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 7.35 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Not Available | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 4.8 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 6.24 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 2.13 | 15.38 |
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