| Bethesda | |
| 901 Southeast Willmar Avenue, Willmar, Minnesota 56201 | |
| (320) 262-5376 | |
| Name | Bethesda |
|---|---|
| Location | 901 Southeast Willmar Avenue, Willmar, Minnesota |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 248 |
| Occupancy Rate | 91.09% |
| Medicare ID (CCN) | 245427 |
| Legal Business Name | Bethesda |
| Ownership Type | Non Profit - Church Related |
| NPI Number | 1174527410 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Bethesda |
| Address | 901 Willmar Ave Se, Willmar, MN 56201 |
| Phone Number | 320-235-9532 |
| NPI Number | 1003847609 |
| Match | Possible same name, address or phone number |
| Organization Name | Bethesda Heritage Center |
| Address | 1012 3rd St Se, Willmar, MN 56201 |
| Phone Number | 320-235-3924 |
| NPI Number | 1427050525 |
| Match | Possible same name, address or phone number |
| Organization Name | Bethesda |
| Doing Business As | Bethesda Heritage Center |
| Address | 1012 3rd St Se, Willmar, MN 56201 |
| Phone Number | 320-235-3924 |
| 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 | 4.75 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.78 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.69 | 0.86 |
| Nurse aide hours per resident per day | 3.28 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 4.26 | 3.42 |
| RN hours per resident per day on the weekend | 0.36 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 36.3% | 45.8% |
| Registered nurse turnover | 21.6% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 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 |
|---|---|---|---|
| Dec 10, 2025 | 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 Jan 23, 2026 |
| Dec 10, 2025 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, pattern | Corrected by Jan 23, 2026 |
| Dec 10, 2025 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2026 |
| Dec 10, 2025 | Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. F0557, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 23, 2026 |
| Dec 10, 2025 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by Jan 23, 2026 |
| Nov 5, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Actual harm, isolated | Corrected by Dec 12, 2024 |
| Nov 5, 2024 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Dec 12, 2024 |
| Nov 5, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, isolated | Corrected by Dec 12, 2024 |
| Oct 25, 2024 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. F0584, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Oct 25, 2024 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. F0656, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Oct 25, 2024 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Oct 25, 2024 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Oct 25, 2024 | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. F0758, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Oct 25, 2024 | Develop and implement policies and procedures for flu and pneumonia vaccinations. F0883, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| May 3, 2024 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Complaint inspection | Potential for harm, isolated | Corrected by Jun 19, 2024 |
| Jan 24, 2024 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. F0851, Administration, Standard inspection | Potential for harm, widespread | Corrected by Feb 23, 2024 |
| Jan 24, 2024 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. F0921, Environmental, Standard inspection | Potential for harm, widespread | Corrected by Feb 23, 2024 |
| Jan 24, 2024 | 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 Feb 23, 2024 |
| Jan 24, 2024 | 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, isolated | Corrected by Feb 23, 2024 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 23.56 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.38 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.64 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.37 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 1.69 | 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 | 6.19 | 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 | 99.28 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.28 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 21.58 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 9.62 | 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 | 99.1 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 5.93 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 28.04 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.01 | 15.38 |
Cura of Willmar Location: 1801 Willmar Avenue Southwest, Willmar, Minnesota 56201 Phone: (320) 214-2700 |