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BETHANY HOME

Open-data reference.

BETHANY HOME is a for profit - corporation facility in WAUPACA, WI with 100 certified beds and a 5-star overall CMS rating. The facility has 10 deficiency records on file.

1226 BERLIN STREET, WAUPACA, WI 54981

Phone: 7152585521

Overall Rating

5/5

Health Inspection

4/5

Staffing

4/5

Quality Measures

5/5

Long-Stay Quality

5/5

Facility Information

Provider Number
525538
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
100
Residents
82
In Hospital
No
County
Waupaca
Last Inspection
May 21, 2025

Staffing Data

RN Hours
1.04 (nat'l avg: 0.68)
LPN Hours
0.83
CNA Hours
2.67
Total Nursing Hours
4.54 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
48.1%
RN Turnover
47.6%

What the CMS Record Reveals About BETHANY HOME

BETHANY HOME operates 100 certified beds in WAUPACA, WI with approximately 82 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (5★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone — a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 10 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues — if any — did not rise to the enforcement threshold. Staffing is reported at 4.54 total nursing hours per resident day (national average 3.89), with RN coverage at 1.04 per resident day — the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, BETHANY HOME falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes — ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 48.1%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report — the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (10 most recent)

G — Isolated - Actual harm Oct 27, 2025 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 21, 2025

D — Isolated - Minimal harm Oct 27, 2025 Tag: 0607

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Nov 21, 2025

E — Pattern - Minimal harm May 21, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jun 16, 2025

D — Isolated - Minimal harm May 21, 2025 Tag: 0645

PASARR screening for Mental disorders or Intellectual Disabilities

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 16, 2025

D — Isolated - Minimal harm May 21, 2025 Tag: 0580

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Category: Resident Rights Deficiencies

Corrected: Jun 16, 2025

D — Isolated - Minimal harm Sep 30, 2024 Tag: 0684

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Category: Quality of Life and Care Deficiencies

Corrected: Oct 30, 2024

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0757

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Category: Pharmacy Service Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: May 17, 2024

D — Isolated - Minimal harm Apr 17, 2024 Tag: 0692

Provide enough food/fluids to maintain a resident's health.

Category: Quality of Life and Care Deficiencies

Corrected: May 17, 2024

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 16.8% Yes
Percentage of long-stay residents who lose too much weight Long Stay 3.4% No
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.5% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 0.4% Yes
Percentage of long-stay residents who have depressive symptoms Long Stay 3.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 2.0% Yes
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 99.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 96.7% No
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 22.9% Yes
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 18.2% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay 86.7% No
Percentage of long-stay residents with pressure ulcers Long Stay 1.2% Yes
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 30.0% No
Percentage of long-stay residents who received an antipsychotic medication Long Stay 14.9% Yes

Penalty History

No penalties on record.

Frequently Asked Questions

What is the overall CMS rating for BETHANY HOME?
BETHANY HOME has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (5★).
What are the staffing levels at BETHANY HOME?
BETHANY HOME reports 4.54 total nursing hours per resident day (national average: 3.89). RN hours are 1.04 per resident day (national average: 0.68). Nursing staff turnover is 48.1%.
How many beds does BETHANY HOME have?
BETHANY HOME has 100 certified beds with approximately 82 residents. The facility is located at 1226 BERLIN STREET, WAUPACA, WI 54981.
Does BETHANY HOME have any deficiencies on record?
Yes, BETHANY HOME has 10 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has BETHANY HOME received any fines or penalties?
No, BETHANY HOME has no fines or penalties on record.
Who owns BETHANY HOME?
BETHANY HOME is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was BETHANY HOME last inspected?
The most recent health inspection for BETHANY HOME was on May 21, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for BETHANY HOME?
BETHANY HOME is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Related

Data sourced from official U.S. government datasets. See our methodology for details. Retrieved and formatted by PlainNursing Editorial