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BETHANY HOME

πŸ“ 1226 BERLIN ST, waupaca, WI 54981 πŸ“ž 7152585521 πŸ›οΈ 85 beds

Overall Rating

⭐⭐⭐⭐
4/5

Health Inspection

⭐⭐
2/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

55
Total Violations
8 years of data
$156,306
Total Fines
2 penalties
5
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2025 3 violations

Tag 0580 D May 21, 2025

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

βœ“ Corrected: Jun 16, 2025
Tag 0645 D May 21, 2025

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Jun 16, 2025
Tag 0880 E May 21, 2025

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jun 16, 2025

2024 4 violations

Tag 0692 D Apr 17, 2024

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

βœ“ Corrected: May 17, 2024
Tag 0695 D Apr 17, 2024

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

βœ“ Corrected: May 17, 2024
Tag 0755 D Apr 17, 2024

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

βœ“ Corrected: May 17, 2024
Tag 0757 D Apr 17, 2024

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

βœ“ Corrected: May 17, 2024

2022 3 violations

Tag 0609 D Mar 7, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Mar 31, 2022
Tag 0645 D Mar 7, 2022

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: Mar 31, 2022
Tag 0812 L Mar 7, 2022

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

βœ“ Corrected: Mar 31, 2022

2021 11 violations

Tag 0624 D Sep 16, 2021

Prepare residents for a safe transfer or discharge from the nursing home.

βœ“ Corrected: Oct 16, 2021
Tag 0656 D Apr 8, 2021

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

βœ“ Corrected: May 6, 2021
Tag 0686 G Apr 8, 2021

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: May 6, 2021
Tag 0692 D Apr 8, 2021

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

βœ“ Corrected: May 6, 2021
Tag 0697 D Apr 8, 2021

Provide safe, appropriate pain management for a resident who requires such services.

βœ“ Corrected: May 6, 2021
Tag 0726 E Apr 8, 2021

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: May 6, 2021
Tag 0761 E Apr 8, 2021

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.

βœ“ Corrected: May 6, 2021
Tag 0867 G Apr 8, 2021

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: May 6, 2021
Tag 0880 F Apr 8, 2021

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 6, 2021
Tag 0609 E Jan 12, 2021

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 12, 2021
Tag 0610 E Jan 12, 2021

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 12, 2021

2020 7 violations

Tag 0684 D Sep 3, 2020

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

βœ“ Corrected: Oct 3, 2020
Tag 0578 D Mar 5, 2020

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Mar 13, 2020
Tag 0580 D Mar 5, 2020

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

βœ“ Corrected: Mar 13, 2020
Tag 0710 D Mar 5, 2020

Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.

βœ“ Corrected: Mar 13, 2020
Tag 0812 E Mar 5, 2020

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

βœ“ Corrected: Mar 13, 2020
Tag 0686 D Feb 10, 2020

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Mar 5, 2020
Tag 0689 K Feb 10, 2020

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

βœ“ Corrected: Mar 5, 2020

2019 9 violations

Tag 0580 D Apr 25, 2019

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

βœ“ Corrected: May 15, 2019
Tag 0578 D Mar 19, 2019

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

βœ“ Corrected: Apr 12, 2019
Tag 0623 C Mar 19, 2019

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

βœ“ Corrected: Apr 12, 2019
Tag 0686 D Mar 19, 2019

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Apr 12, 2019
Tag 0688 D Mar 19, 2019

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: Apr 12, 2019
Tag 0812 F Mar 19, 2019

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

βœ“ Corrected: Apr 12, 2019
Tag 0656 D Jan 25, 2019

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

βœ“ Corrected: Feb 8, 2019
Tag 0690 D Jan 25, 2019

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Feb 8, 2019
Tag 0842 E Jan 25, 2019

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

βœ“ Corrected: Feb 8, 2019

2018 8 violations

Tag 0609 D Apr 20, 2018

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: May 11, 2018
Tag 0610 D Apr 20, 2018

Respond appropriately to all alleged violations.

βœ“ Corrected: May 11, 2018
Tag 0688 D Apr 20, 2018

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

βœ“ Corrected: May 18, 2018
Tag 0812 E Apr 20, 2018

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

βœ“ Corrected: May 20, 2018
Tag 0921 E Apr 20, 2018

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

βœ“ Corrected: May 14, 2018
Tag 0690 D Feb 27, 2018

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Mar 27, 2018
Tag 0812 E Feb 27, 2018

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

βœ“ Corrected: Mar 8, 2018
Tag 0880 D Feb 27, 2018

Provide and implement an infection prevention and control program.

βœ“ Corrected: Mar 27, 2018

2017 10 violations

Tag 0252 D Jul 12, 2017

Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.

βœ“ Corrected: Jul 27, 2017
Tag 0353 E Jul 12, 2017

Have enough nurses to care for every resident in a way that maximizes the resident's well being.

βœ“ Corrected: Jul 26, 2017
Tag 0356 C Jul 12, 2017

Post nurse staffing information/data on a daily basis.

βœ“ Corrected: Jul 12, 2017
Tag 0164 D Mar 16, 2017

Keep residents' personal and medical records private and confidential.

βœ“ Corrected: Mar 23, 2017
Tag 0225 D Mar 16, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Mar 23, 2017
Tag 0280 D Mar 16, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Mar 23, 2017
Tag 0312 D Mar 16, 2017

Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

βœ“ Corrected: Mar 23, 2017
Tag 0323 D Mar 16, 2017

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

βœ“ Corrected: Mar 23, 2017
Tag 0371 F Mar 16, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Apr 13, 2017
Tag 0441 E Mar 16, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Mar 23, 2017

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

2022 1 penalties totaling $144,430

$144,430
Fine
March 7, 2022
Average: $144,430 | Range: $144,430 - $144,430

2020 1 penalties totaling $11,876

$11,876
Fine
February 10, 2020
Average: $11,876 | Range: $11,876 - $11,876

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

April 17, 2024
0.00

Health

March 7, 2022
0.00

Health

September 16, 2021
0.00

Health

April 8, 2021
0.00

Health

January 12, 2021
0.00

Quality Measures

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
525538
525538
7152585521
Waupaca

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual