With a score of 77/100 and a B grade, Bethel Lutheran Nursing & Rehabilitation Center is a well-regarded option in Williston, North Dakota. The facility performs above average in most CMS categories, placing it in the 75th percentile statewide.
Staffing at Bethel Lutheran Nursing & Rehabilitation Center is near the national average, with 4.14 total nursing hours per resident per day (national average: 3.8 hours).
Recent CMS inspections identified 21 deficiencies at Bethel Lutheran Nursing & Rehabilitation Center, including 1 classified as serious — among the most concerning citation levels. The most notable finding involved: develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals..
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 4.14 | 3.8 | Average |
| Registered Nurses (RN) | 0.98 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.40 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.76 | 2.4 | Above Average |
| Weekend Total Nursing | 3.67 | 3.8 | Average |
| Weekend RN Hours | 0.69 | 0.7 | Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0657 Severity EDevelop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.Feb 4, 2025 · Resident Assessment and Care Planning Deficiencies
- Tag 0578 Severity DHonor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, andFeb 4, 2025 · Resident Rights Deficiencies
- Tag 0689 Severity GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Feb 6, 2024 · Quality of Life and Care Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 6, 2023 · Pharmacy Service Deficiencies
- Tag 0625 Severity DNotify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospiDec 6, 2023 · Resident Rights Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 12.5% | 4.5% | Worse |
| Falls with major injury | 6.9% | 3.0% | Worse |
| On antipsychotic medication | 16.1% | 14.5% | Worse |
| Urinary tract infections | 3.1% | 2.5% | Worse |
| ADL decline (daily activities) | 24.1% | 14.0% | Worse |
| Excessive weight loss | 8.1% | 7.5% | Average |
| New/worsened incontinence | 30.8% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of B is based on a score of 77 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 4★ → 32 pts (max 40)
- Health Inspection Rating: 4★ → 20 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 3★ → 9 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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