A

BETHANY HOME

1226 BERLIN STREET, WAUPACA, WI 54981
Score: 91 / 100

Among nursing homes in Wisconsin, Bethany Home stands out with an A grade and a score of 91 out of 100. It ranks in the 87th percentile statewide, reflecting consistently high performance across CMS quality metrics.

Staffing levels at Bethany Home exceed national averages, with 4.54 total nursing hours per resident per day — compared to the national average of 3.8 hours. RN coverage of 1.04 hours per resident per day also exceeds the national average of 0.7 hours.

Recent inspections identified 10 deficiencies at Bethany Home. While none were classified as the most serious level, families should review the detailed inspection history below.

Score Breakdown

Overall CMS Rating 40 / 40 pts
5 ★ CMS rating
Health Inspections 20 / 25 pts
4 ★ inspection rating
Staffing 16 / 20 pts
4 ★ staffing rating
Quality Measures 15 / 15 pts
5 ★ quality measures

🏥 Staffing Details

Staff Type Hours/Resident/Day National Avg Comparison
Total Nursing 4.54 3.8 Above Average
Registered Nurses (RN) 1.04 0.7 Above Average
Licensed Practical Nurses (LPN) 0.83 0.7 Above Average
Certified Nursing Assistants (CNA) 2.67 2.4 Above Average
Weekend Total Nursing 3.85 3.8 Average
Weekend RN Hours 0.49 0.7 Below Average

🔍 Inspection & Deficiency History

10
Total Deficiencies
Oct 26, 2025
Most Recent Inspection
🟠 10 Moderate
View recent deficiencies (5 shown)
  • Tag 0689 Severity G
    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
    Oct 26, 2025 · Quality of Life and Care Deficiencies
  • Tag 0607 Severity D
    Develop and implement policies and procedures to prevent abuse, neglect, and theft.
    Oct 26, 2025 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
  • Tag 0880 Severity E
    Provide and implement an infection prevention and control program.
    May 20, 2025 · Infection Control Deficiencies
  • Tag 0580 Severity D
    Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
    May 20, 2025 · Resident Rights Deficiencies
  • Tag 0645 Severity D
    PASARR screening for Mental disorders or Intellectual Disabilities
    May 20, 2025 · Resident Assessment and Care Planning 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 1.2% 4.5% Better
Falls with major injury 2.0% 3.0% Better
On antipsychotic medication 14.9% 14.5% Average
Urinary tract infections 0.4% 2.5% Better
ADL decline (daily activities) 16.8% 14.0% Worse
Excessive weight loss 3.4% 7.5% Better
New/worsened incontinence 30.0% 45.0% Better

How This Grade Was Calculated

This facility's grade of A is based on a score of 91 out of 100, calculated from official CMS Nursing Home Compare data:

  • Overall CMS Rating: 5★ → 40 pts (max 40)
  • Health Inspection Rating: 4★ → 20 pts (max 25)
  • Staffing Rating: 4★ → 16 pts (max 20)
  • Quality Measures Rating: 5★ → 15 pts (max 15)

Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40

Facility Details

Ownership
For profit - Corporation
Certified Beds
100
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
May 20, 2025
Deficiencies (Cycle 1)
5