Bethel Home
225 N Eagle St, Oshkosh, WI 54902


Bethel Home is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 525554. The address is 225 N Eagle St, Oshkosh, WI 54902. The zip code is 54902. The phone number is 9202354653.


Bethel Home · 225 N Eagle St, Oshkosh, WI 54902

Federal Provider Number 525554
Provider Name BETHEL HOME
Address 225 N EAGLE ST
OSHKOSH, WI 54902
Phone Number 9202354653
SSA County Code 690
County Name Winnebago
Ownership Type Non profit - Corporation
Certified Beds 128
Certified Beds Residents 106
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name BETHEL HOME, INC.
Date First Approved to Provide Medicare Medicaid Services 12/01/1994
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.58019
Reported LPN Staffing Hours per Resident per Day 0.43585
Reported RN Staffing Hours per Resident per Day 0.96462
Reported Licensed Staffing Hours per Resident per Day 1.40047
Reported Total Nurse Staffing Hours per Resident per Day 3.98066
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04717
Expected CNA Staffing Hours per Resident per Day 2.44332
Expected LPN Staffing Hours per Resident per Day 0.56933
Expected RN Staffing Hours per Resident per Day 0.86129
Expected Total Nurse Staffing Hours per Resident per Day 3.87393
Adjusted CNA Staffing Hours per Resident per Day 2.59115
Adjusted LPN Staffing Hours per Resident per Day 0.63541
Adjusted RN Staffing Hours per Resident per Day 0.83684
Adjusted Total Nurse Staffing Hours per Resident per Day 4.14195
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 04/21/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 2
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 03/05/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 3
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 32
Cycle 3 Standard Health Survey Date 03/06/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 32
Total Weighted Health Survey Score 16.667
Number of Substantiated Complaints 3
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Bethel Home

Owner Name Role Association Date
BEECHER, MARK (Individual) DIRECTOR since 03/15/2010
BELLAIRE, KATHLEEN (Individual) DIRECTOR since 03/12/2012
BERTRAM, THERESA (Individual) MANAGING EMPLOYEE since 10/31/2015
BERTRAM, THERESA (Individual) OFFICER since 01/07/2013
DUNHAM, THOMAS (Individual) DIRECTOR since 03/10/2014
FREDRICK, KAREN (Individual) DIRECTOR since 03/11/2013
KOMP, STEVEN (Individual) OFFICER since 04/24/2012
LUTHERAN HOMES OF OSHKOSH INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 01/01/1965
LUTHERAN HOMES OF OSHKOSH INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 01/01/1965
MARNOCHA, SUZANNE (Individual) DIRECTOR since 03/12/2012
MUELLER, WAYNE (Individual) DIRECTOR since 03/11/2013
MURKEN, MARY (Individual) DIRECTOR since 03/09/2015
OLSON, MARGARET (Individual) DIRECTOR since 03/14/2016
STAPEL, JAMES (Individual) DIRECTOR since 03/12/2012
VANDENBERG, JULIE (Individual) OFFICER since 03/11/1993
VESETH, JAN (Individual) DIRECTOR since 03/14/2016

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