Bethel Lutheran Home
2280 Dockery Avenue, Selma CA 93662 · (559) 896-4900 · 93.89% estimated occupancy 1Updated: Aug 1, 2020 · By Sara Levinsohn
Bethel Lutheran Home is a small non-profit nursing home located in Selma, California. Our scoring system was not favorable to this nursing home, as it received an overall score of F. If you are not happy with this facility's poor overall grade, you may find your options to be limited in Selma. The city has just one other nursing home. More information on this facility's category grades is available below. Its best category was nursing, which is addressed in the next paragraph.
Additional Details:
Accepts Medicare 1 :
Accepts Medicaid 1 : 59 Beds
CCRC :
Non profit - Church related
Resident Council:
Family Council:
Nurse Quality
Although we graded this facility extremely poorly overall, it received a fairly respectable nursing rating this year. We gave it a B- in this area. In calculating a facility's nursing grade, we consider the amount of time nurses spend with residents as well as the skill levels of the nurses. This nursing home averages just 0 hours of nursing care per resident per day. This is a very low figure. Finally, we also baked a few quality-based metrics into our nursing scores. This facility was subpar in two of the major areas we look at, with below average scores for minimizing its patients' pressure ulcers and major falls. These areas are usually good measures of the quality of nursing care available.
Short-term Care Quality
This facility also didn't grade out poorly in the area of short-term care. Indeed, we awarded it a B- for that area, which wound up being another one of its more favorable grades. In computing these short-term care ratings, we quantify the nursing home's skilled nursing services, such as those performed by registered nurses, respiratory therapists, physical therapists and other types of therapists. Our objective is to formulate a scale for sizing up the rehabilitation services of various nursing homes. Unfortunately, we found that this place provided fewer physical therapist and registered nurse hours per resident than most other nursing homes. The tricky part is determining what bearing this had on quality of care. The final measure we considered in this area is the percentage of patients who were able to leave the facility and return to the community. We discovered that just 0 percent of this facility's patients were able to return home, which is below average.
Long-term Care Quality
We were also pleasantly surprised to learn that this nursing home earned a solid long-term care grade this year. We gave it a B- in that area. Long-term care grades are generally used to judge a nursing home's performance as a traditional convalescent home, as opposed to focusing more on the skilled nursing services provided by a rehabilitation facility. Once we looked at the quantity of care provided by nurses and other staff, we then analyzed the facility's vaccination statistics. Frankly, we were a bit alarmed this facility vaccinated 70.81339 percent of its residents for pneumonia, which happens to be significantly below what we were hoping for. Nevertheless, this place also excelled at keeping its patients out of the hospital. In fact, it had only 1.2 hospitalizations per one thousand long-term resident days, which is a much lower hospitalization rate than the majority of nursing homes.
Facility Inspections
Turning our last category of inspections, this nursing home received an F in this area. For nursing homes that received this poor of an inspection rating, we recommend scrutinizing the severe deficiencies on its inspection report. This facility was hit with 4 deficiencies on its inspection report. The only positive thing we found is that none of its deficiencies were in the categories that indicate they created a threat to patient safety or health. Finally, CMS cited this nursing home for possible abuse or neglect. Hopefully, its performance improves in the future, but until then we simply can't recommend this facility.
Overall Rating Over Time
Compared to national and state averages across all facilities.
Bethel Lutheran Home Quality Metrics
Minimizes Pressure Ulcers
This statistic indicates the percent of long-term care patients who are suffering from new or worsened pressure ulcers or bed sores. We factor in this statistic in computing both nursing and long-term care grades.
Percent of Patients with Pressure Ulcers
Lower is Better
Minimizes Serious Falls
This datapoint is an indication of the percentage of long-term care patients who have had falls resulting in severe injury. Falls can happen for a variety of reasons, but high rates of major falls may be an indication of poor nursing care.
Percent of Patients with Serious Falls
Lower is Better
Minimizes Urinary Tract Infections
This is the percentage of patients that have had a urinary tract infection. These infections are sometimes associated with poorer hygiene.
Percent of Patients with UTIs
Lower is Better
Appropriately Uses Anti-Psychotic Medication
This indicates the percent of residents given antipsychotic drugs. These drugs may be used to treat a variety of medical conditions, including Alzheimer's or other dementias.
Percent of Patients
Lower is Better
Appropriately Uses Anti-Anxiety Medication
This tells you the percent of patients who were given antianxiety medications. These medications are prescribed to patients suffering from anxiety and depression.
Percent of Patients
Lower is Better
Managing Depression Among Residents
This indicates the percentage of residents demonstrating signs of depression. Increased levels of depression may reveal lower quality care.
Percent of Patients
Lower is Better
Appropriate Vaccine Usage
This tells you the percentage of residents that were given the pneumonia and flu vaccines. Higher vaccination rates should be standard at this point.
Percent of Patients
Higher is Better
Residents Maintain Autonomy
This is a measure of the percent of long-term care patients that required increased assistance with activities of daily living over time. Activities of daily living include activities such as moving around and eating. Many believe that this is a reasonable measure of a resident's well-being.
Percentage of Patients
Lower is Better
Ability to Keep Residents Mobile
This tells you the percent of residents that retained mobility levels over time. Retaining mobility is often a good sign for residents' health.
Percentage of Residents
Higher is Better
Hospitalizations
This tells you the number of times residents are hospitalized per 1,000 days of patient care. There is generally a correlation between keeping patients out of the hospital and the quality of care.
Hospitalizations per 1,000 resident days
Lower is Better
Short-term Care: Rehospitalizations
This indicates the number of times residents are rehospitalized per thousand days of short-term patient care. There is a correlation between staying out of the hospital and a nursing homes short-term rehabilitation performance.
Percentage of Residents Rehospitalized
Lower is Better