Note: Bethel Lutheran Home has been flagged for abuse in the past 12 months. We have capped this facility's overall grade accordingly.

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 : FalseUsed to indicate false.

Accepts Medicaid 1 : 59 Beds TrueA checkmark indicating true.

CCRC : FalseUsed to indicate false.

Non profit - Church related

Resident Council: TrueA checkmark indicating true.

Family Council: FalseUsed to indicate false.

Nurse Quality

B-
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: BMay 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: BMar 20: BApr 20: BMay 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

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

B-
Oct 18: B+Nov 18: B+Dec 18: B+Jan 19: B+Feb 19: B+Mar 19: B+Apr 19: B+May 19: B+Jun 19: B+Jul 19: B+Aug 19: B+Sep 19: B+Jan 20: BMar 20: BApr 20: BMay 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

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

B-
Oct 18: B-Nov 18: BDec 18: BJan 19: B+Feb 19: B+Mar 19: B+Apr 19: AMay 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: AMar 20: AApr 20: A-May 20: B-Jun 20: B-Jul 20: B-Aug 20: B-
Historical

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

F
Oct 18: A+Nov 18: A+Dec 18: A+Jan 19: A+Feb 19: A+Mar 19: A+Apr 19: AMay 19: AJun 19: AJul 19: AAug 19: ASep 19: AJan 20: FMar 20: FApr 20: FMay 20: FJun 20: FJul 20: FAug 20: F
Historical

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.

Aug 20
Provider:
F
State:
B
National:
B
FDCB-BB+A-AA+Oct 18Nov 18Dec 18Jan 19Feb 19Mar 19Apr 19May 19Jun 19Jul 19Aug 19Sep 19Oct 19Dec 19Jan 20Mar 20Apr 20May 20Jun 20Jul 20Aug 20
Overall Rating
Nurse Rating
Long-Term Rating
Short-Term Rating
Inspection Rating

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.

Provider
B
7.59%
State
B+
6.95%
National
B
7.33%

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.

Provider
B-
3.83%
State
A-
1.78%
National
B
3.36%

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.

Provider
B+
1.46%
State
A-
1.69%
National
B
2.65%

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.

Provider
A
6.84%
State
A-
10.4%
National
B
14.17%

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.

Provider
A
8.82%
State
A-
14.21%
National
B
19.68%

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.

Provider
B+
0.63%
State
A
0.97%
National
B+
5.09%

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.

Provider
D
84.39%
State
B+
94.67%
National
B
92.04%

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.

Provider
F
25.58%
State
A-
9.21%
National
B
14.47%

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.

Provider
A+
26.24%
State
C
12.94%
National
B
17.10%

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.

Provider
B-
1.77
State
B-
1.88
National
B
1.70

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.

Provider
F
26.24
State
A-
12.94
National
B
17.10

Percentage of Residents Rehospitalized
Lower is Better

Nearby Hospitals

Community Regional Medical Center 15.94 mi
2823 Fresno Street Fresno California 93721
(559) 459-6000
Acute Care Hospitals
Voluntary non-profit - Private
Adventist Health Hanford 17.16 mi
115 Mall Drive Hanford California 93230
(209) 410-7200
Acute Care Hospitals
Voluntary non-profit - Private
Clovis Community Medical Center 19.13 mi
2755 Herndon Ave Clovis California 93611
(559) 324-4000
Acute Care Hospitals
Voluntary non-profit - Private

Nearby Dialysis

Selma Dialysis Center 1.36 mi
CMS Rating: 3 stars
Dialysis Stations: 16
2711 Cinema Way #111 Selma California 93662
(559) 891-2750
Bma of Central Valley Rural Dialysis 9.23 mi
Dialysis Stations: 17
810 E. Manning Ave Reedley California 93654
(559) 637-1676
Sanger Sequoia Dialysis Center 9.81 mi
CMS Rating: 3 stars
Dialysis Stations: 16
2517 Jensen Avenue Building B Sanger California 93657
(559) 876-3852
Davita-Dinuba Dialysis 11.78 mi
CMS Rating: 4 stars
Dialysis Stations: 24
510 E North Way Dinuba California 93618
(559) 595-9462
Fmc Fresno Airport East 15.63 mi
Dialysis Stations: 24
1899 North Helm Ave Suite 101 Fresno California 93727
(559) 452-1480
Community Dialysis Center 16.06 mi
CMS Rating: 4 stars
Dialysis Stations: 41
215 North Fresno Street Suite 150 Fresno California 93701
(559) 459-3901
Ash Tree Dialysis 16.18 mi
CMS Rating: 3 stars
Dialysis Stations: 36
2666 North Grove Industrial Drive Suite 106 Fresno California 93727
(559) 251-1919
Davita-Sequoia Dialysis 16.58 mi
CMS Rating: 3 stars
Dialysis Stations: 20
440 N. 11th Street Hanford California 93230
(559) 587-0105