Above average — CMS composite of the measures below.
Past the typical resurvey interval — a standard survey could occur at any time
Estimate from public CMS data, current as of July 2026. Survey timing is at the state agency's discretion.
Citation history
Health deficiencies cited at Bethesda Home during CMS and state inspections, most recent first.
A resident with a surgical wound and impaired cognition did not receive care according to physician orders, as staff changed a saturated dressing without notifying the surgeon and later discovered maggots in the wound. The facility lacked documentation of required notifications and could not provide a policy on surgical wound care orders.
Staff did not follow enhanced barrier precautions during wound care for a resident with a pressure ulcer. During a dressing change, an administrative nurse wore gloves but failed to don a gown as required, and there was no signage or PPE equipment present to indicate the need for EBP. This was confirmed by administrative staff, who acknowledged the lapse in following the facility's infection control policy.
Failure to Follow Physician Orders for Surgical Wound Care
Penalty
Summary
The facility failed to follow physician orders for the care of a surgical wound for a resident with a right lower leg fracture and a right shoulder fracture. The resident, who had moderately impaired cognition and required staff assistance with activities of daily living, had a surgical wound with orders to keep the dressing clean, dry, and in place until a post-operative appointment. On one occasion, a nurse noted the dressing was saturated with drainage and replaced it with clean gauze, but there was no evidence in the medical record that the surgeon was notified of the drainage or the dressing change, as required by the physician's orders. Subsequently, staff discovered maggots at the end of the gauze dressing on the resident's right leg, with documentation that approximately three dozen maggots were removed from the wound area. The facility's administrative staff confirmed that the physician's orders were to keep the original surgical dressing in place until the follow-up appointment. The facility was unable to provide a policy on following physician orders for surgical wound care when requested.
Failure to Follow Enhanced Barrier Precautions During Wound Care
Penalty
Summary
Facility staff failed to adhere to infection control protocols for enhanced barrier precautions (EBP) during wound care for a resident with a pressure ulcer. During an observed care episode, a licensed nurse and an administrative nurse entered the resident's room to provide wound care. The administrative nurse washed her hands and donned gloves but did not wear a gown as required by EBP when performing high-contact care activities, such as dressing changes for wounds. The resident had a dressing on her right heel for a pressure ulcer, and the care involved removing the dressing and applying a new treatment. There was no signage on the resident's door to indicate the need for PPE, and the necessary PPE equipment was not present. Administrative staff confirmed that staff should have worn PPE, including a gown and gloves, for EBP when providing care to this resident. The facility's own policy, consistent with CDC recommendations, requires the use of gown and gloves during high-contact activities for residents on EBP to prevent the transmission of multidrug-resistant organisms. The failure to follow these protocols was acknowledged by staff and attributed to an oversight, resulting in non-compliance with the facility's infection prevention and control program.
What surveyors are citing around you — mapped
All 10 risk areas, ranked with evidence
Repeat citations, what's rising near you, and quality measures — ranked so department heads know exactly where to look first.
Illustrative
What surveyors actually found near you
We read the 137 citations issued within 25 miles in the last 12 months — including the 2 immediate-jeopardy cases — and tell you exactly what happened, in plain English, matched to your record.
Resident with a documented fall history left unattended on the patio; found on the ground with a hip fracture.
Walk-in cooler logs missing for 12 days; expired supplements in the medication room fridge.
Illustrative
A prioritized, do-first checklist
Every risk area becomes concrete audit steps drawn from real citations at facilities like yours — run them this week, before your window opens.
Illustrative
Risk indicators are statistical estimates from public CMS data — not predictions, findings, or compliance advice.
Nursing homes near Goessel
How nearby facilities compare on the same public inspection record.
| Facility | Distance | Overall rating | Citations, 12 mo | Serious (J–L) |
|---|---|---|---|---|
| Schowalter Villa | 9.2 mi | ★★★★★ | 0 | 0 |
| Moundridge Manor | 9.9 mi | ★★★★★ | 0 | 0 |
| Parkside Homes | 10.1 mi | ★★★★★ | 0 | 0 |
| Salem Home | 10.1 mi | ★★★★★ | 0 | 0 |
| Pine Village | 10.3 mi | ★★★★★ | 0 | 0 |
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Trusted data, never guesswork. Every citation, penalty, rating and Plan of Correction on this page is sourced from public CMS records (latest release July 2026) and official state health department websites.