La Crosse, WI

Bethany St Joseph Care Ctr

4-star overall rating with 3-star inspections with $3,145 in total fines with 6 recent health deficiencies with 6 fire-safety deficiencies in the latest cycle

2501 Shelby Rd, La Crosse, WI

(608) 788-5700

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

3 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

4 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

100

Certified beds

Average residents

67

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1977-01-17

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

1.23

Registered nurse staffing · state 0.97 · national 0.68

LPN hours / resident day

0.38

Licensed practical nurse staffing · state 0.64 · national 0.87

Aide hours / resident day

2.88

Nurse aide staffing · state 2.59 · national 2.35

Total nurse hours

4.50

All reported nurse hours · state 4.20 · national 3.89

Licensed hours

1.62

RN + LPN hours · state 1.60 · national 1.54

Weekend hours

4.06

Weekend nurse staffing · state 3.72 · national 3.43

Weekend RN hours

0.80

Weekend registered nurse coverage · state 0.66 · national 0.47

Physical therapist

0.05

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

1.35

CMS adjusted RN staffing hours

Adjusted total hours

4.91

CMS adjusted total nurse staffing hours

Case-mix index

1.25

Higher values indicate more complex resident acuity

RN turnover

25%

Annual RN turnover · state 42% · national 45%

Total nurse turnover

44%

Annual nurse turnover · state 48% · national 46%

SNF VBP

Value-based purchasing

Program rank

942

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

61.91

Composite VBP score used to determine payment impact.

Payment multiplier

1.0169

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

8.48

Performance 17.50% · Measure score 8.48 · Achievement 8.48 · This facility did not have sufficient data to calculate a baseline period measure result.

Healthcare-associated infections

5.45

Baseline 7.11% · Performance 6.21% · Measure score 5.45 · Achievement 5.45 · Improvement 3.76

Total nurse turnover

7.32

Baseline 57.52% · Performance 33.75% · Measure score 7.32 · Achievement 7.32 · Improvement 6.78

Adjusted total nurse staffing

3.51

Baseline 4.24 hours · Performance 4.08 hours · Measure score 3.51 · Achievement 3.51 · Improvement 0

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	10.55%	10.72% 0.2 pts better	No Different than the National Rate · Eligible stays 60 · Observed rate 8.33% · Lower 95% interval 6.73%
Discharge to community	45.82%	50.57% 4.8 pts worse	No Different than the National Rate · Eligible stays 46 · Observed rate 45.65% · Lower 95% interval 35.16%
Medicare spending per beneficiary	1.1	1.02 0.1 pts worse
Drug regimen review with follow-up	100%	95.27% 4.7 pts better	Numerator 75 · Denominator 75
Falls with major injury	1.33%	0.77% 0.6 pts worse	Numerator 1 · Denominator 75
Discharge self-care score	37.5%	53.69% 16.2 pts worse	Numerator 24 · Denominator 64
Discharge mobility score	26.56%	50.94% 24.4 pts worse	Numerator 17 · Denominator 64
Pressure ulcers or injuries, new or worsened	12%	2.29% 9.7 pts worse	Numerator 9 · Denominator 75 · Adjusted rate 12.67%
Healthcare-associated infections requiring hospitalization	6.21%	7.12% 0.9 pts better	No Different than the National Rate · Eligible stays 45 · Observed rate 2.22% · Lower 95% interval 3.09%
Staff COVID-19 vaccination coverage	3.23%	8.2% 5 pts worse	Numerator 7 · Denominator 217
Staff flu vaccination coverage	49.15%	42% 7.1 pts better	Numerator 116 · Denominator 236
Discharge function score	51.56%	56.45% 4.9 pts worse	Numerator 33 · Denominator 64
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 14 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 35 · Denominator 35
Resident COVID-19 vaccinations up to date	36%	25.2% 10.8 pts better	Numerator 9 · Denominator 25

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.1	1.6 0.5 pts better	1.9 0.8 pts better	Long Stay · 20240701-20250630 · Adjusted 1.1 · Observed 1.0 · Expected 1.7 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	2.5	2.2 0.3 pts worse	1.8 0.7 pts worse	Long Stay · 20240701-20250630 · Adjusted 2.5 · Observed 2.1 · Expected 1.4 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	99.6%	95.7% 3.9 pts better	93.4% 6.2 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 98.2% · 4Q avg 99.6%
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine	98.5%	95.0% 3.5 pts better	95.5% 3 pts better	Long Stay · 2024Q3-2025Q2 · 4Q avg 98.5%
Percentage of long-stay residents experiencing one or more falls with major injury	1.8%	3.2% 1.4 pts better	3.3% 1.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 1.8% · Q3 1.7% · Q4 1.8% · 4Q avg 1.8% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	0.0%	5.0% 5 pts better	11.4% 11.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents who lose too much weight	6.3%	4.9% 1.4 pts worse	5.4% 0.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.7% · Q2 7.8% · Q3 9.3% · Q4 2.1% · 4Q avg 6.3%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	25.5%	16.6% 8.9 pts worse	19.6% 5.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 20.4% · Q2 28.3% · Q3 28.6% · Q4 24.5% · 4Q avg 25.5%
Percentage of long-stay residents who received an antipsychotic medication	6.8%	16.7% 9.9 pts better	16.7% 9.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 5.1% · Q2 7.1% · Q3 7.1% · Q4 7.9% · 4Q avg 6.8% · Used in QM five-star
Percentage of long-stay residents who were physically restrained	0.0%	0.1% 0.1 pts better	0.1% 0.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	23.8%	21.1% 2.7 pts worse	16.3% 7.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.8% · 4Q avg 23.8% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	14.5%	17.3% 2.8 pts better	14.9% 0.4 pts better	Long Stay · 2024Q4-2025Q3 · Q1 13.5% · Q2 13.5% · Q3 16.4% · Q4 14.6% · 4Q avg 14.5% · Used in QM five-star
Percentage of long-stay residents with a catheter inserted and left in their bladder	1.7%	2.3% 0.6 pts better	1.0% 0.7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 2.7% · Q3 1.5% · Q4 1.4% · 4Q avg 1.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	3.2%	3.0% 0.2 pts worse	1.7% 1.5 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.7% · Q2 0.0% · Q3 7.0% · Q4 3.8% · 4Q avg 3.2% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	24.6%	25.5% 0.9 pts better	19.8% 4.8 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 24.7% · Q2 23.5% · Q3 25.8% · Q4 24.4% · 4Q avg 24.6%
Percentage of long-stay residents with pressure ulcers	12.1%	5.5% 6.6 pts worse	5.1% 7 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 11.4% · Q2 14.6% · Q3 13.7% · Q4 8.7% · 4Q avg 12.1% · Used in QM five-star
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine	98.5%	86.8% 11.7 pts better	81.7% 16.8 pts better	Short Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 97.4% · Q4 96.2% · 4Q avg 98.5%
Percentage of short-stay residents who had an outpatient emergency department visit	5.8%	15.0% 9.2 pts better	12.0% 6.2 pts better	Short Stay · 20240701-20250630 · Adjusted 5.8% · Observed 4.9% · Expected 9.3% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	2.8%	1.3% 1.5 pts worse	1.6% 1.2 pts worse	Short Stay · 2024Q4-2025Q3 · Q1 1.6% · Q2 2.0% · Q3 2.2% · Q4 5.4% · 4Q avg 2.8% · Used in QM five-star
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine	85.4%	82.2% 3.2 pts better	79.7% 5.7 pts better	Short Stay · 2024Q3-2025Q2 · 4Q avg 85.4%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	2.9%	22.7% 19.8 pts better	23.9% 21 pts better	Short Stay · 20240701-20250630 · Adjusted 2.9% · Observed 2.4% · Expected 19.9% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-06-19 · Fire 2025-06-19

6 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

6 fire-safety deficiencies

Top issue: Smoke (3 deficiencies)

Cycle 2 Health 2024-04-25 · Fire 2024-04-25

3 health deficiencies

Top issue: Quality of Life and Care (2 deficiencies)

6 fire-safety deficiencies

Top issue: Egress (2 deficiencies)

Cycle 3 Health 2023-03-15 · Fire 2023-03-15

4 health deficiencies

Top issue: Infection Control (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

F · Potential for more than minimal harm 2025-06-19

E13 · Emergency Preparedness Deficiencies

Fire Safety

Develop Emergency Preparedness policies and procedures.

Corrected 2025-07-18

F · Potential for more than minimal harm 2025-06-19

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-06-19

K331 · Smoke Deficiencies

Fire Safety

Construct fire resistant interior walls.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-06-19

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2025-07-18

E · Potential for more than minimal harm 2025-06-19

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2025-07-18

D · Potential for more than minimal harm 2025-06-19

K351 · Smoke Deficiencies

Fire Safety

Install an approved automatic sprinkler system.

Corrected 2025-07-18

E · Potential for more than minimal harm 2024-04-25

K222 · Egress Deficiencies

Fire Safety

Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-25

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-25

K362 · Smoke Deficiencies

Fire Safety

Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-25

K919 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Meet requirements for the use of electrical equipment.

Corrected 2024-06-07

E · Potential for more than minimal harm 2024-04-25

K920 · Gas, Vacuum, and Electrical Systems Deficiencies

Fire Safety

Ensure proper usage of power strips and extension cords.

Corrected 2024-06-07

D · Potential for more than minimal harm 2024-04-25

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2024-06-07

E · Potential for more than minimal harm 2023-03-15

K232 · Egress Deficiencies

Fire Safety

Have corridors or aisles that are unobstructed and are at least 8 feet in width.

Corrected 2023-04-15

Inspection history

Recent health citations

G · Actual harm 2025-06-19

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2025-07-17

F · Potential for more than minimal harm 2025-06-19

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2025-07-17

E · Potential for more than minimal harm 2025-06-19

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-06-19

F688 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-06-19

F690 · Quality of Life and Care Deficiencies

Health

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Corrected 2025-07-17

D · Potential for more than minimal harm 2025-06-19

F698 · Quality of Life and Care Deficiencies

Health

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Corrected 2025-07-17

D · Potential for more than minimal harm 2024-04-25

F684 · Quality of Life and Care Deficiencies

Health

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-25

F686 · Quality of Life and Care Deficiencies

Health

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Corrected 2024-05-25

D · Potential for more than minimal harm 2024-04-25

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2024-05-25

F · Potential for more than minimal harm 2023-03-15

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2023-04-15

F · Potential for more than minimal harm 2023-03-15

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2023-04-15

D · Potential for more than minimal harm 2023-03-15

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2023-04-15

C · Minimal harm 2023-03-15

F888 · Infection Control Deficiencies

Health

Ensure staff are vaccinated for COVID-19

Corrected 2023-04-15

Penalties and ownership

What sits behind the stars

$3,145 2023-08-07

Fine

Fine · fine $3,145

Fine