nursing home in Madison, SD
Bethel Lutheran Home
1001 S Egan Ave, Madison, SD 57042 · (605) 256-4539
CMS overall star rating
- Health inspections★★★★★2
- Staffing★★★★★4
- Quality measures★★★★★4
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Bethel Lutheran Home at a glance
Bethel Lutheran Home is a 59-bed non-profit nursing home in Madison, South Dakota (Lake County).
CMS gives it 2 out of 5 stars on its overall star rating, worse than the South Dakota average of 2.9.
Residents receive about 3.7 hours of nursing care per day (1 of them from registered nurses), close to the state average of 3.8 hours.
Its most recent standard health inspection (July 17, 2025) found 7 health citations. The South Dakota average is 6.7.
Federal regulators fined it 2 times in the past three years, totaling $56,430.
Nursing staff turnover is 52.2% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Church Related
- Beds
- 59
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- April 1, 1994
- Resident/family council
- Resident
- County
- Lake County
- CMS Certification Number
- 435076
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 3 / 5 | Worse |
| Health inspection rating ⓘ (higher is better) | 2 / 5 | 2.9 / 5 | 2.8 / 5 | Worse |
| Staffing rating ⓘ (higher is better) | 4 / 5 | 3.5 / 5 | 2.9 / 5 | Better |
| Quality measures rating ⓘ (higher is better) | 4 / 5 | 2.7 / 5 | 3.6 / 5 | Average |
| Long-stay quality rating (higher is better) | 4 / 5 | 2.6 / 5 | 3.8 / 5 | Average |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.73 hrs | 3.79 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 1.00 hrs | 0.80 hrs | 0.69 hrs | Better |
| Nurse aide hours per resident per day (higher is better) | 2.42 hrs | 2.52 hrs | 2.32 hrs | Average |
| Weekend nurse staff hours per resident per day (higher is better) | 3.20 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 52.2% | 48.2% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 27.3% | 34.7% | 42.9% | Better |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 7 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 84 | 72.2 | 80.6 | Average |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
| Total fines in the past 3 years (lower is better) | $56,430 | $40,815 | $30,972 | Worse |
| All federal penalties in the past 3 years (lower is better) | 2 | 2 | 1 | Worse |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 59 | 61 | 107 | |
| Average residents per day | 55 | 52 | 86 | |
| Occupancy | 92.7% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 2% | 5.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 1.3% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 12.3% | 24.6% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 3% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.5% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 19.1% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 14.5% | 19.4% | 14.1% | Average |
| Long-stay residents who lose too much weight (lower is better) | 4.8% | 5.6% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 16.4% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 21.4% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 92.9% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents given a pneumonia vaccine (higher is better) | 100% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 12 health deficiencies and 3 fire safety deficiencies in the inspection records CMS currently publishes. 2 citations involved actual harm.
| Date | Citation | Severity | Status |
|---|---|---|---|
| July 17, 2025 Standard | Provide appropriate pressure ulcer care and prevent new ulcers from developing. Quality of Life and Care Deficiencies · Tag F0686 | G Actual harm, isolated | Corrected August 13, 2025 |
| July 17, 2025 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected September 9, 2025 |
| July 17, 2025 Standard | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | E Potential harm, pattern | Corrected August 13, 2025 |
| July 17, 2025 Standard | 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. Quality of Life and Care Deficiencies · Tag F0688 | E Potential harm, pattern | Corrected August 12, 2025 |
| July 17, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected August 16, 2025 |
| July 17, 2025 Standard | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Tag F0578 | D Potential harm, isolated | Corrected August 15, 2025 |
| July 17, 2025 Standard | Ensure residents have reasonable access to and privacy in their use of communication methods. Resident Rights Deficiencies · Tag F0576 | C No harm, widespread | Corrected August 9, 2025 |
| November 6, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | G Actual harm, isolated | Corrected November 21, 2024 |
| January 18, 2024 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected March 2, 2024 |
| January 18, 2024 Standard | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Tag F0812 | F Potential harm, widespread | Corrected March 3, 2024 |
| January 18, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | E Potential harm, pattern | Corrected March 3, 2024 |
| January 18, 2024 Standard | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Tag F0625 | D Potential harm, isolated | Corrected March 3, 2024 |
| January 26, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected February 8, 2023 |
| January 26, 2023 Fire safety | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Tag K0712 | D Potential harm, isolated | Corrected February 8, 2023 |
| January 26, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected February 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports 2 federal penalties in the past three years, including $56,430 in fines.
| Date | Penalty | Amount / length |
|---|---|---|
| July 17, 2025 | Fine | $48,412 |
| November 6, 2024 | Fine | $8,018 |
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| BETHEL LUTHERAN HOME Organization | adp of the snf | NOT APPLICABLE | 12/20/2024 |
| CLEM, JUSTIN Individual | adp of the snf | NOT APPLICABLE | 12/20/2024 |
| GLANZER, REBECCA Individual | adp of the snf | NOT APPLICABLE | 12/20/2024 |
| SCHNEIDER, JEREMIAH Individual | adp of the snf | NOT APPLICABLE | 12/20/2024 |
| CLEM, JUSTIN Individual | contracted managing employee | NOT APPLICABLE | 07/11/2018 |
| SCHNEIDER, JEREMIAH Individual | corporate officer | NOT APPLICABLE | 07/18/2022 |
| BETHEL LUTHERAN HOME Organization | direct ownership interest | NOT APPLICABLE | 01/01/1966 |
| BARBER, DAWN Individual | indirect ownership interest | NOT APPLICABLE | 04/01/2024 |
| BREDDIN, KARL Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2021 |
| CLEM, JUSTIN Individual | indirect ownership interest | NOT APPLICABLE | 07/11/2018 |
| FELDHAUS, MARIA Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2023 |
| GLANZER, REBECCA Individual | indirect ownership interest | NOT APPLICABLE | 07/20/2015 |
| SCHNEIDER, JEREMIAH Individual | indirect ownership interest | NOT APPLICABLE | 07/18/2022 |
| VOELKER, JACKIE Individual | indirect ownership interest | NOT APPLICABLE | 10/01/2022 |
| BARBER, DAWN Individual | managing control - governing body | NOT APPLICABLE | 04/01/2024 |
| BREDDIN, KARL Individual | managing control - governing body | NOT APPLICABLE | 10/01/2021 |
| FELDHAUS, MARIA Individual | managing control - governing body | NOT APPLICABLE | 10/01/2023 |
| VOELKER, JACKIE Individual | managing control - governing body | NOT APPLICABLE | 10/01/2022 |
| BARBER, DAWN Individual | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| BETHEL LUTHERAN HOME Organization | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| BREDDIN, KARL Individual | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| CLEM, JUSTIN Individual | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| FELDHAUS, MARIA Individual | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| GLANZER, REBECCA Individual | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| SCHNEIDER, JEREMIAH Individual | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| VOELKER, JACKIE Individual | operational/managerial control | NOT APPLICABLE | 12/13/2024 |
| GLANZER, REBECCA Individual | w-2 managing employee | NOT APPLICABLE | 07/20/2015 |
| SCHNEIDER, JEREMIAH Individual | w-2 managing employee | NOT APPLICABLE | 07/18/2022 |
Other nursing homes near Bethel Lutheran Home
Good Samaritan Society Howard
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Non-profit · 45 beds · Part of Good Samaritan Society
- CMS high performer
★★★★★5Much above averageDells Nursing and Rehab Center INC
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For-profit · 50 beds
★★★★★4Above averageFlandreau Santee Sioux Tribe Care Center
909 Jones Dr, Flandreau, SD 57028 · 25.6 mi
Non-profit · 42 beds
★★★★★3AverageRiverview Healthcare Center
611 East 2nd Ave, Flandreau, SD 57028 · 26.5 mi
For-profit · 63 beds · Part of Evergreen Healthcare Group
- Special Focus candidate
- Abuse citation
★★★★★1Much below averageUnited Living Community
405 First Ave, Brookings, SD 57006 · 26.7 mi
Non-profit · 67 beds
- Abuse citation
★★★★★2Below averageThe Neighborhoods at Brookview
2421 Yorkshire Dr, Brookings, SD 57006 · 27.7 mi
Government · 79 beds
- CMS high performer
★★★★★5Much above average
Frequently asked questions
What is Bethel Lutheran Home's rating?
Bethel Lutheran Home has 2 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Bethel Lutheran Home receive?
Its most recent standard health inspection found 7 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Bethel Lutheran Home accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Bethel Lutheran Home?
It is non profit - church related. The ownership section on this page lists the owners and managers reported to CMS.
Where is Bethel Lutheran Home and how do I contact it?
Bethel Lutheran Home is at 1001 S Egan Ave, Madison, SD 57042. Phone: (605) 256-4539.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.