nursing home in Selma, CA
Bethel Lutheran Home
2280 Dockery Avenue, Selma, CA 93662 · (559) 896-4900
★★★★★3
Average
CMS overall star rating
CMS overall star rating
- Health inspections★★★★★3
- Staffing★★★★★2
- Quality measures★★★★★2
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 Selma, California (Fresno County).
CMS gives it 3 out of 5 stars on its overall star rating, close to the California average of 3.2.
Residents receive about 3.8 hours of nursing care per day (0.2 of them from registered nurses), worse than the state average of 4.5 hours.
Its most recent standard health inspection (December 5, 2025) found 10 health citations. The California average is 15.5.
It has not received a federal fine in the past three years.
Nursing staff turnover is 52.5% per year (state average 36.7%).
Facility details
- Type
- Nursing home
- Ownership
- Non Profit - Corporation
- Beds
- 59
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- August 9, 2021
- Resident/family council
- Resident
- County
- Fresno County
- CMS Certification Number
- 555924
Ratings
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 3 / 5 | 3.2 / 5 | 3 / 5 | Average |
| Health inspection rating ⓘ (higher is better) | 3 / 5 | 2.8 / 5 | 2.8 / 5 | Average |
| Staffing rating ⓘ (higher is better) | 2 / 5 | 3.3 / 5 | 2.9 / 5 | Worse |
| Quality measures rating ⓘ (higher is better) | 2 / 5 | 4.1 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 4 / 5 | 4.4 / 5 | 3.8 / 5 | Average |
| Short-stay (rehab) quality rating (higher is better) | 1 / 5 | 3.6 / 5 | 3.3 / 5 | Worse |
Staffing
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 3.81 hrs | 4.52 hrs | 3.86 hrs | Average |
| Registered nurse hours per resident per day (higher is better) | 0.24 hrs | 0.67 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 2.59 hrs | 2.65 hrs | 2.32 hrs | Better |
| Weekend nurse staff hours per resident per day (higher is better) | 3.51 hrs | 4.09 hrs | 3.42 hrs | Average |
| Nursing staff turnover (yearly) (lower is better) | 52.5% | 36.7% | 45.8% | Worse |
| Registered nurse turnover (yearly) (lower is better) | 80% | 38.1% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 2 | 0 | 1 | Worse |
Inspections
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 10 | 16 | 9 | Worse |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 4 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 73 | 105.8 | 80.6 | Better |
Penalties
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $23,986 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 1 | 1 | Better |
Size
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 59 | 99 | 107 | |
| Average residents per day | 57 | 88 | 86 | |
| Occupancy | 96.3% | 88.4% | 80.9% |
Long-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 5.7% | 1.6% | 3.2% | Worse |
| Long-stay residents with pressure ulcers (lower is better) | 1.3% | 4.3% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 4.6% | 12% | 15.4% | Better |
| Long-stay residents with a urinary tract infection (lower is better) | 1.1% | 1.2% | 1.6% | Better |
| Long-stay residents with a catheter left in the bladder (lower is better) | 0% | 0.8% | 0.8% | Better |
| Long-stay residents needing more help with daily activities (lower is better) | 13.8% | 10.2% | 13.9% | Average |
| Long-stay residents whose walking worsened (lower is better) | 17.3% | 9.8% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 4.4% | 4% | 5.2% | Better |
| Long-stay residents with depressive symptoms (lower is better) | 0.6% | 7.3% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0.4% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 13.5% | 13.7% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 22.4% | 10.2% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 98.2% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 99% | 98.6% | 93.6% | Better |
Short-stay residents
| Measure | This facility | California avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 2.4% | 1.5% | 1.6% | Worse |
| Short-stay residents given a flu vaccine (higher is better) | 96.3% | 93.2% | 79.8% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 92.2% | 94.4% | 82% | Better |
Inspection citations
State inspectors cited this home for 41 health deficiencies and 28 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| December 5, 2025 Fire safety | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Tag K0761 | F Potential harm, widespread | Corrected December 26, 2025 |
| December 5, 2025 Fire safety | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Tag E0041 | F Potential harm, widespread | Corrected December 26, 2025 |
| December 5, 2025 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | F Potential harm, widespread | Corrected December 26, 2025 |
| December 5, 2025 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected January 2, 2026 |
| December 5, 2025 Fire safety | Have restrictions on the use of portable space heaters. Miscellaneous Deficiencies · Tag K0781 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Fire safety | Install corridor and hallway doors that block smoke. Smoke Deficiencies · Tag K0363 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected December 26, 2025 |
| December 5, 2025 Standard | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Pharmacy Service Deficiencies · Tag F0755 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 2025 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 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 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 2025 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | E Potential harm, pattern | Corrected December 26, 2025 |
| December 5, 2025 Standard | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Nursing and Physician Services Deficiencies · Tag F0947 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected December 26, 2025 |
| December 5, 2025 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | B No harm, pattern | Corrected December 26, 2025 |
| August 22, 2025 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected September 15, 2025 |
| August 22, 2025 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected September 15, 2025 |
| November 15, 2024 Complaint | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Tag F0550 | D Potential harm, isolated | Corrected December 6, 2024 |
| November 15, 2024 Complaint | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Resident Rights Deficiencies · Tag F0942 | D Potential harm, isolated | Corrected December 6, 2024 |
| November 15, 2024 Complaint | Develop, implement, and/or maintain an effective training program for all new and existing staff members. Administration Deficiencies · Tag F0940 | D Potential harm, isolated | Corrected December 6, 2024 |
| October 28, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected November 7, 2024 |
| October 28, 2024 Fire safety | Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Tag K0342 | F Potential harm, widespread | Corrected November 7, 2024 |
| October 28, 2024 Fire safety | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Tag K0131 | F Potential harm, widespread | Corrected November 7, 2024 |
| October 28, 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 November 7, 2024 |
| October 28, 2024 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected November 7, 2024 |
| October 28, 2024 Fire safety | Have properly located and lighted "Exit" signs. Egress Deficiencies · Tag K0293 | D Potential harm, isolated | Corrected November 7, 2024 |
| October 28, 2024 Fire safety | Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0929 | D Potential harm, isolated | Corrected November 7, 2024 |
| October 28, 2024 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected November 7, 2024 |
| October 28, 2024 Fire safety | Address subsistence needs for staff and patients. Emergency Preparedness Deficiencies · Tag E0015 | C No harm, widespread | Corrected November 7, 2024 |
| October 28, 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 November 22, 2024 |
| October 28, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 28, 2024 Standard | Keep all essential equipment working safely. Environmental Deficiencies · Tag F0908 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 28, 2024 Standard | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Tag F0804 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 28, 2024 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 28, 2024 Standard | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Tag F0583 | E Potential harm, pattern | Corrected November 22, 2024 |
| October 28, 2024 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 28, 2024 Standard | Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0697 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 28, 2024 Standard | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Nutrition and Dietary Deficiencies · Tag F0803 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 28, 2024 Standard | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Nutrition and Dietary Deficiencies · Tag F0806 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 28, 2024 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 28, 2024 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected November 22, 2024 |
| October 28, 2024 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | C No harm, widespread | Corrected November 22, 2024 |
| December 1, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | F Potential harm, widespread | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | F Potential harm, widespread | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Smoke Deficiencies · Tag K0354 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Provide emergency officials' contact information. Emergency Preparedness Deficiencies · Tag E0031 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Tag E0030 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Tag K0345 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Provide properly protected cooking facilities. Smoke Deficiencies · Tag K0324 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0919 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Properly select, install, inspect, or maintain portable fire extinguishes. Smoke Deficiencies · Tag K0355 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Install a fire alarm system that can be heard throughout the facility. Smoke Deficiencies · Tag K0341 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0920 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Fire safety | Follow proper procedures when the fire alarm was out of service for more than 4 hours. Smoke Deficiencies · Tag K0346 | D Potential harm, isolated | Corrected December 26, 2023 |
| December 1, 2023 Standard | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Tag F0842 | E Potential harm, pattern | Corrected January 21, 2024 |
| December 1, 2023 Standard | Ensure medication error rates are not 5 percent or greater. Pharmacy Service Deficiencies · Tag F0759 | E Potential harm, pattern | Corrected January 21, 2024 |
| December 1, 2023 Standard | Honor the resident's right to manage his or her financial affairs. Resident Rights Deficiencies · Tag F0567 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Pharmacy Service Deficiencies · Tag F0758 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Tag F0656 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Tag F0641 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Resident Rights Deficiencies · Tag F0585 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. Pharmacy Service Deficiencies · Tag F0761 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 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 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Dispose of garbage and refuse properly. Nutrition and Dietary Deficiencies · Tag F0814 | D Potential harm, isolated | Corrected January 21, 2024 |
| December 1, 2023 Standard | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Environmental Deficiencies · Tag F0912 | C No harm, widespread | Corrected January 21, 2024 |
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 no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| HERTZOG, BONNY Individual | corporate director | NOT APPLICABLE | 01/01/2016 |
| JACOBSEN, LAUREL Individual | corporate director | NOT APPLICABLE | 01/01/2015 |
| SAFRENO, DANIEL Individual | corporate director | NOT APPLICABLE | 07/19/2016 |
| SCHAULAND, DONNA Individual | corporate director | NOT APPLICABLE | 10/01/2016 |
| STECK, EDWARD Individual | corporate director | NOT APPLICABLE | 01/01/2017 |
| WADEWITZ, BETTY Individual | corporate director | NOT APPLICABLE | 06/20/2017 |
| BENNER, PHILIP Individual | corporate officer | NOT APPLICABLE | 01/01/2015 |
| PATTESON, SHIKHA Individual | operational/managerial control | NOT APPLICABLE | 01/21/2021 |
Other nursing homes near Bethel Lutheran Home
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★★★★★2Below averageKingsburg Center
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★★★★★3AverageFowler Care Center
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★★★★★5Much above averageVineyards at Fowler
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★★★★★2Below average- ★★★★★3Average
Manning Gardens Care Center, INC
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Frequently asked questions
What is Bethel Lutheran Home's rating?
Bethel Lutheran Home has 3 out of 5 stars on the CMS overall star rating. The average for California nursing homes is 3.2 stars.
How many inspection citations did Bethel Lutheran Home receive?
Its most recent standard health inspection found 10 citations, compared with a California average of 15.5. 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 - corporation. 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 2280 Dockery Avenue, Selma, CA 93662. Phone: (559) 896-4900.
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.