Bethel Lutheran Home has received an F grade based on CMS data, with a score of 39/100 — placing it among the lowest-rated nursing facilities in South Dakota. Families considering this Madison facility should carefully review its inspection history and quality metrics.
Staffing at Bethel Lutheran Home is near the national average, with 3.82 total nursing hours per resident per day (national average: 3.8 hours).
Recent inspections identified 12 deficiencies at Bethel Lutheran Home. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
🏥 Staffing Details
| Staff Type | Hours/Resident/Day | National Avg | Comparison |
|---|---|---|---|
| Total Nursing | 3.82 | 3.8 | Average |
| Registered Nurses (RN) | 0.77 | 0.7 | Above Average |
| Licensed Practical Nurses (LPN) | 0.39 | 0.7 | Below Average |
| Certified Nursing Assistants (CNA) | 2.65 | 2.4 | Above Average |
| Weekend Total Nursing | 3.19 | 3.8 | Below Average |
| Weekend RN Hours | 0.60 | 0.7 | Below Average |
🔍 Inspection & Deficiency History
View recent deficiencies (5 shown)
- Tag 0686 Severity GProvide appropriate pressure ulcer care and prevent new ulcers from developing.Jul 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0812 Severity FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Jul 16, 2025 · Nutrition and Dietary Deficiencies
- Tag 0550 Severity EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Jul 16, 2025 · Resident Rights Deficiencies
- Tag 0688 Severity EProvide 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 medicJul 16, 2025 · Quality of Life and Care Deficiencies
- Tag 0880 Severity EProvide and implement an infection prevention and control program.Jul 16, 2025 · Infection Control Deficiencies
📊 Resident Outcome Measures
Based on CMS quality measure data. Lower percentages are better for most metrics.
| Measure | This Facility | Nat'l Avg | |
|---|---|---|---|
| Residents with pressure ulcers | 1.7% | 4.5% | Better |
| Falls with major injury | 2.0% | 3.0% | Better |
| On antipsychotic medication | 8.6% | 14.5% | Better |
| Urinary tract infections | 3.5% | 2.5% | Worse |
| ADL decline (daily activities) | 17.5% | 14.0% | Worse |
| Excessive weight loss | 4.5% | 7.5% | Better |
| New/worsened incontinence | 24.3% | 45.0% | Better |
⚠️ Penalties & Fines
2 penalties recorded by CMS
Total fines: $56,430
How This Grade Was Calculated
This facility's grade of F is based on a score of 39 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 2★ → 10 pts (max 25)
- Staffing Rating: 4★ → 16 pts (max 20)
- Quality Measures Rating: 4★ → 12 pts (max 15)
- Penalty deductions: -10 pts
- Fine deductions: -5 pts
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
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