CMS data shows Bethel Lutheran Home earning a D grade with a score of 41/100, placing it below most facilities in California. Prospective residents and families should carefully review the specific areas of concern detailed below.
Recent inspections identified 41 deficiencies at Bethel Lutheran Home. While none were classified as the most serious level, families should review the detailed inspection history below.
Score Breakdown
Overall CMS Rating 16 / 40 pts
2 ★ CMS rating
Health Inspections 15 / 25 pts
3 ★ inspection rating
Staffing 4 / 20 pts
1 ★ staffing rating
Quality Measures 6 / 15 pts
2 ★ quality measures
🏥 Staffing Details
Staffing hours data not available for this facility.
🔍 Inspection & Deficiency History
41
Total Deficiencies
Dec 4, 2025
Most Recent Inspection
⚪ 3 Minor 🟠 38 Moderate
View recent deficiencies (5 shown)
- Tag 0880 Severity FProvide and implement an infection prevention and control program.Dec 4, 2025 · Infection Control Deficiencies
- Tag 0755 Severity EProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.Dec 4, 2025 · Pharmacy Service Deficiencies
- Tag 0761 Severity EEnsure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologiDec 4, 2025 · Pharmacy Service Deficiencies
- Tag 0803 Severity EEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the neeDec 4, 2025 · Nutrition and Dietary Deficiencies
- Tag 0812 Severity EProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Dec 4, 2025 · Nutrition and Dietary 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 | 1.0% | 4.5% | Better |
| Falls with major injury | 5.4% | 3.0% | Worse |
| On antipsychotic medication | 6.7% | 14.5% | Better |
| Urinary tract infections | 2.0% | 2.5% | Better |
| ADL decline (daily activities) | 18.0% | 14.0% | Worse |
| Excessive weight loss | 5.5% | 7.5% | Better |
| New/worsened incontinence | 22.9% | 45.0% | Better |
How This Grade Was Calculated
This facility's grade of D is based on a score of 41 out of 100, calculated from official CMS Nursing Home Compare data:
- Overall CMS Rating: 2★ → 16 pts (max 40)
- Health Inspection Rating: 3★ → 15 pts (max 25)
- Staffing Rating: 1★ → 4 pts (max 20)
- Quality Measures Rating: 2★ → 6 pts (max 15)
Grades: A=85+, B=70–84, C=55–69, D=40–54, F=below 40
Facility Details
Ownership
Non profit - Corporation
Certified Beds
59
Provider Type
Medicare and Medicaid
Resident Council
Yes
Family Council
No
Sprinkler System
Yes
Last Inspection
Dec 4, 2025
Deficiencies (Cycle 1)
12
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