facebook tracking Bethel Lutheran Home, Madison SD: CMS Ratings & Inspections
Skip to content
Nursing homes near meNear me

Bethel Lutheran Home

All states › South Dakota › Madison › Bethel Lutheran Home

1001 S Egan Ave Madison, SD 57042 · Lake County

(605) 256-4539

Accepts Medicare Accepts Medicaid 59 certified beds Non profit

CMS certification number 435076 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Bethel Lutheran Home a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Bethel Lutheran Home as of October 2026.

CMS rates it 2 out of 5 stars overall, below the South Dakota average of 3.0. Inspectors issued 12 citations in the last three years. CMS imposed 2 penalties, including $56,430 in fines, in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

Next steps

Compare with the 3 closest homes

Staffing

Nursing staff spend about 3.71 hours per resident per day at Bethel Lutheran Home, about the same as the South Dakota median of 3.69 (US median: 3.72). About 0.94 of those hours are from registered nurses. On weekends it falls to 3.14 hours, 15% below its all-week average. Ask how weekends are staffed. 51.7% of nursing staff left within a year (South Dakota median 46.5%).

Nursing care per resident per day 3.71 hours
About the South Dakota median Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.94 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 3.14 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 51.7% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 9.1% a year Share of registered nurses who left over a year.
Administrators who left 1 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds59
Residents per day 53 About 89% of beds filled, on average
OwnershipNon profit - Church related
Payment acceptedMedicare and Medicaid
Certified sinceApril 1994
Legal business nameBETHEL LUTHERAN HOME

Paying for care at Bethel Lutheran Home: Medicare and Medicaid

Bethel Lutheran Home is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on July 17, 2025 and found 7 deficiencies. In total, inspectors issued 12 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 12 citations at Bethel Lutheran Home across 4 inspection dates, 1 of them from complaint investigations. 2 were at the actual-harm level (G–I), most recently on July 17, 2025. The most common areas cited were resident rights (4) and infection control (3). The most serious was cited under the CMS rule to "provide appropriate pressure ulcer care and prevent new ulcers from developing" (tag F0686, level G, July 17, 2025).

July 17, 2025 · 7 citations

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

Actual harm · Quality of Life and Care Deficiencies · Tag F0686 · Deficient, Provider has date of correction (Aug 13, 2025)

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Sep 9, 2025)

EHonor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0550 · Deficient, Provider has date of correction (Aug 13, 2025)

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 medical reason.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0688 · Deficient, Provider has date of correction (Aug 12, 2025)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Aug 16, 2025)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Aug 15, 2025)

CEnsure residents have reasonable access to and privacy in their use of communication methods.

Potential for minimal harm · Resident Rights Deficiencies · Tag F0576 · Deficient, Provider has date of correction (Aug 9, 2025)

November 6, 2024 · 1 citation, includes actual harm · includes complaint inspection

GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Actual harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Deficient, Provider has date of correction (Nov 21, 2024)

January 18, 2024 · 3 citations

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

Potential for more than minimal harm · Nutrition and Dietary Deficiencies · Tag F0812 · Deficient, Provider has date of correction (Mar 3, 2024)

EProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Mar 3, 2024)

DNotify 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0625 · Deficient, Provider has date of correction (Mar 3, 2024)

January 26, 2023 · 1 citation

DProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Feb 15, 2023)

Questions to ask on a tour of Bethel Lutheran Home

  1. Inspectors cited the home at the actual-harm level on July 17, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
  2. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

2 penalties in the last three years, including $56,430 in fines.

DateTypeAmount or length
Jul 17, 2025 Fine $48,412
Nov 6, 2024 Fine $8,018

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 2/5 2/5 4/5 3/5
August 2026 2/5 2/5 4/5 4/5
Add this rating badge to your websiteFree. Shows Bethel Lutheran Home's Medicare star rating and updates itself.

Size and colour

Preview

Bethel Lutheran Home Medicare star rating badge

Paste it where the badge should appear: in WordPress, a Custom HTML block or a footer widget; on other sites, any spot that accepts HTML. The badge updates itself when CMS publishes new ratings.

Examples, sizes and help on the badge page ›

Location

Hospitals near Bethel Lutheran Home

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Good Samaritan Society Howard Howard · 20.7 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 45 beds · Medicaid
Dells Nursing and Rehab Center Dell Rapids · 23.0 mi away ★★★★☆ Inspection 4/5 · Staffing 3/5 50 beds · Medicaid
Flandreau Santee Sioux Tribe Care Center Flandreau · 25.6 mi away ★★★☆☆ Inspection 4/5 · Staffing 1/5 42 beds · Medicaid
Riverview Healthcare Center Flandreau · 26.5 mi away ★☆☆☆☆ Inspection 1/5 · Staffing 3/5 63 beds · Medicaid
United Living Community Brookings · 26.7 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 67 beds · Medicaid

More nursing homes near Bethel Lutheran Home ›   All nursing homes in Madison ›

Compare Bethel Lutheran Home with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

Compare

https://www.nursinghomesineachstate.com/south-dakota/madison/bethel-lutheran-home/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.