Nursing homeActive
Bethel Lutheran Home
1001 S Egan Ave, Madison, SD 57042605256453959 certified beds · 55 residentsNon profit - Church relatedMedicare and Medicaid
Surveys on file
4
since 2023
Deficiencies
12
● 1● 9● 2
Penalties · 3 yrs
$56,430
2 fines
Last survey
2025-07-17
Standard
CMS overall
2 / 5
stars as published by CMS
CMS overall 2/5
Health 2
Staffing 4
Quality 4
Star ratings as published by CMS · CMS’s caveats
Survey history
Source: CMS · South Dakota Department of Health · data as of 2026-08-01| Date | Kind | Deficiencies | Official record | Archived PDF |
|---|---|---|---|---|
| 2025-07-17 | Standard | 151 | CMS-2567 (Care Compare) | — |
| 2024-11-06 | Complaint | 001 | CMS-2567 (Care Compare) | — |
| 2024-01-18 | Standard | 030 | CMS-2567 (Care Compare) | — |
| 2023-01-26 | Standard | 010 | CMS-2567 (Care Compare) | — |
Counts by class: paperwork · standard · harm.
Deficiencies
CMS · South Dakota Department of Health publishes each citation’s tag, official description and scope/severity letter. The surveyor’s written findings are in the Statement of Deficiencies (CMS-2567) for each survey, linked above.
F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.Scope/severity GHarm
Care planning
Isolated; actual harm that is not immediate jeopardy.Corrected 2025-08-13Record 435076-20250717-F686
F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.Scope/severity EStandard
Dignity & rights
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-13Record 435076-20250717-F550
F578Honor 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2025-08-15Record 435076-20250717-F578
F688Provide 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.Scope/severity EStandard
Care planning
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-12Record 435076-20250717-F688
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2025-09-09Record 435076-20250717-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2025-08-16Record 435076-20250717-F880
F576Ensure residents have reasonable access to and privacy in their use of communication methods.Scope/severity CPaperwork
Dignity & rights
Widespread; potential for minimal harm.Corrected 2025-08-09Record 435076-20250717-F576
F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.Scope/severity GHarm
Care planningFalls
Isolated; actual harm that is not immediate jeopardy.Corrected 2024-11-21Record 435076-20241106-F689
F625Notify 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.Scope/severity DStandard
Dignity & rights
Isolated; no actual harm, potential for more than minimal harm.Corrected 2024-03-03Record 435076-20240118-F625
F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.Scope/severity FStandard
Food & nutrition
Widespread; no actual harm, potential for more than minimal harm.Corrected 2024-03-03Record 435076-20240118-F812
F880Provide and implement an infection prevention and control program.Scope/severity EStandard
Infection control
Pattern; no actual harm, potential for more than minimal harm.Corrected 2024-03-03Record 435076-20240118-F880
F880Provide and implement an infection prevention and control program.Scope/severity DStandard
Infection control
Isolated; no actual harm, potential for more than minimal harm.Corrected 2023-02-15Record 435076-20230126-F880
Penalties & enforcement
| Date | Action | Amount | Source |
|---|---|---|---|
| 2025-07-17 | Civil money penalty | $48,412 | CMS · Penalties |
| 2024-11-06 | Civil money penalty | $8,018 | CMS · Penalties |
Staffing
CMS Payroll-Based Journal · PBJ, as published Aug 2026 · explainerRN hours per resident day1.00
Facility
South Dakota
National
South Dakota 0.80 · National 0.69
Total nurse hours per resident day3.73
Facility
South Dakota
National
South Dakota 3.79 · National 3.86
Weekend total nurse hours3.20
Facility
South Dakota
National
South Dakota 3.26 · National 3.42
Total nursing staff turnover52%
Facility
South Dakota
National
South Dakota 48% · National 46%
Registered nurse turnover27%
Facility
South Dakota
National
South Dakota 35% · National 43%
Quality measures
CMS MDS quality measures · 2025Q2-2026Q1 · definitions| Measure | Facility | South Dakota | National |
|---|---|---|---|
| Percentage of long-stay residents with pressure ulcers lower is better | 1.3% | 4.6% | 4.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury lower is better | 2.0% | 5.5% | 3.2% |
| Percentage of long-stay residents who received an antipsychotic medication lower is better | 12.3% | 24.6% | 15.4% |
| Percentage of long-stay residents with a urinary tract infection lower is better | 3.0% | 2.9% | 1.6% |
| Percentage of long-stay residents who were physically restrained lower is better | 0.0% | 0.0% | 0.1% |
| Percentage of long-stay residents whose need for help with daily activities has increased lower is better | 19.1% | 21.3% | 13.9% |
| Percentage of long-stay residents who lose too much weight lower is better | 4.8% | 5.6% | 5.2% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication lower is better | 16.4% | 17.4% | 19.5% |
Figures verbatim from CMS, with the state and national figures from the same release. The direction that counts as better is CMS’s own and is stated on every row.
Ownership
As reported to CMS (Provider Enrollment)| Entity | Role | Interest | Since | Registry |
|---|---|---|---|---|
| Barber, Dawn Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Bethel Lutheran Home Organization | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Breddin, Karl Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Clem, Justin Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Feldhaus, Maria Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Glanzer, Rebecca Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Schneider, Jeremiah Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Voelker, Jackie Individual | OPERATIONAL/MANAGERIAL CONTROL | NOT APPLICABLE | — | — |
| Barber, Dawn Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Barber, Dawn Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Bethel Lutheran Home Organization | DIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Bethel Lutheran Home Organization | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Breddin, Karl Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Breddin, Karl Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Clem, Justin Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Clem, Justin Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Clem, Justin Individual | CONTRACTED MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Feldhaus, Maria Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
| Feldhaus, Maria Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Glanzer, Rebecca Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Glanzer, Rebecca Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Glanzer, Rebecca Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Schneider, Jeremiah Individual | ADP OF THE SNF | NOT APPLICABLE | — | — |
| Schneider, Jeremiah Individual | W-2 MANAGING EMPLOYEE | NOT APPLICABLE | — | — |
| Schneider, Jeremiah Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Schneider, Jeremiah Individual | CORPORATE OFFICER | NOT APPLICABLE | — | — |
| Voelker, Jackie Individual | INDIRECT OWNERSHIP INTEREST | NOT APPLICABLE | — | — |
| Voelker, Jackie Individual | MANAGING CONTROL - GOVERNING BODY | NOT APPLICABLE | — | — |
Ownership as reported to CMS/state. CMS ownership data has known gaps; merges between entities are published only after human review.
Cost context
County figures from public surveys. Not this facility’s price. Nursing-home rates are not published by CMS or South Dakota.
No county cost figures on file for Lake.
Nearby nursing homes
| Facility | Distance | Last survey | Deficiencies · 3 yrs |
|---|---|---|---|
| Good Samaritan Society Howard Howard | 20.7 mi | 2026-05-21 | 040 |
| Dells Nursing And Rehab Center Inc Dell Rapids | 23.0 mi | 2025-12-11 | 0151 |
| Good Samaritan Society Canistota Canistota | 28.9 mi | 2026-03-24 | 0112 |
| United Living Community Brookings | 26.7 mi | 2025-12-04 | 0182 |
| The Neighborhoods At Brookview Brookings | 27.7 mi | 2025-11-21 | 050 |
Watch this facility
One email when a new survey, harm-class deficiency, penalty, Special Focus change or ownership change is recorded. Nothing else, ever.
Sources & provenance
| Section | Agency · dataset | Retrieved |
|---|---|---|
| Facility, ratings | CMS Provider Data · Nursing Home Provider Information | 2026-08-01 |
| Surveys | CMS · Survey Summary | 2026-08-01 |
| Deficiencies | CMS · Health Deficiencies (CMS-2567 findings via Care Compare) | 2026-08-01 |
| Penalties | CMS · Penalties | 2026-08-01 |
| Staffing | CMS · Payroll-Based Journal (PBJ, as published Aug 2026) | 2026-08-01 |
| Quality measures | CMS · MDS Quality Measures | 2026-08-01 |
| Ownership | CMS · Ownership | 2026-08-01 |