01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-12-18 | 2 | 2025-12-18 | 1 |
| Cycle 2 | 2024-11-07 | 7 | 2024-11-07 | 0 |
| Cycle 3 | 2023-07-20 | 3 | 2023-07-20 | 0 |
CMS CCN 4350962026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Bethany Home Sioux Falls
1901 South Holly Avenue · Sioux Falls, SD 57105 · Minnehaha County
Certified beds52CMS provider file
Recent citation rows13current CMS citation release
Penalty rows0current CMS penalties file
Read this record carefully.
The citation files cover the three most recent standard inspections plus qualifying complaint and infection-control inspections in the prior three years. A correction date is a CMS field; this site does not independently verify conditions. Absence from a file is not proof that no issue exists.
02 / CITATION DETAIL
13 rows in the current release
0 rows carry G–L scope/severity codes; 0 carry J–L. 0 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-12-18 · HEALTHF0689Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Correction field: Deficient, Provider has date of correction · 2026-02-05 · complaint2025-12-18 · FIREK0923Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Have proper medical gas storage and administration areas.
Correction field: Deficient, Provider has date of correction · 2026-02-012025-10-29 · HEALTHF0684Severity D · isolated; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Correction field: Past Non-Compliance · complaint2024-11-07 · HEALTHF0582Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Correction field: Past Non-Compliance · 2024-11-052024-11-07 · HEALTHF0600Severity E · pattern; potential for more than minimal harm
Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Correction field: Deficient, Provider has date of correction · 2024-12-06 · complaint2024-11-07 · HEALTHF0623Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Correction field: Past Non-Compliance · 2024-11-052024-11-07 · HEALTHF0625Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Notify 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.
Correction field: Past Non-Compliance · 2024-11-052024-11-07 · HEALTHF0657Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Correction field: Deficient, Provider has date of correction · 2024-12-062024-11-07 · HEALTHF0803Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2024-12-062024-11-07 · HEALTHF0812Severity F · widespread; potential for more than minimal harm
Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Correction field: Deficient, Provider has date of correction · 2024-12-062023-07-20 · HEALTHF0640Severity D · isolated; potential for more than minimal harm
Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Correction field: Deficient, Provider has date of correction · 2023-09-032023-07-20 · HEALTHF0761Severity E · pattern; potential for more than minimal harm
Pharmacy Service Deficiencies
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.
Correction field: Deficient, Provider has date of correction · 2023-09-032023-07-20 · HEALTHF0880Severity F · widespread; potential for more than minimal harm
Infection Control Deficiencies
Provide and implement an infection prevention and control program.
Correction field: Deficient, Provider has date of correction · 2023-09-0303 / ENFORCEMENT FILE
Penalties reported by CMS
Fine amounts and payment-denial days are shown exactly as aggregated from the current penalties file. They do not imply an unpaid balance.
| Date | Type | Fine amount | Payment-denial days |
|---|---|---|---|
| No penalty row appeared in the August 2026 penalties file. | |||
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- AUGUSTANA LUTHERAN CHURCHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 01/01/1966
- BEAVER VALLEY LUTHERAN CHURCHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 01/01/1966
- BENTON LUTHERAN CHURCHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 01/01/1966
- NATHANAEL LUTHERAN CHURCHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 01/01/1966
- ST MARKS LUTHERAN CHURCHOrganization · 5% OR GREATER DIRECT OWNERSHIP INTEREST20% · since 01/01/1966
- ANDERSON, ROBERTIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- FLIER, JOELIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- FONDER, LYNDAIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- HEINEMANN, DANIELIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- HENDRICKS-WILKENS, MARYIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- HERRBOLDT, DEBORAHIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- HOPE, LORIIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- JOHNSON, ELLENIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- KRUSE, SUSANIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- NEIDERHISER, DEBRAIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- PAULSON, JOHNIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- PERSON, LEEIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/02/2025
- SANDEN, JAMESIndividual · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/2020
Names and roles are self-reported CMS disclosure fields. Exact-name pages do not prove that similarly named people or organizations are the same entity.
05 / CMS STAFFING FIELDS
Reported hours and turnover
Staffing fields are provider-reported and case-mix context matters. CMS applies footnotes and exclusions not reproduced as a new score here.
Total nurse hours—per resident day
RN hours—per resident day
Weekend nurse hours—per resident day
Staff turnover44.9%CMS reported field
06 / LOCAL RECORDS
Open the Sioux Falls ledger →Other published facilities nearby
Avantara Norton110 beds · CMS overall —/576 citation rowsAvera Prince Of Peace126 beds · CMS overall 4/519 citation rowsDow Rummel Village50 beds · CMS overall 3/515 citation rowsGood Samaritan Society Luther Manor92 beds · CMS overall 2/523 citation rowsGood Samaritan Society Sioux Falls Center98 beds · CMS overall 2/525 citation rowsGood Samaritan Society Sioux Falls Village177 beds · CMS overall 2/532 citation rows