01 / INSPECTION LEDGER
Survey cycles in this release
| Cycle | Health date | Health deficiencies | Fire date | Fire deficiencies |
|---|---|---|---|---|
| Cycle 1 | 2025-07-17 | 7 | 2025-07-17 | 0 |
| Cycle 2 | 2024-01-18 | 4 | 2024-01-18 | 1 |
| Cycle 3 | 2023-01-26 | 1 | 2023-01-26 | 2 |
CMS CCN 4350762026-08-01 PROCESSING DATE
NURSING HOME PUBLIC RECORD
Bethel Lutheran Home
1001 S Egan Ave · Madison, SD 57042 · Lake County
Certified beds59CMS provider file
Recent citation rows15current CMS citation release
Penalty rows2current 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
15 rows in the current release
2 rows carry G–L scope/severity codes; 0 carry J–L. 2 tag codes appear on more than one survey date. These counts describe citation rows, not residents or incidents.
2025-07-17 · HEALTHF0550Severity E · pattern; potential for more than minimal harm
Resident Rights Deficiencies
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Correction field: Deficient, Provider has date of correction · 2025-08-132025-07-17 · HEALTHF0576Severity C · widespread; potential for minimal harm
Resident Rights Deficiencies
Ensure residents have reasonable access to and privacy in their use of communication methods.
Correction field: Deficient, Provider has date of correction · 2025-08-092025-07-17 · HEALTHF0578Severity D · isolated; potential for more than minimal harm
Resident Rights Deficiencies
Honor 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.
Correction field: Deficient, Provider has date of correction · 2025-08-152025-07-17 · HEALTHF0686Severity G · isolated actual harm
Quality of Life and Care Deficiencies
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Correction field: Deficient, Provider has date of correction · 2025-08-132025-07-17 · HEALTHF0688Severity E · pattern; potential for more than minimal harm
Quality of Life and Care Deficiencies
Provide 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.
Correction field: Deficient, Provider has date of correction · 2025-08-122025-07-17 · 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 · 2025-09-092025-07-17 · HEALTHF0880Severity E · pattern; 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 · 2025-08-162024-11-06 · HEALTHF0689Severity G · isolated actual 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 · 2024-11-21 · complaint2024-01-18 · 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: Deficient, Provider has date of correction · 2024-03-032024-01-18 · 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 · 2024-03-032024-01-18 · HEALTHF0880Severity E · pattern; 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 · 2024-03-032024-01-18 · FIREK0920Severity D · isolated; potential for more than minimal harm
Gas, Vacuum, and Electrical Systems Deficiencies
Ensure proper usage of power strips and extension cords.
Correction field: Deficient, Provider has date of correction · 2024-03-022023-01-26 · HEALTHF0880Severity D · isolated; 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 · 2023-02-152023-01-26 · FIREK0321Severity D · isolated; potential for more than minimal harm
Smoke Deficiencies
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Correction field: Deficient, Provider has date of correction · 2023-02-082023-01-26 · FIREK0712Severity D · isolated; potential for more than minimal harm
Miscellaneous Deficiencies
Have simulated fire drills held at unexpected times.
Correction field: Deficient, Provider has date of correction · 2023-02-0803 / 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 |
|---|---|---|---|
| 2025-07-17 | Fine | $48,412 | 0 |
| 2024-11-06 | Fine | $8,018 | 0 |
04 / OWNERSHIP DISCLOSURES
Who appears in the CMS file
- BETHEL LUTHERAN HOMEOrganization · DIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 01/01/1966
- BARBER, DAWNIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 04/01/2024
- BREDDIN, KARLIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2021
- CLEM, JUSTINIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/11/2018
- FELDHAUS, MARIAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2023
- GLANZER, REBECCAIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/20/2015
- SCHNEIDER, JEREMIAHIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 07/18/2022
- VOELKER, JACKIEIndividual · INDIRECT OWNERSHIP INTERESTNOT APPLICABLE · since 10/01/2022
- BARBER, DAWNIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 04/01/2024
- BREDDIN, KARLIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2021
- FELDHAUS, MARIAIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2023
- VOELKER, JACKIEIndividual · MANAGING CONTROL - GOVERNING BODYNOT APPLICABLE · since 10/01/2022
- CLEM, JUSTINIndividual · CONTRACTED MANAGING EMPLOYEENOT APPLICABLE · since 07/11/2018
- GLANZER, REBECCAIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/20/2015
- SCHNEIDER, JEREMIAHIndividual · W-2 MANAGING EMPLOYEENOT APPLICABLE · since 07/18/2022
- SCHNEIDER, JEREMIAHIndividual · CORPORATE OFFICERNOT APPLICABLE · since 07/18/2022
- BETHEL LUTHERAN HOMEOrganization · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/13/2024
- BARBER, DAWNIndividual · OPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE · since 12/13/2024
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 hours3.73per resident day
RN hours1.00per resident day
Weekend nurse hours3.20per resident day
Staff turnover52.2%CMS reported field
06 / LOCAL RECORDS
Open the South Dakota ledger →Other published facilities nearby
No second facility in the same city met the directory rule.