Bethany Lutheran Home
State inspectors recorded 1 immediate-jeopardy citation(s) here in the last three years — CMS's most serious level.
Serious inspection findings
2025-10-02 — IMMEDIATE JEOPARDY (tag F0689, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-05-30 — ACTUAL HARM (tag F0658, severity G)
Resident Assessment and Care Planning Deficiencies · correction not recorded in CMS data
Ensure services provided by the nursing facility meet professional standards of quality.
2024-08-12 — ACTUAL HARM (tag F0689, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2023-11-02 — IMMEDIATE JEOPARDY (tag F0684, severity J)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2023-08-21 — ACTUAL HARM (tag F0695, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide safe and appropriate respiratory care for a resident when needed.
Staffing, from payroll records
Nursing hours / resident / day
3.76
state median 3.10
Weekend staffing gap
−5%
fewer nursing hours on weekends · state median −7%
RN hours / resident / day
0.25
registered nurses only
Contract (agency) staff
0%
share of all nursing hours
Days with zero RN hours reported
3
with residents present
Nursing staff turnover
30%
per year, per CMS
Keep an eye on this facility
Penalties and enforcement
3 enforcement action(s), totaling $46,914 in fines.
| Date | Type | Amount |
|---|---|---|
| 2025-10-02 | Fine | $16,588 |
| 2023-11-02 | Fine | $11,183 |
| 2023-08-21 | Fine | $19,143 |
Ownership
Ownership type: Non profit - Other.
Full citation history
| Survey date | Tag | Category | Severity | Corrected |
|---|---|---|---|---|
| 2026-05-21 | F0602 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-10-02 | F0637 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-10-02 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-10-02 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-10-02 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-10-02 | F0689 | Quality of Life and Care Deficiencies | J | not recorded |
| 2025-10-02 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2025-10-02 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2025-10-02 | F0880 | Infection Control Deficiencies | F | not recorded |
| 2025-05-30 | F0658 | Resident Assessment and Care Planning Deficiencies | G | not recorded |
| 2025-05-30 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2025-03-13 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2025-03-13 | F0609 | Freedom from Abuse, Neglect, and Exploitation Deficiencies | D | not recorded |
| 2025-03-13 | F0657 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2025-03-13 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-31 | F0623 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-31 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2024-10-31 | F0644 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-10-31 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-10-31 | F0727 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2024-10-31 | F0744 | Quality of Life and Care Deficiencies | D | not recorded |
| 2024-10-31 | F0812 | Nutrition and Dietary Deficiencies | E | not recorded |
| 2024-10-31 | F0880 | Infection Control Deficiencies | D | not recorded |
| 2024-08-12 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2024-08-12 | F0689 | Quality of Life and Care Deficiencies | G | not recorded |
| 2024-05-14 | F0550 | Resident Rights Deficiencies | E | not recorded |
| 2024-05-14 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-11-02 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-11-02 | F0684 | Quality of Life and Care Deficiencies | J | not recorded |
| 2023-08-21 | F0550 | Resident Rights Deficiencies | D | not recorded |
| 2023-08-21 | F0585 | Resident Rights Deficiencies | D | not recorded |
| 2023-08-21 | F0625 | Resident Rights Deficiencies | D | not recorded |
| 2023-08-21 | F0656 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-08-21 | F0658 | Resident Assessment and Care Planning Deficiencies | D | not recorded |
| 2023-08-21 | F0684 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-21 | F0686 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-21 | F0689 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-21 | F0690 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-21 | F0695 | Quality of Life and Care Deficiencies | G | not recorded |
| 2023-08-21 | F0698 | Quality of Life and Care Deficiencies | D | not recorded |
| 2023-08-21 | F0725 | Nursing and Physician Services Deficiencies | E | not recorded |
| 2023-08-21 | F0760 | Pharmacy Service Deficiencies | D | not recorded |
| 2023-08-21 | F0880 | Infection Control Deficiencies | D | not recorded |