Bethel Lutheran Home

1001 S EGAN AVE, MADISON, SD 57042 · CCN 435076 · 59 certified beds · Data as of 2026-07-01

CMS overall2 of 5CMS inspections2 of 5CMS staffing4 of 5CMS quality4 of 5

Star ratings are issued by CMS (the federal Centers for Medicare & Medicaid Services), not by NursingHomeLens. We report them; we do not rate or rank facilities.

State inspectors recorded 2 citation(s) in the last three years where CMS determined a resident was actually harmed.

Serious inspection findings

2025-07-17 ACTUAL HARM (tag F0686, severity G)
Quality of Life and Care Deficiencies · correction not recorded in CMS data
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
2024-11-06 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.

Staffing, from payroll records

Nursing hours / resident / day

3.15

state median 2.96

Weekend staffing gap

−9%

fewer nursing hours on weekends · state median −10%

RN hours / resident / day

0.70

registered nurses only

Contract (agency) staff

4%

share of all nursing hours

Nursing staff turnover

52%

per year, per CMS

Source: CMS Payroll-Based Journal, 2026Q1, 90 reported days — actual payroll data, not the facility's own estimates.

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Penalties and enforcement

2 enforcement action(s), totaling $56,430 in fines.

DateTypeAmount
2025-07-17Fine$48,412
2024-11-06Fine$8,018

Ownership

Ownership type: Non profit - Church related.

Full citation history

By severity: No harm, potential for minimal harm: 1 · Actual harm: 2 · Potential for more than minimal harm: 9

Survey dateTagCategorySeverityCorrected
2025-07-17F0550Resident Rights DeficienciesEnot recorded
2025-07-17F0576Resident Rights DeficienciesCnot recorded
2025-07-17F0578Resident Rights DeficienciesDnot recorded
2025-07-17F0686Quality of Life and Care DeficienciesGnot recorded
2025-07-17F0688Quality of Life and Care DeficienciesEnot recorded
2025-07-17F0812Nutrition and Dietary DeficienciesFnot recorded
2025-07-17F0880Infection Control DeficienciesEnot recorded
2024-11-06F0689Quality of Life and Care DeficienciesGnot recorded
2024-01-18F0625Resident Rights DeficienciesDnot recorded
2024-01-18F0812Nutrition and Dietary DeficienciesFnot recorded
2024-01-18F0880Infection Control DeficienciesEnot recorded
2023-01-26F0880Infection Control DeficienciesDnot recorded

Sources: CMS Provider Information, Health Deficiencies, Penalties, and Ownership datasets (data.cms.gov/provider-data), processed 2026-07-01; CMS Payroll-Based Journal daily staffing. Find this facility on Care Compare: search “Bethel Lutheran Home, MADISON” at medicare.gov/care-compare.