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Bethel Lutheran Home

Madison, SD · Medicare and Medicaid-certified nursing home (CCN 435076) · 59 certified beds

CMS overall rating: 2★ (state average 2.88★ — below state average)
Health inspection: 2 · Quality measures: 4 · Staffing: 4
Federal fines: 2 totaling $56,430
Phone: (605) 256-4539 · Verify on Medicare Care Compare ↗

Bethel Lutheran Home has a CMS overall rating of 2 out of 5 stars, below South Dakota's average of 2.88. Its health inspection rating is 2 stars, while its staffing rating is 4 stars.

Bethel Lutheran Home reports total nurse staffing of 3.73 hours per resident per day, including 1.00 RN hours per resident per day, with a CMS staffing rating of 4 stars. Nursing staff turnover is reported at 52.2%.

CMS records show 2 federal fines totaling $56,430.00 for Bethel Lutheran Home, with no payment denials on record. CMS does not display an abuse icon for this facility, and it is not in CMS's Special Focus program.

Overall rating vs. benchmarks
Bethel Lutheran Home Bethel Lutheran Home: 2★ 2★ SD average SD average: 2.88★ 2.88★

About this facility

Bethel Lutheran Home is a non-profit, church-related nursing home in Madison, South Dakota (Lake County), certified for both Medicare and Medicaid since April 1994. The facility is licensed for 59 beds and reports an average daily census of 54.7 residents.

According to CMS Care Compare, Bethel Lutheran Home holds an overall star rating of 2 out of 5, which falls below the South Dakota state average of 2.88. Its component ratings are mixed: the health inspection rating is 2 stars, the quality measures (QM) rating is 4 stars, and the staffing rating is 4 stars.

Nurse staffing data show total nurse hours per resident per day of 3.73, including 1.00 RN hours per resident per day. Nursing staff turnover is reported at 52.2%.

On the penalty record, CMS lists 2 federal fines totaling $56,430.00 for this facility. There are no payment denials on record. CMS does not display an abuse icon for Bethel Lutheran Home, and the facility is not listed under CMS's Special Focus Facility program, which is reserved for homes CMS identifies as persistently underperforming and subject to increased inspection.

No chain affiliation is indicated in the available data, and there has been no change of ownership in the past 12 months, so current ratings reflect the present operator.

This profile is based on data published by CMS Care Compare; families should verify current details directly on Care Compare before making a decision.

Questions families ask

What is this nursing home's CMS overall star rating and how does it compare to the state average?

Bethel Lutheran Home has an overall CMS rating of 2 out of 5 stars, below the South Dakota state average of 2.88.

Does this facility accept Medicare, Medicaid, or both?

Yes, Bethel Lutheran Home is certified for both Medicare and Medicaid.

How well is this facility staffed — nurse hours per resident and turnover?

Total nurse staffing is 3.73 hours per resident per day, including 1.00 RN hours, with a staffing star rating of 4 and a nursing turnover rate of 52.2%.

Does this facility have federal fines or penalties on record?

Yes, CMS lists 2 fines totaling $56,430.00, and there are no payment denials on record.

Has CMS flagged this facility for abuse or placed it in the Special Focus program?

No, CMS does not display an abuse icon for this facility, and it is not designated as a Special Focus Facility.

How large is this facility and how many residents live there?

Bethel Lutheran Home is certified for 59 beds and has an average daily census of 54.7 residents.

Who owns this facility — and is it part of a chain?

It is a non-profit, church-related facility, and the available data does not indicate any chain affiliation.

How long has this facility been Medicare/Medicaid certified?

The facility has been certified since April 1, 1994.

What do the four different CMS star ratings mean?

CMS rates facilities on overall quality, health inspections, staffing, and quality measures; Bethel Lutheran Home scores 2 overall, 2 for health inspections, 4 for staffing, and 4 for quality measures.

Does this facility offer short-term rehabilitation as well as long-term care?

The provided CMS data does not specify rehabilitation services; contact the facility at (605) 256-4539 or verify on Medicare Care Compare.

What should I look for when touring this facility?

The available data does not cover tour details; contact the facility at (605) 256-4539 to arrange a visit and verify current conditions on Medicare Care Compare.

How do I verify this facility's current record on Medicare Care Compare?

You can review the most current inspection, staffing, and penalty information at https://www.medicare.gov/care-compare/details/nursing-home/435076?state=SD.

Data: CMS Care Compare (Aug2026 refresh). Star ratings, staffing hours, and penalty records are CMS's official published measures. Always tour the facility, review the current inspection record, and verify details with Medicare before making care decisions.