Nursing Care Index

Bethel Lutheran Home

Madison, Lake County, South Dakota · CCN 435076 · Non-profit (Church related) · not part of a chain

CMS rates Bethel Lutheran Home 2 of 5 overall as of August 2026. 59 certified beds, 55 residents a day on average. 12 citations on record from the current inspection cycles, 2 involving actual harm; 2 fines totalling $56,430.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★☆☆☆ 2 of 5
Health inspections★★☆☆☆ 2 of 5
Staffing★★★★☆ 4 of 5
Quality measures★★★★☆ 4 of 5
Quality: long-stay / short-stay4 / — of 5

Staffing

Total nurse staffing3.72808 hours per resident per day
Registered nurses1.00082 hours per resident per day
Weekend total3.19799 hours per resident per day
Nursing staff turnover52.2% (registered nurses 27.3%)
Administrators who left2

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2025-07-17 Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · tag F0686
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2025-08-13
2025-07-17 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2025-09-09
2025-07-17 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · tag F0550
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-08-13
2025-07-17 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.
Quality of Life and Care Deficiencies · tag F0688
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-08-12
2025-07-17 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2025-08-16
2025-07-17 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.
Resident Rights Deficiencies · tag F0578
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2025-08-15
2025-07-17 Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · tag F0576
C No actual harm, with potential for minimal harm; widespread Deficient, Provider has date of correction
2025-08-09
2024-11-06
complaint survey
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · tag F0689
G Actual harm that is not immediate jeopardy; isolated Deficient, Provider has date of correction
2024-11-21
2024-01-18 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · tag F0812
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2024-03-03
2024-01-18 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
E No actual harm, with potential for more than minimal harm; pattern Deficient, Provider has date of correction
2024-03-03
2024-01-18 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.
Resident Rights Deficiencies · tag F0625
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-03-03
2023-01-26 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-02-15

Fines and payment denials

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

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Bethel Lutheran Home
Organization
adp of the snf2024-12-20
Bethel Lutheran Home
Organization
direct ownership interest1966-01-01
Bethel Lutheran Home
Organization
operational/managerial control2024-12-13
Clem, Justin
Individual
adp of the snf2024-12-20
Glanzer, Rebecca
Individual
adp of the snf2024-12-20
Schneider, Jeremiah
Individual
adp of the snf2024-12-20
Clem, Justin
Individual
contracted managing employee2018-07-11
Schneider, Jeremiah
Individual
corporate officer2022-07-18
Barber, Dawn
Individual
indirect ownership interest2024-04-01
Breddin, Karl
Individual
indirect ownership interest2021-10-01
Clem, Justin
Individual
indirect ownership interest2018-07-11
Feldhaus, Maria
Individual
indirect ownership interest2023-10-01
Glanzer, Rebecca
Individual
indirect ownership interest2015-07-20
Schneider, Jeremiah
Individual
indirect ownership interest2022-07-18
Voelker, Jackie
Individual
indirect ownership interest2022-10-01
Barber, Dawn
Individual
managing control - governing body2024-04-01
Breddin, Karl
Individual
managing control - governing body2021-10-01
Feldhaus, Maria
Individual
managing control - governing body2023-10-01
Voelker, Jackie
Individual
managing control - governing body2022-10-01
Barber, Dawn
Individual
operational/managerial control2024-12-13
Breddin, Karl
Individual
operational/managerial control2024-12-13
Clem, Justin
Individual
operational/managerial control2024-12-13
Feldhaus, Maria
Individual
operational/managerial control2024-12-13
Glanzer, Rebecca
Individual
operational/managerial control2024-12-13
Schneider, Jeremiah
Individual
operational/managerial control2024-12-13
Voelker, Jackie
Individual
operational/managerial control2024-12-13
Glanzer, Rebecca
Individual
w-2 managing employee2015-07-20
Schneider, Jeremiah
Individual
w-2 managing employee2022-07-18

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Lake County.