76/100
Above average
Bethel Lutheran Home
1001 S Egan Ave, Madison, SD 57042
- Certified beds
- 59
- Occupancy
- 93%
- Ownership
- Non-profit
- Accepts
- Medicare + Medicaid
What to ask about before you visit
These are findings in the public CMS record for this home. They are not our opinion, each one comes straight from a federal inspection or enforcement file.
$56,430 in federal fines
CMS has fined this facility across 2 penalty action(s).
Our read on Bethel Lutheran Home
Bethel Lutheran Home is a 59-bed church-affiliated nonprofit in Madison, and its numbers tell a mixed story. Nurse staffing sits at 3.73 hours per resident day, a bit under the national average, and weekends run roughly 14% thinner than weekdays, so coverage depends on when you visit. Staff turnover is 52.2%, well above the national 45.8%, which matters for whether your parent sees the same faces. The health inspection record is the weak spot: 12 deficiencies, two serious enough to involve harm or jeopardy, and $56,430 in fines across two penalties. A July 2025 inspection is recent, at least. Quality and staffing measures score better than that inspection history suggests.
Written from the CMS figures for this home shown further down this page. Nothing here is paid for or supplied by the home.
How this grade was calculated
Every point is shown. Nothing is weighted behind the scenes, the full formula is on How we grade.
A full pentagon is full marks. The shape shows what kind of good or bad a home is, two homes can share a score and look nothing alike.
Inspection safety
30/30Citations from state health inspections over the last three surveys, weighted by how much harm CMS says they caused.
- →No citations recorded in the last 3 years
Staffing
22/30Nursing hours per resident per day, adjusted for how sick the residents are, plus RN cover and weekend consistency.
- →4.08 total nurse hours per resident per day (national median 3.77)
- →1 RN hours per resident per day
- →Weekend staffing drops 14% against weekdays
Staff stability
7/15How much of the nursing team leaves in a year. High turnover means a resident rarely sees the same face twice.
- →52% of nursing staff left in the last year
- →-2 for 2 administrator departures
Resident outcomes
12/15The CMS quality-measure rating, built from resident outcomes like falls, pressure ulcers, infections and antipsychotic use.
- →4 of 5 stars on the CMS quality-measure rating
Enforcement history
5/10Fines and payment denials CMS has imposed. A denial of payment means CMS stopped paying for new admissions.
- →$56,430 in federal fines across 2 action(s)
Staffing, against the national average
Full detailHours of nursing care each resident receives per day. The marker on each bar is the national average.
RNs are the licence level most likely to catch a resident deteriorating.
The shift most families visit, and the one thinned first.
The share of nursing staff who left over the last year.
Recent inspection findings
Last standard health inspection: July 17, 2025 (1 year ago). No citations were recorded.
No health-inspection citations on record for this facility in the current CMS release.
What families say
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Common questions about Bethel Lutheran Home
What is the ElderGrade for Bethel Lutheran Home? +
Bethel Lutheran Home holds an ElderGrade of B (76 out of 100), which we describe as "above average". The grade combines its inspection citations, nurse staffing levels, staff turnover, resident outcomes and enforcement history from the federal CMS record.
How many nursing hours does each resident get at Bethel Lutheran Home? +
Residents receive an average of 3.73 nursing hours per day across all nursing staff, against a national average of 3.86 hours.
Has Bethel Lutheran Home been cited for harming residents? +
No. None of the 0 citations on record were scored at the levels CMS uses to indicate actual harm or immediate jeopardy.
Does Bethel Lutheran Home accept Medicaid? +
Yes, Bethel Lutheran Home is certified to accept Medicaid, which is the programme that pays for long-term custodial care once a resident meets their state's income and asset limits.
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