Bethany Home - Brandon
3012 E Aspen Blvd, Brandon, SD 57005 · Minnehaha County · 60 certified beds · avg 55 residents/day · certified since Oct 11, 2012
Abuse citation flag (CMS)
The abuse flag means inspectors cited this facility for abuse that caused harm to a resident within the past year, or potential for harm in each of the last two years. Source: CMS.
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★☆☆☆☆1/5 · CMS overall rating: 1/5
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and self-reported quality measures.
Most serious findings (actual harm or immediate jeopardy)
▲ Immediate jeopardy, repeated · Nov 8, 2024 · F-0812
The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards.
Why it matters: Unsafe food handling is one of the most common causes of food poisoning, which can be dangerous for frail residents.
Severity (K): A life-threatening or extremely dangerous situation affected several residents. Among the most serious findings an inspection can produce.
Corrected: Dec 6, 2024 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · May 28, 2026 · F-0760 · triggered by a complaint
The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication.
Why it matters: A serious medication error can cause real harm, hospitalization, or worse.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 25, 2026 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 21, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
▲ Actual harm, one-off · May 29, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Jun 25, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (27)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| May 28, 2026 | ▲ G · Actual harm, one-off | The facility did not keep residents free from significant medication errors — such as giving the wrong drug, the wrong dose, or missing a critical medication. · from a complaint |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. · from a complaint |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not report suspected abuse, neglect, or theft to the proper authorities quickly enough, or did not report the results of its investigation. · from a complaint |
| May 28, 2026 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. |
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Dec 18, 2025 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not provide a safe, clean, comfortable, and homelike environment, including safe support for residents' daily living needs. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Dec 18, 2025 | D · Potential for harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. |
| Oct 21, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 29, 2025 | ▲ G · Actual harm, one-off | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint |
| May 29, 2025 | D · Potential for harm, one-off | The facility did not protect residents from abuse or neglect. This covers physical, mental, and sexual abuse, physical punishment, and neglect, by anyone — staff, other residents, or visitors. · from a complaint |
| May 29, 2025 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint |
| Nov 8, 2024 | ▲ K · Immediate jeopardy, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Nov 8, 2024 | F · Potential for harm, facility-wide | The facility did not employ enough qualified food and nutrition staff, including a qualified dietician, to properly run its food service. |
| Nov 8, 2024 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Nov 8, 2024 | E · Potential for harm, repeated | The facility did not honor residents' right to voice complaints without discrimination or retaliation, or did not have a working complaint process that resolves issues promptly. |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not respond appropriately to alleged violations, such as reports of abuse, neglect, or mistreatment. Facilities must investigate every allegation and protect residents while they do. · from a complaint |
| Nov 8, 2024 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| Jul 20, 2023 | E · Potential for harm, repeated | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. |
| Jul 20, 2023 | D · Potential for harm, one-off | The facility did not allow residents to take their own medications when a clinical review showed they could do so safely. Residents have this right if their care team determines it's appropriate. |
| Jul 20, 2023 | D · Potential for harm, one-off | The facility did not honor residents' right to share a room with their spouse or a roommate of their choosing, or moved residents to a different room without written notice beforehand. |
| Jul 20, 2023 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (5 → 8).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 4 | 0 | E |
| 2024 | 6 | 1 | K ▲ |
| 2025 | 13 | 2 | G ▲ |
| 2026 | 4 | 1 | G ▲ |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
3 fines totaling $51,350.
| Date | Type | Amount / length |
|---|---|---|
| Oct 21, 2025 | Fine | $17,345 |
| May 29, 2025 | Fine | $9,620 |
| Nov 8, 2024 | Fine | $24,385 |
Nurse staffing (from payroll records, adjusted for how much care residents need)
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.21 | 4.32 | 3.95 | top 20% in South Dakota; top 10% in the U.S. |
| Registered Nurse hours | 0.76 | 0.91 | 0.69 | bottom 37% in South Dakota; top 31% in the U.S. |
| Weekend total nurse staffing | 4.50 | 3.71 | 3.50 | top 21% in South Dakota; top 12% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.30 | 0.51 | 0.48 | bottom 15% in South Dakota; bottom 32% in the U.S. |
| Total nursing staff turnover (%) | 54.0 | 48.2 | 45.8 | bottom 36% in South Dakota; bottom 27% in the U.S. |
| RN turnover (%) | 33.3 | 34.7 | 42.9 | bottom 48% in South Dakota; top 33% in the U.S. |
Hours are per resident per day, case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 4.66, RN 0.68, weekend 4.02. Staffing rating: 4/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 1/5 · long-stay residents: 1/5 · short-stay residents: 2/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Augustana Lutheran Church | Organization | 5% or Greater Direct Ownership Interest | 20% | 01/01/1966 |
| Beaver Valley Lutheran Church | Organization | 5% or Greater Direct Ownership Interest | — | 01/01/1966 |
| Benton Lutheran Church | Organization | 5% or Greater Direct Ownership Interest | 20% | 01/01/1966 |
| Nathanael Lutheran Church | Organization | 5% or Greater Direct Ownership Interest | 20% | 01/01/1966 |
| St Marks Lutheran Church | Organization | 5% or Greater Direct Ownership Interest | 20% | 01/01/1966 |
| Anderson, Robert | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Compeer Financial | Organization | 5% or Greater Mortgage Interest | NOT APPLICABLE | 05/05/2011 |
| Flier, Joel | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Fonder, Lynda | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2023 |
| Grant, Rose | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2016 |
| Heinemann, Daniel | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2015 |
| Heinemann, Daniel | Individual | ADP of the SNF | NOT APPLICABLE | 03/17/2025 |
| Hendricks-Wilkens, Mary | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2022 |
| Herrboldt, Deborah | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2014 |
| Herrboldt, Deborah | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/01/2014 |
| Hope, Lori | Individual | Corporate Officer | NOT APPLICABLE | 04/01/2008 |
| Johnson, Ellen | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Johnson, Gregory | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2017 |
| Kroger, Heather | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2024 |
| Kroger, Heather | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2024 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "What systems do you use to prevent medication errors, and what happens when one occurs?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "When abuse or theft is suspected, who do you notify, how fast, and how do you inform the family?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Avera Prince of Peace | 9.3 mi | Sioux Falls, SD | ★★★★☆ | 3/5 | |
| Palisade Healthcare Center | 9.3 mi | Garretson, SD | ★☆☆☆☆ | 1/5 | abuse |
| Good Samaritan Society Sioux Falls Center | 9.8 mi | Sioux Falls, SD | ★★☆☆☆ | 2/5 | abuse |
| Tuff Memorial Home | 10.3 mi | Hills, MN | ★★★★☆ | 5/5 | |
| Dow Rummel Village | 10.4 mi | Sioux Falls, SD | ★★★☆☆ | 2/5 | |
| Avantara Norton | 11.0 mi | Sioux Falls, SD | —/5 | abuseSFF | |
| Good Samaritan Society Luther Manor | 11.3 mi | Sioux Falls, SD | ★★☆☆☆ | 2/5 | |
| Bethany Home Sioux Falls | 11.4 mi | Sioux Falls, SD | ★★★☆☆ | 4/5 | |
| Good Samaritan Society Sioux Falls Village | 13.6 mi | Sioux Falls, SD | ★★☆☆☆ | 2/5 | |
| Good Samaritan Society - Mary Jane Brown | 16.6 mi | Luverne, MN | ★☆☆☆☆ | 2/5 | |
| MN Veterans Home-Luverne | 17.3 mi | Luverne, MN | ★★★★★ | 4/5 | |
| Dells Nursing and Rehab Center INC | 18.9 mi | Dell Rapids, SD | ★★★★☆ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435130.