Bethany Home Society San Joaquin County

Name: Bethany Home Society San Joaquin County
Address: 930 WEST MAIN STREET, Ripon, CA, 95366, US
Telephone: 2095994221

930 West Main Street, Ripon, CA 95366 · San Joaquin County · 92 certified beds · avg 56 residents/day · certified since Feb 25, 1967

4/5

Health inspection rating (on-site)

Serious findings on record

Fines, last 3 years

4.69

Nurse hours/resident/day (adjusted)

What health inspectors found (on-site government inspections — the most independent evidence available)

Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5

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.

All citations in the current public record (29)

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
Apr 15, 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
Apr 15, 2026	D · Potential for harm, one-off	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason. · from a complaint
Apr 15, 2026	D · Potential for harm, one-off	The facility did not protect residents' personal information or did not keep complete, accurate medical records that meet professional standards. · from a complaint
Sep 8, 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
Sep 8, 2025	D · Potential for harm, one-off	The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint
Jul 18, 2025	D · Potential for harm, one-off	The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint
Jul 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. · from a complaint
Mar 21, 2025	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Mar 21, 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
Mar 21, 2025	D · Potential for harm, one-off	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Mar 21, 2025	D · Potential for harm, one-off	The facility did not make sure special medical diets — like low-sodium or diabetic diets — were properly ordered by the resident's doctor or managed by a qualified dietitian as state law allows.
Oct 24, 2023	D · Potential for harm, one-off	The facility did not immediately notify the resident, their doctor, and a family member when something significant happened — such as an injury, a decline in health, or a room change. Families and doctors are entitled to know right away. · from a complaint
Oct 12, 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. · from a complaint
Oct 4, 2023	D · Potential for harm, one-off	The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint
Oct 4, 2023	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
Sep 22, 2023	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
Nov 4, 2022	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Nov 4, 2022	E · Potential for harm, repeated	The facility did not keep residents' medications free from unnecessary drugs. Residents should only take medicines they truly need, at the right dose, for a clear reason.
Nov 4, 2022	E · Potential for harm, repeated	The facility did not try to gradually reduce doses of mood- and mind-altering medications or use non-drug approaches first, as required, or used 'as needed' psychiatric drugs without proper limits.
Nov 4, 2022	E · Potential for harm, repeated	The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock.
Nov 4, 2022	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.
Nov 4, 2022	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.
May 9, 2019	F · Potential for harm, facility-wide	The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist.
May 9, 2019	F · Potential for harm, facility-wide	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.
May 9, 2019	E · Potential for harm, repeated	The facility did not give residents (and their representatives and the ombudsman, a state advocate for residents) proper advance notice before a transfer or discharge, including information about their right to appeal.
May 9, 2019	E · Potential for harm, repeated	The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
May 9, 2019	D · Potential for harm, one-off	The facility did not give residents proper notice about what Medicare or Medicaid covers, or about charges the resident might owe for services that aren't covered.
May 9, 2019	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.
May 9, 2019	D · Potential for harm, one-off	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.

Inspection trend by year

Citations from standard inspections decreased between the last two inspection cycles (6 → 4).

Year	Citations	Worst severity that year
2019	7	F
2022	6	E
2023	5	D
2025	8	E
2026	3	D

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)

No fines or payment denials in the published 3-year window.

Nurse staffing (from payroll records, adjusted for how much care residents need)

Measure	This facility	California avg	U.S. avg	Where it stands
Total nurse staffing (hours per resident per day)	4.69	4.31	3.95	top 22% in California; top 19% in the U.S.
Registered Nurse hours	0.38	0.61	0.69	bottom 27% in California; bottom 19% in the U.S.
Weekend total nurse staffing	4.23	3.90	3.50	top 23% in California; top 17% in the U.S.
Weekend RN hours (not acuity-adjusted)	0.26	0.51	0.48	bottom 25% in California; bottom 24% in the U.S.
Total nursing staff turnover (%)	46.4	36.7	45.8	bottom 21% in California; bottom 46% in the U.S.
RN turnover (%)	66.7	38.1	42.9	bottom 9% in California; bottom 15% 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 4.31, RN 0.35, weekend 3.88. Staffing rating: 3/5.

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: 4/5 · long-stay residents: 5/5 · short-stay residents: 3/5

Who owns this facility

Non profit - Corporation

Owner / manager	Type	Role	Stake	Since
Alger, Raeann	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/25/2025
Dutter, Daryl	Individual	Operational/Managerial Control	NOT APPLICABLE	10/31/2006
Dutter, Daryl	Individual	ADP of the SNF	NOT APPLICABLE	10/31/2006
Fien, Elisabeth	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/25/2025
Marcus, Steve	Individual	Operational/Managerial Control	NOT APPLICABLE	10/14/2025
Marcus, Steve	Individual	ADP of the SNF	NOT APPLICABLE	02/12/2026
Miller, Jeff	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/25/2022
Miller, Jeff	Individual	Trustee of the SNF	NOT APPLICABLE	01/25/2022
Mulder, William	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/30/2024
Osborn, Claire	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/30/2024
Scheublein, Cindy	Individual	Operational/Managerial Control	NOT APPLICABLE	10/01/2015
Scheublein, Cindy	Individual	ADP of the SNF	NOT APPLICABLE	10/15/2015
Sharma, Vijay	Individual	Operational/Managerial Control	NOT APPLICABLE	05/31/2022
Sharma, Vijay	Individual	ADP of the SNF	NOT APPLICABLE	05/31/2022
Slager, Carol	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/29/2019
Van Essen, Ronald	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/31/2023
Van Groningen, Jeffrey	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/31/2023
Van Till, John	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/31/2023
Vander Plaats, Judith	Individual	Managing Control - Governing Body	NOT APPLICABLE	01/30/2024
Veilleux, Jeffrey	Individual	Managing Control - Governing Body	NOT APPLICABLE	02/25/2025

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 is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
"How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
"How do you keep residents' medical records accurate, complete, and secure?"
"Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
"What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
"Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
"Can you show me how medications are stored and secured on the units, including controlled drugs?"
"Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
"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
Vintage Faire Nursing & Rehabilitation Center	5.5 mi	Modesto, CA	★★★☆☆	2/5
Harvest Crossing Post Acute	6.1 mi	Manteca, CA	★★☆☆☆	2/5	abuse
English Oaks Convalescent & Rehabilitation Hospita	6.3 mi	Modesto, CA	★★★☆☆	3/5
Guardian Care and Rehabilitation Center	7.3 mi	Manteca, CA	★★☆☆☆	2/5
Almond Vista Healthcare	7.4 mi	Modesto, CA	★☆☆☆☆	1/5
Garden City Healthcare Center	8.2 mi	Modesto, CA	★★☆☆☆	2/5
Modesto Post Acute Center	9.3 mi	Modesto, CA	★★★★★	4/5
Valley Skilled Nursing Center	9.3 mi	Modesto, CA	★★★★☆	4/5
Golden Modesto Care Center	9.5 mi	Modesto, CA	★★☆☆☆	2/5
Riverbank Post-Acute	9.8 mi	Riverbank, CA	★☆☆☆☆	1/5
Crestwood Manor	9.9 mi	Modesto, CA	★★★★★	5/5
River View Post Acute	10.7 mi	Modesto, CA	★★☆☆☆	2/5

Compare this facility with the 3 closest →

All facilities in Ripon →

Facility data as of CMS processing date 2026-08-01. CCN 055662.

The Care File

Visit checklist — Bethany Home Society San Joaquin County

930 West Main Street, Ripon, CA 95366 · 2095994221

Health inspection rating 4/5 · CMS overall 4/5· Fines (3y): $0

Questions for the administrator:

☐ "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
☐ "How often is each resident's medication list reviewed, and who decides when a drug can be reduced or stopped?"
☐ "How do you keep residents' medical records accurate, complete, and secure?"
☐ "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
☐ "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
☐ "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
☐ "Can you show me how medications are stored and secured on the units, including controlled drugs?"
☐ "Tell me about this abuse or neglect citation — what happened, and what specific changes did you make afterward?"
☐ "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?"

While you're there, notice:

☐ Smell and cleanliness in hallways, not just the lobby
☐ How staff speak to residents; call lights answered promptly
☐ Residents up, dressed, and engaged (visit mealtimes and a weekend if you can)

Data: CMS Provider Data Catalog, version 2026-08-01 · CCN 055662 · Verify at medicare.gov/care-compare · Printed from The Care File (thecarefile.com)