Bethel Home
225 N Eagle St, Oshkosh, WI 54902 · Winnebago County · 100 certified beds · avg 62 residents/day · certified since Dec 1, 1994
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 5/5
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, one-off · Aug 13, 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 (J): Inspectors found a situation that put a resident's life or safety in immediate danger, affecting one or a few residents. The facility must fix it immediately — these citations often come with large fines.
Corrected: Jul 31, 2025 (Past Non-Compliance)
All citations in the current public record (11)
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 |
|---|---|---|
| Sep 10, 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. |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Sep 10, 2025 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| Aug 13, 2025 | ▲ J · Immediate jeopardy, 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 |
| Oct 23, 2024 | 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 |
| Oct 23, 2024 | D · Potential for harm, one-off | The facility did not provide or obtain x-rays and other imaging tests when ordered, or did not promptly tell the ordering doctor the results. · from a complaint |
| Aug 7, 2024 | D · Potential for harm, one-off | 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. |
| Aug 7, 2024 | D · Potential for harm, one-off | The facility did not give the resident or their representative written notice of how long it would hold the resident's bed during a hospital stay or approved leave. |
| Jun 7, 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. |
| Jun 7, 2023 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Jun 7, 2023 | B · Minimal risk, repeated | The facility did not enter each resident's assessment information into the required format and send it to the state within 7 days of completing the assessment, as the rules require. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (2 → 3).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 3 | 0 | D |
| 2024 | 4 | 0 | D |
| 2025 | 4 | 1 | J ▲ |
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 | Wisconsin avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.18 | 4.29 | 3.95 | top 47% in Wisconsin; top 33% in the U.S. |
| Registered Nurse hours | 1.23 | 1.01 | 0.69 | top 24% in Wisconsin; top 9% in the U.S. |
| Weekend total nurse staffing | 3.75 | 3.84 | 3.50 | top 46% in Wisconsin; top 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.84 | 0.68 | 0.48 | top 23% in Wisconsin; top 10% in the U.S. |
| Total nursing staff turnover (%) | 43.6 | 46.9 | 45.8 | top 42% in Wisconsin; top 46% in the U.S. |
| RN turnover (%) | 7.7 | 39.7 | 42.9 | top 3% in Wisconsin; top 3% 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 4.12, RN 1.21, weekend 3.69. Staffing rating: 5/5.
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: 2/5 · long-stay residents: 3/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Miravida Living | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/1965 |
| Beecher, Mark | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Bermingham, Kathy | Individual | Corporate Director | NOT APPLICABLE | 01/01/2020 |
| Bertram, Theresa | Individual | W-2 Managing Employee | NOT APPLICABLE | 10/31/2015 |
| Bertram, Theresa | Individual | Corporate Officer | NOT APPLICABLE | 01/07/2013 |
| Bonell, Jamie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| McNiel, Paula | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Miravida Living | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/1965 |
| Muller, Laurie | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Murken, Mary | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2021 |
| Olson, Margaret | Individual | Corporate Director | NOT APPLICABLE | 03/14/2016 |
| Olson, Nate | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
| Rieckman, Stew | Individual | Corporate Director | NOT APPLICABLE | 01/01/2021 |
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?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "What percentage of your residents and staff are vaccinated against flu and pneumonia, and how do you offer the vaccines?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "If a doctor orders an x-ray, how soon does it happen and when does the doctor see the results?"
- "If you ever planned to discharge or transfer my family member, how much written notice would we receive and how could we appeal?"
- "If my family member goes to the hospital, how long will you hold their bed, and will we get that in writing?"
- "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 |
|---|---|---|---|---|---|
| Evergreen Health Center | 0.8 mi | Oshkosh, WI | ★★★★☆ | 4/5 | |
| Eden Rehab Suites and Green House Homes | 2.2 mi | Oshkosh, WI | ★★☆☆☆ | 2/5 | |
| Edenbrook of Oshkosh | 2.6 mi | Oshkosh, WI | ★★★☆☆ | 3/5 | |
| Park View Health Center | 4.5 mi | Oshkosh, WI | ★★★★★ | 5/5 | |
| Edenbrook Omro | 9.0 mi | Omro, WI | ★★★★☆ | 4/5 | |
| Oakridge Gardens Nur Ctr, INC | 16.6 mi | Menasha, WI | ★★★☆☆ | 3/5 | |
| Peabody Manor | 16.9 mi | Appleton, WI | ★★★★☆ | 3/5 | |
| Whispering Pines Nursing and Rehab, LLC | 17.3 mi | Ripon, WI | ★★★☆☆ | 3/5 | |
| Fond Du Lac Lutheran Home | 17.4 mi | Fond Du Lac, WI | ★★★☆☆ | 3/5 | |
| Avina of Fond Du Lac | 17.4 mi | Fond Du Lac, WI | ★★☆☆☆ | 2/5 | |
| Meadowbrook at Appleton | 17.9 mi | Appleton, WI | ★★☆☆☆ | 2/5 | |
| St Francis Home | 18.1 mi | Fond Du Lac, WI | ★★★☆☆ | 3/5 |
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Facility data as of CMS processing date 2026-08-01. CCN 525554.