1001 S Egan Ave, Madison, SD 57042 (opens Google Maps) · Lake County · (605) 256-4539· 59 certified beds · avg 55 residents/day · certified since Apr 1, 1994 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
New to these records? How to read an inspection report →
Health inspection rating: ★★☆☆☆2/5 · CMS overall rating: 2/5 · how star ratings work →
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 quality measures from resident assessments and claims.
▲ Actual harm, isolated · Jul 17, 2025 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
Severity (G): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Aug 13, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, isolated · Nov 6, 2024 · 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): Actual harm was cited, below immediate jeopardy. The scope was isolated: limited residents, staff, or locations were affected. Scope describes the extent of the deficiency, not whether it happened on previous inspections.
Corrected: Nov 21, 2024 (Deficient, Provider has date of correction)
Showing the latest 3 of 12 inspection findings. Open the full record below to read every finding.
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. F-0686
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. F-0812
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. F-0550
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jul 17, 2025 | ▲ G · Actual harm, isolated | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. · F-0686 |
| Jul 17, 2025 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jul 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0550 |
| Jul 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0688 |
| Jul 17, 2025 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jul 17, 2025 | D · Potential for more than minimal harm, isolated | 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. · F-0578 |
| Jul 17, 2025 | C · Potential for minimal harm, widespread | The facility did not give residents reasonable access to and privacy in using ways to communicate, such as phones, mail, and email. Residents have the right to stay in touch with the outside world privately. · F-0576 |
| Nov 6, 2024 | ▲ G · Actual harm, isolated | 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 · F-0689 |
| Jan 18, 2024 | F · Potential for more than minimal harm, widespread | 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. · F-0812 |
| Jan 18, 2024 | E · Potential for more than minimal harm, pattern | 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. · F-0880 |
| Jan 18, 2024 | D · Potential for more than minimal harm, isolated | 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. · F-0625 |
| Jan 26, 2023 | D · Potential for more than minimal harm, isolated | 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. · F-0880 |
Citations from standard inspections increased between the last two inspection cycles (3 → 7).
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 4 | 1 | G ▲ |
| 2025 | 7 | 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.
How to file a complaint about care →
2 fines totaling $56,430.
Every penalty CMS publishes for this facility in the 3-year window is listed —none excluded. The count and the dollar total come from two different CMS datasets and agree for this facility. Penalties older than the window are dropped by CMS before publication, not by us.
| Date | Type | Amount / length |
|---|---|---|
| Jul 17, 2025 | Fine | $48,412 |
| Nov 6, 2024 | Fine | $8,018 |
What these staffing numbers mean →
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 4.08 | 4.32 | 3.95 | bottom 48% in South Dakota; top 36% in the U.S. |
| Registered Nurse hours | 1.10 | 0.91 | 0.69 | top 25% in South Dakota; top 12% in the U.S. |
| Weekend total nurse staffing | 3.50 | 3.71 | 3.50 | bottom 47% in South Dakota; top 42% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.64 | 0.51 | 0.48 | top 22% in South Dakota; top 20% in the U.S. |
| Total nursing staff turnover (%) | 52.2 | 48.2 | 45.8 | bottom 40% in South Dakota; bottom 31% in the U.S. |
| RN turnover (%) | 27.3 | 34.7 | 42.9 | top 38% in South Dakota; top 24% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — 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 3.73, RN 1.00, weekend 3.20.Comparing with Medicare Care Compare? Care Compare shows the raw figure (3.73 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 4/5.
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Bethel Lutheran Home. CMS inspection and staffing records do not tell us what this home will charge you.
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Understand who pays for care · How we handle price evidence · Report an incorrect price
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Barber, Dawn | Individual | Indirect Ownership Interest | NOT APPLICABLE | 04/01/2024 |
| Bethel Lutheran Home | Organization | Direct Ownership Interest | NOT APPLICABLE | 01/01/1966 |
| Breddin, Karl | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2021 |
| Clem, Justin | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/11/2018 |
| Feldhaus, Maria | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2023 |
| Glanzer, Rebecca | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/20/2015 |
| Schneider, Jeremiah | Individual | Indirect Ownership Interest | NOT APPLICABLE | 07/18/2022 |
| Voelker, Jackie | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/01/2022 |
| Barber, Dawn | Individual | Managing Control - Governing Body | NOT APPLICABLE | 04/01/2024 |
| Barber, Dawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Bethel Lutheran Home | Organization | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Bethel Lutheran Home | Organization | ADP of the SNF | NOT APPLICABLE | 12/20/2024 |
| Breddin, Karl | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2021 |
| Breddin, Karl | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Clem, Justin | Individual | Contracted Managing Employee | NOT APPLICABLE | 07/11/2018 |
| Clem, Justin | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Clem, Justin | Individual | ADP of the SNF | NOT APPLICABLE | 12/20/2024 |
| Feldhaus, Maria | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/01/2023 |
| Feldhaus, Maria | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/13/2024 |
| Glanzer, Rebecca | Individual | W-2 Managing Employee | NOT APPLICABLE | 07/20/2015 |
Showing 20 of 28 parties CMS has on file for this facility; 8 are not displayed. The full list is in the CMS Ownership dataset.
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Good Samaritan Society Howard | 20.7 mi | Howard, SD | ★★★★★ | 5/5 | |
| Dells Nursing and Rehab Center INC | 23.0 mi | Dell Rapids, SD | ★★★★☆ | 4/5 | |
| Flandreau Santee Sioux Tribe Care Center | 25.6 mi | Flandreau, SD | ★★★☆☆ | 3/5 | |
| Riverview Healthcare Center | 26.5 mi | Flandreau, SD | ★☆☆☆☆ | 1/5 | abuseSFF |
| United Living Community | 26.7 mi | Brookings, SD | ★★☆☆☆ | 2/5 | |
| The Neighborhoods at Brookview | 27.7 mi | Brookings, SD | ★★★★★ | 5/5 | |
| Good Samaritan Society Canistota | 28.9 mi | Canistota, SD | ★★★☆☆ | 3/5 | |
| Good Samaritan Society de Smet | 34.5 mi | De Smet, SD | ★☆☆☆☆ | 2/5 | |
| Dow Rummel Village | 35.2 mi | Sioux Falls, SD | ★★★☆☆ | 2/5 | |
| Good Samaritan Society Sioux Falls Center | 35.8 mi | Sioux Falls, SD | ★★☆☆☆ | 2/5 | abuse |
| Diamond Care Center | 35.9 mi | Bridgewater, SD | ★☆☆☆☆ | 1/5 | |
| Palisade Healthcare Center | 36.3 mi | Garretson, SD | ★☆☆☆☆ | 1/5 | abuse |
Facility data as of CMS processing date 2026-08-01. CCN 435076.
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