Bethesda
901 Southeast Willmar Avenue, Willmar, MN 56201 · Kandiyohi County · 248 certified beds · avg 226 residents/day · certified since Feb 1, 1987
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Nov 5, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Dec 12, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (19)
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 |
|---|---|---|
| Dec 10, 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 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. |
| Dec 10, 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 10, 2025 | D · Potential for harm, one-off | The facility did not treat residents with respect and dignity, or did not let them keep and use their own personal belongings. |
| Dec 10, 2025 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. · from a complaint |
| Nov 5, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Nov 5, 2024 | 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 |
| Nov 5, 2024 | 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 25, 2024 | 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. |
| Oct 25, 2024 | 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. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. |
| Oct 25, 2024 | 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. |
| Oct 25, 2024 | D · Potential for harm, one-off | The facility did not develop and follow policies and procedures for offering residents flu and pneumonia vaccinations. |
| May 3, 2024 | D · Potential for 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 |
| Jan 24, 2024 | F · Potential for harm, facility-wide | The facility did not electronically submit complete and accurate staffing information to the government, based on payroll and other verifiable records. |
| Jan 24, 2024 | F · Potential for harm, facility-wide | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Jan 24, 2024 | D · Potential for harm, one-off | The facility did not provide the help residents need with basic daily activities — like bathing, dressing, eating, and using the bathroom — for residents who cannot do these things on their own. |
| Jan 24, 2024 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (6 → 5).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 14 | 1 | G ▲ |
| 2025 | 5 | 0 | E |
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 | Minnesota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.65 | 4.83 | 3.95 | top 15% in Minnesota; top 6% in the U.S. |
| Registered Nurse hours | 0.93 | 1.22 | 0.69 | bottom 27% in Minnesota; top 19% in the U.S. |
| Weekend total nurse staffing | 5.08 | 4.27 | 3.50 | top 13% in Minnesota; top 6% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.36 | 0.69 | 0.48 | bottom 13% in Minnesota; bottom 45% in the U.S. |
| Total nursing staff turnover (%) | 36.3 | 42.2 | 45.8 | top 38% in Minnesota; top 27% in the U.S. |
| RN turnover (%) | 21.6 | 38.6 | 42.9 | top 20% in Minnesota; top 16% 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 4.75, RN 0.78, weekend 4.26. 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: 3/5 · long-stay residents: 2/5 · short-stay residents: 4/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Ahrenholz, Roger | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2019 |
| Behm, Myron | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2017 |
| Blonigan-Christianson, Joan | Individual | Corporate Director | NOT APPLICABLE | 10/01/2019 |
| Dykema, Luther | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2020 |
| Gehant, David | Individual | Corporate Director | NOT APPLICABLE | 10/01/2021 |
| Gilson, Michael | Individual | Corporate Director | NOT APPLICABLE | 10/01/2021 |
| Gjerde, Tamala | Individual | Corporate Officer | NOT APPLICABLE | 01/03/2023 |
| Haefner, Michelle | Individual | Corporate Officer | NOT APPLICABLE | 11/03/2008 |
| Johnson, Cheryl | Individual | Corporate Director | NOT APPLICABLE | 10/01/2022 |
| Johnson, Dean | Individual | Corporate Director | NOT APPLICABLE | 10/01/2021 |
| Krieger, Baillee | Individual | Operational/Managerial Control | NOT APPLICABLE | 04/03/2023 |
| Krieger, Baillee | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Kveene, Julie | Individual | Corporate Director | NOT APPLICABLE | 10/01/2020 |
| Pool, Cheryl | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2017 |
| Quam, Samuel | Individual | Corporate Officer | NOT APPLICABLE | 01/25/2022 |
| Roiseland, Alan | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2019 |
| Roiseland, Alan | Individual | ADP of the SNF | NOT APPLICABLE | 07/18/2025 |
| Strehlow, Betty | Individual | Corporate Officer | NOT APPLICABLE | 10/01/2022 |
| Tusha-Mohlin, Karen | Individual | Corporate Director | NOT APPLICABLE | 10/01/2020 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "If my family member is able to manage their own medications, would you allow it, and how is that decided?"
- "How do you train staff to treat residents with dignity, and how do you protect residents' personal belongings?"
- "How many aides are on each shift, and how do you make sure every resident gets timely help with bathing, dressing, and meals?"
- "If my family member falls or their condition changes, exactly when and how will I be notified?"
- "Can you show me an example care plan, and how are families included when it's created and updated?"
- "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 |
|---|---|---|---|---|---|
| Cura of Willmar | 1.7 mi | Willmar, MN | ★★☆☆☆ | 2/5 | abuse |
| Glenoaks Senior Living Campus | 14.0 mi | New London, MN | ★☆☆☆☆ | 1/5 | |
| Clara City Care Center | 19.4 mi | Clara City, MN | ★☆☆☆☆ | 1/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 245427.