Bethesda Home
129 W Hwy 12, Webster, SD 57274 · Day County · 50 certified beds · avg 42 residents/day · certified since Jul 1, 1993
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.
All citations in the current public record (8)
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 | E · Potential for harm, repeated | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Apr 15, 2026 | 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. |
| Apr 15, 2026 | 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. |
| Apr 15, 2026 | 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. · from a complaint |
| Jan 9, 2025 | E · Potential for harm, repeated | The facility did not keep residents' personal and medical information private and confidential. |
| Jan 9, 2025 | 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. |
| Jan 9, 2025 | E · Potential for harm, repeated | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. |
| Sep 13, 2023 | 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. |
Inspection trend by year
Citations from standard inspections increased between the last two inspection cycles (3 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2025 | 3 | 0 | E |
| 2026 | 4 | 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 | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 5.41 | 4.32 | 3.95 | top 15% in South Dakota; top 8% in the U.S. |
| Registered Nurse hours | 1.38 | 0.91 | 0.69 | top 6% in South Dakota; top 6% in the U.S. |
| Weekend total nurse staffing | 4.36 | 3.71 | 3.50 | top 23% in South Dakota; top 14% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.55 | 0.51 | 0.48 | top 37% in South Dakota; top 27% in the U.S. |
| Total nursing staff turnover (%) | 30.6 | 48.2 | 45.8 | top 6% in South Dakota; top 15% in the U.S. |
| RN turnover (%) | 0.0 | 34.7 | 42.9 | top 1% in South Dakota; top 1% 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 4.53, RN 1.15, weekend 3.65. 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: 4/5 · long-stay residents: 4/5 · short-stay residents: —/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Anderson, Barb | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Bethesda Home | Organization | 5% or Greater Direct Ownership Interest | 100% | 01/01/2008 |
| Christensen, Tanner | Individual | Indirect Ownership Interest | NOT APPLICABLE | 10/28/2025 |
| Fischer, Gail | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Peterson, Paul | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Sigdestad, David | Individual | Indirect Ownership Interest | NOT APPLICABLE | 03/24/2025 |
| Witt, Linda | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Zimmerman, Brent | Individual | Indirect Ownership Interest | NOT APPLICABLE | 01/01/2025 |
| Anderson, Barb | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Baumgarn, Anne | Individual | Corporate Officer | NOT APPLICABLE | 01/07/2022 |
| Baumgarn, Anne | Individual | Operational/Managerial Control | NOT APPLICABLE | 07/23/2025 |
| Baumgarn, Anne | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2026 |
| Bethesda Home | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/01/2008 |
| Bethesda Home | Organization | ADP of the SNF | NOT APPLICABLE | 04/17/2026 |
| Christensen, Tanner | Individual | Managing Control - Governing Body | NOT APPLICABLE | 10/28/2025 |
| Fischer, Gail | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Gravley, Elizabeth | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/01/2025 |
| Gravley, Elizabeth | Individual | ADP of the SNF | NOT APPLICABLE | 04/17/2026 |
| Peterson, Paul | Individual | Managing Control - Governing Body | NOT APPLICABLE | 01/01/2025 |
| Rithmiller, Dawn | Individual | Operational/Managerial Control | NOT APPLICABLE | 01/07/2022 |
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 explain health changes and treatment options to residents and their families?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Can you show me how medications are stored and secured on the units, including controlled drugs?"
- "How do you protect residents' privacy, both in their medical records and in day-to-day care?"
- "Walk me through what happens when a resident or family files a grievance — who responds and how fast?"
- "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?"
- "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 |
|---|---|---|---|---|---|
| Sun Dial Manor | 10.6 mi | Bristol, SD | ★★★☆☆ | 2/5 | |
| Strand-Kjorsvig Community Rest Home | 10.8 mi | Roslyn, SD | ★★☆☆☆ | 1/5 |
Compare this facility with the 2 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435071.