Bethesda Home of Aberdeen
1224 S High St, Aberdeen, SD 57401 · Brown County · 86 certified beds · avg 82 residents/day · certified since Oct 1, 1993
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Mar 12, 2026 · 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): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Apr 10, 2026 (Deficient, Provider has date of correction)
All citations in the current public record (12)
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 |
|---|---|---|
| Mar 12, 2026 | ▲ G · Actual harm, one-off | 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. |
| Mar 12, 2026 | 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. |
| Mar 12, 2026 | E · Potential for harm, repeated | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. |
| Mar 12, 2026 | D · Potential for harm, one-off | The facility did not make sure residents were fully informed about their own health, care, and treatments in a way they could understand. |
| Mar 12, 2026 | D · Potential for harm, one-off | 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. |
| Mar 12, 2026 | 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. |
| Mar 12, 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. |
| Nov 21, 2024 | 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 21, 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. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. |
| Nov 21, 2024 | D · Potential for harm, one-off | The facility did not arrange hospice services for a resident who needed them, or help the resident move to a facility that could arrange hospice. Hospice provides comfort-focused care for people nearing the end of life. |
| Jul 27, 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 (4 → 7).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | E |
| 2024 | 4 | 0 | E |
| 2026 | 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.
Fines and enforcement (last 3 years)
1 fine totaling $25,265.
| Date | Type | Amount / length |
|---|---|---|
| Mar 12, 2026 | Fine | $25,265 |
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) | 4.46 | 4.32 | 3.95 | top 36% in South Dakota; top 24% in the U.S. |
| Registered Nurse hours | 0.93 | 0.91 | 0.69 | top 43% in South Dakota; top 19% in the U.S. |
| Weekend total nurse staffing | 3.55 | 3.71 | 3.50 | top 48% in South Dakota; top 40% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.45 | 0.51 | 0.48 | bottom 46% in South Dakota; top 40% in the U.S. |
| Total nursing staff turnover (%) | 38.9 | 48.2 | 45.8 | top 26% in South Dakota; top 34% in the U.S. |
| RN turnover (%) | 5.9 | 34.7 | 42.9 | top 1% in South Dakota; top 2% 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 3.79, RN 0.79, weekend 3.01. Staffing rating: 4/5.
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: 2/5 · short-stay residents: 1/5
Who owns this facility
Non profit - Church related
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Akkerman, Char | Individual | Corporate Director | NOT APPLICABLE | 05/01/2020 |
| Akkerman, Char | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2020 |
| Albl, Judy | Individual | Corporate Director | NOT APPLICABLE | 05/01/2016 |
| Andereson, Zachary | Individual | Corporate Director | NOT APPLICABLE | 05/01/2021 |
| Andereson, Zachary | Individual | Corporate Officer | NOT APPLICABLE | 05/01/2021 |
| Armbright, Leland | Individual | Corporate Director | NOT APPLICABLE | 09/01/2019 |
| Bohle, Lori | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/11/1991 |
| Bohle, Lori | Individual | ADP of the SNF | NOT APPLICABLE | 02/11/1991 |
| Dangel, Diane | Individual | Corporate Director | NOT APPLICABLE | 09/01/2024 |
| Eisenbeisz, Scott | Individual | Corporate Director | NOT APPLICABLE | 02/01/2019 |
| Eisenbeisz, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2019 |
| Eisenbeisz, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2019 |
| Elsen, Terri | Individual | Corporate Director | NOT APPLICABLE | 05/01/2014 |
| Langbehn, Ann | Individual | Corporate Director | NOT APPLICABLE | 05/01/2015 |
| Langbehn, Ann | Individual | Corporate Officer | NOT APPLICABLE | 07/01/2023 |
| Pence, Stacey | Individual | Corporate Director | NOT APPLICABLE | 05/01/2024 |
| Redmond, Steven | Individual | Operational/Managerial Control | NOT APPLICABLE | 05/01/2023 |
| Redmond, Steven | Individual | ADP of the SNF | NOT APPLICABLE | 05/01/2023 |
| Warrington, Diane | Individual | Corporate Director | NOT APPLICABLE | 07/01/2023 |
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 prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "How do you explain health changes and treatment options to residents and their families?"
- "How do you make sure resident assessments are completed and submitted to the state on time?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "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 |
|---|---|---|---|---|---|
| Avera Mother Joseph Manor Retirement Community | 1.3 mi | Aberdeen, SD | ★☆☆☆☆ | 2/5 | |
| Prairie Heights Healthcare | 1.6 mi | Aberdeen, SD | ★★★★☆ | 4/5 | |
| Aberdeen Health and Rehab | 2.7 mi | Aberdeen, SD | ★☆☆☆☆ | 1/5 | |
| Avantara Groton | 17.7 mi | Groton, SD | ★★☆☆☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435073.