Bethel Lutheran Home
1001 S Egan Ave, Madison, SD 57042 · (605) 256-4539
Non profit - Church related · 59 certified beds
Bethel Lutheran Home has a 2-star overall rating from Medicare, out of 5. Its last standard inspection, in July 2025, found 7 citations, 1 for actual harm or immediate jeopardy (the South Dakota average is 6.7). It was fined 2 times in the last three years, $56,430 in all.
Medicare ratings
| Overall ratingStarts from the health inspection rating, then goes up or down a star for a 5-star or 1-star staffing or quality rating. | ★★★★★ 2 out of 5 stars · Below average |
| Health inspectionsFrom the two most recent standard inspections and three years of complaint inspections, compared with other homes in the same state. | ★★★★★ 2 out of 5 stars · Below average |
| Quality measuresFrom 15 measures of how residents do, such as falls with major injury, pressure ulcers, hospital stays and getting home after a short stay. | ★★★★★ 4 out of 5 stars · Above average |
| StaffingFrom payroll records of nurse hours per resident, adjusted for how much care residents need, and staff turnover. | ★★★★★ 4 out of 5 stars · Above average |
How to read a nursing home's star ratings
Most recent health inspection
The standard health inspection on July 17, 2025 found 7 citations. What an inspection citation means
- Provide appropriate pressure ulcer care and prevent new ulcers from developing.July 17, 2025 · F0686 · Level of harm: Actual harm · Residents affected: Few
- Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.July 17, 2025 · F0812 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Many
- Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.July 17, 2025 · F0550 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.July 17, 2025 · F0688 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Provide and implement an infection prevention and control program.July 17, 2025 · F0880 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Some
- Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.July 17, 2025 · F0578 · Level of harm: Minimal harm or potential for actual harm · Residents affected: Few
- Ensure residents have reasonable access to and privacy in their use of communication methods.July 17, 2025 · F0576 · Level of harm: Potential for minimal harm · Residents affected: Many
Complaint inspections, last three years
Inspections after complaints found 1 citation.
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.November 6, 2024 · F0689 · Level of harm: Actual harm · Residents affected: Few
Fines and payment denials
- Fine of $48,412July 17, 2025
- Fine of $8,018November 6, 2024
Nurse staffing
Hours of nursing care per resident per day, as the home reports them to Medicare through payroll records.
| Hours per resident per day | This home | South Dakota average | U.S. average |
|---|---|---|---|
| Total nurse staffing | 3.73 | 3.79 | 3.86 |
| Registered nurses (RN) | 1.00 | 0.80 | 0.69 |
| Licensed practical nurses (LPN) | 0.31 | 0.47 | 0.86 |
| Nurse aides | 2.42 | 2.52 | 2.32 |
| Total nursing staff turnover | 52.2% | 48.2% | 45.8% |
About this home
| Ownership | Non profit - Church related |
| Certified beds | 59 |
| Average residents per day | 54.7 |
| Inside a hospital | No |
| Continuing care retirement community | No |
Nursing homes nearby
- Alcester Care And Rehab Center, Inc Alcester · ★★★★★ 5 out of 5 stars
- Bethesda Of Beresford Beresford · ★★★★★ 2 out of 5 stars
- Bethany Home - Brandon Brandon · ★★★★★ 1 out of 5 stars
- The Neighborhoods at Brookview Brookings · ★★★★★ 5 out of 5 stars
- United Living Community Brookings · ★★★★★ 2 out of 5 stars
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Data from Medicare (CMS), updated October 2026, from Bethel Lutheran Home on Medicare's Care Compare and the CMS Provider Data Catalog. ParentNextStep isn't affiliated with Medicare or CMS.