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Nursing HomeMedicaid

Bethel Lutheran Home

Meets baseline Medicare standards with room for improvement. A tour and talking to current residents' families is the best next step.

1001 S Egan Ave, Madison, SD 5704259 bedsLicensed & Active
3/5
Medicare
Inspection
Quality
Staffing
Google rating
2.9/5

based on 9 Google reviews

5
4
3
2
1
Bethel Lutheran Home Nursing Home in Madison, SD — Street View
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What this means for your family

While the facility is noted for being clean and well-maintained, families should be aware of recurring reports regarding unprofessional and rude staff behavior. We strongly recommend scheduling an in-person tour to observe staff interactions with residents firsthand to ensure the environment aligns with your expectations for compassionate care.

Google Reviews

Google Reviews

9 reviews on Google
Bethel Lutheran Home receives polarized feedback, with some visitors praising the facility's cleanliness and welcoming atmosphere while others report significant concerns regarding staff conduct. Multiple reviewers have specifically highlighted unprofessional and rude behavior from administrative and nursing aide staff, which may impact the quality of care and environment.

Quality Themes

Tap a score for details
FoodN/AStaff3.0Clean8.0ActivitiesN/AMedsN/AMemoryN/AComms2.0ValueN/A

Strengths

  • Clean, well-maintained facility
  • Welcoming, home-like environment

Concerns

  • Unprofessional and rude administrative staff (mentioned by 2 reviewers)

Rating Trends

Tap a year to see what changed

2343.02016(1)4.22018(5)5.02020(1)1.72022(3)1.02023(1)1.02025(1)

Distribution · 12 analyzed

5
4
4
0
3
3
2
2
1
3

How They Respond to Reviews

0%response rate

Questions for Your Tour

  • 1With 59 residents here, how does the team ensure consistent communication with families regarding changes in a loved one's health or daily status?
  • 2I noticed the facility has a very welcoming, home-like feel; how do you foster that sense of community during daily activities and mealtimes?
  • 3What steps is the leadership team taking to ensure that interactions with the administrative office are as supportive and professional as the care provided on the floor?
  • 4Given the recent health inspection reports, what specific improvements or new protocols have been implemented to address those findings and enhance the quality of care?
  • 5How does the nursing staff coordinate with local medical providers to handle urgent health needs or emergencies after standard business hours?
  • 6Since staffing levels are a high priority for us, how do you maintain consistent, high-quality care for all 59 residents throughout the different shifts?

Personalized based on this facility's data


Key Review Excerpts

Didn't smell like moth balls. Friendly staff. Felt like home

Visitor · 2018★★★★★

I've noticed before that the nurses aides have bad attitudes and are very rough with the elderly, but today I saw the aide yelling so rudely at the cleaning lady, it was appalling.

Visitor · 2022★★☆☆☆

The heavy lady in the office that does the billing hates her life and is extremely rude

Family member · 2023☆☆☆☆
Source: 9 Google reviews

Staffing

Staffing Hours

per resident/day · Medicare 2026
RN Hours
1.02hrs
OK
Registered nurses for medical care
Total Nursing
3.68hrs
90%
All nurses + aides combined
Staff Turnover
55%
Lower is better (< 30% = good)
RN Turnover
36%
Lower is better (< 30% = good)

Total nursing hours are below minimum, though RN coverage is adequate. This may mean fewer aides for daily tasks like bathing and mobility.

Quality Measures

Quality Measures

Resident outcomes compared with national, state, and local averages · 15 measures

Medicare Rating
5/ 5
Better Than Avg

8

measures

Worse Than Avg

1

measures

Mixed Results

6

measures

Long-Stay Residents
😔

Residents with depression symptoms

↓ Lower is better
This Facility0.0%
Better than Avg
Here
0.0%
US
12.1%
SD
5.3%
Lake
37.7%

Highly dependent on how each facility screens and codes depressive symptoms, so it varies widely between facilities.

💊

Residents on antipsychotic medication

↓ Lower is better
This Facility9.2%
Better than Avg
Here
9.2%
US
15.5%
SD
24.5%
Lake
14.6%
💉

Residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
93.4%
SD
95.2%
Lake
91.0%
🛏️

Residents needing more daily help over time

↓ Lower is better
This Facility14.1%
Mixed vs Avgs
Here
14.1%
US
14.4%
SD
21.4%
Lake
10.3%
🚶

Residents whose walking got worse

↓ Lower is better
This Facility13.0%
Mixed vs Avgs
Here
13.0%
US
15.3%
SD
20.2%
Lake
11.9%
🚿

Residents whose bladder or bowel control got worse

↓ Lower is better
This Facility24.1%
Mixed vs Avgs
Here
24.1%
US
19.4%
SD
25.6%
Lake
20.3%
Short-Stay Residents (Rehab / Post-Acute)
💉

Short-stay residents vaccinated for pneumonia

↑ Higher is better
This Facility100.0%
Better than Avg
Here
100.0%
US
81.8%
SD
82.7%
Lake
76.2%
Source: Medicare quality measures

US average from Medicare published data

Inspection History

Medicare Inspection History

3-year lookback · Medicare 2026

7deficiencies
2penalties
Above state avg (6.8)
1 complaint-triggered
$56,430 in fines

Bethel Lutheran Home has ongoing issues with infection control programs appearing across three surveys from 2023 to 2025, suggesting persistent challenges in this critical area. The facility also shows recurring problems with food safety and resident rights. One family filed a complaint about accident hazards and supervision. While all deficiencies have correction dates, the repeated infection control violations raise concerns about sustained compliance.

Jul 17, 2025Routine
7
0686Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0550Potential for harm · PatternCorrected

Resident Rights Deficiencies

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

0688Potential for harm · PatternCorrected

Quality of Life and Care Deficiencies

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.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0578Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

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.

0576Minimal · WidespreadCorrected

Resident Rights Deficiencies

Ensure residents have reasonable access to and privacy in their use of communication methods.

Nov 6, 2024Complaint
1
0689Actual harm · IsolatedCorrected

Quality of Life and Care Deficiencies

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Jan 18, 2024Routine
4
0812Potential for harm · WidespreadCorrected

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

0880Potential for harm · PatternCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0625Potential for harm · IsolatedCorrected

Resident Rights Deficiencies

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

0920Potential for harm · IsolatedCorrected

Gas, Vacuum, and Electrical Systems Deficiencies

Ensure proper usage of power strips and extension cords.

Jan 26, 2023Routine
3
0880Potential for harm · IsolatedCorrected

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

0321Potential for harm · IsolatedCorrected

Smoke Deficiencies

Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.

0712Potential for harm · IsolatedCorrected

Miscellaneous Deficiencies

Have simulated fire drills held at unexpected times.

Federal Penalties

Fine

Jul 17, 2025

$48,412

Fine

Nov 6, 2024

$8,018

Ownership & Operations

Who Operates This Facility

Owner / Operator

Bethel Lutheran Home

Organization Type

nonprofit

Ownership & Management

Owners

Bethel Lutheran Home

Owner · Organization

Barber, Dawn

Owner (parent company)

Breddin, Karl

Owner (parent company)

Clem, Justin

Owner (parent company)

Feldhaus, Maria

Owner (parent company)

Glanzer, Rebecca

Owner (parent company)

Schneider, Jeremiah

Owner (parent company)

Voelker, Jackie

Owner (parent company)

Key personnel

Barber, DawnManaging Control - Governing BodyBreddin, KarlManaging Control - Governing BodyFeldhaus, MariaManaging Control - Governing BodyVoelker, JackieManaging Control - Governing BodyClem, JustinContracted Managing Employee
Source: Medicare provider data

Contact

Get in Touch

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References & Resources

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