Nursing home
Bethany Home, West First Street
515 West First Street, Minden, NE 68959 · Map
Non profit - Corporation · 64 certified beds
Bethany Home, West First Street is a Medicare-certified nursing home in Minden, Nebraska. CMS rates it 1 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 4.37 hours per resident per day, above the Nebraska average of 4.17. Its most recent inspection on Jun 26, 2025 cited 7 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Bethany Home, West First Street compares
This facility vs. the Nebraska and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | Nebraska avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 4.37 | 4.17 | 3.89 | above avg |
| RN staffing (hrs/resident/day) | 0.83 | 0.71 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 3.09 | 2.76 | 2.34 | above avg |
| Nursing staff turnover | 50.6% | 49.3% | 46.4% | above avg |
| Deficiencies cited, last inspection | 7.0 | 6.7 | 9.5 | above avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- Every deficiency from the June 26, 2025 inspection was corrected by August 8, 2025
What inspectors found at Bethany Home, West First Street
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
Nutrition and Dietary Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
PASARR screening for Mental disorders or Intellectual Disabilities
Resident Assessment and Care Planning Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Jun 26, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
Ensure that residents are fully informed and understand their health status, care and treatments.
Resident Rights Deficiencies · Jun 26, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 2, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 2, 2024 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · May 2, 2024 · Full report (PDF) - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · May 2, 2024 · Full report (PDF) - Potential for harm
Allow residents to self-administer drugs if determined clinically appropriate.
Resident Rights Deficiencies · May 2, 2024 · Full report (PDF)
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 515 West First Street
Minden, NE 68959 - CMS certification #
- 285270
- Ownership
- Non profit - Corporation
- Certified beds
- 64
- Avg residents/day
- 59.0
- Provider type
- Medicare and Medicaid
- First certified
- 2005-10-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Bethany Home, West First Street using Google Maps.
Other public records
- Website says Nurse 24 hours a day, diabetes care, transportation, 3 meals a day
- Staff pay 1 federal wage case with violations found, since 2004
Full public records, with dates and sources
Care and services
From the community’s website
What Bethany Home, West First Street says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
Skilled Nurses Available 24/7 at Bethany Home in Minden, NE
(page, checked Oct 15, 2026) - Offers diabetes care.
Diabetes management
(page, checked Oct 15, 2026) - Provides transportation.
Transportation
(page, checked Oct 12, 2026) - 3 meals a day.
Three nutritious meals daily
(page, checked Oct 12, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
Federal wage and hour cases
The Department of Labor checks that staff are paid minimum wage and overtime as the law requires.
- Findings for Oct 24, 2004 to Oct 15, 2006. Violations found: Child labor. Employer as DOL recorded it: Bethany Home (Bethany Home Inc.). Case 1461422.
DOL also concluded 1 case here with no violations found, most recently for a period ending Apr 5, 2008.
Source: U.S. Department of Labor, Wage and Hour Division enforcement data, loaded Oct 15, 2026. Concluded cases only. The dates are the period in which DOL found violations, not when the case opened or closed. Back wages are what the employer agreed to pay; penalties are what DOL assessed. DOL does not publish a page for each case, so search the dataset by case number.
Location and nearby care
- Nearest hospital with an emergency room
- Kearney County Health Services Hospital, Minden. 0.7 miles away, straight line.
- Nearest Medicare nursing home
- Mt Carmel Home - Keens Memorial, Kearney. 15.2 miles away, straight line.
- Nearest home health agency office
- Evangelical Lutheran Gss Home Care Of Central Nebraska, Kearney. 15.4 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Walgreens. 15.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 68959 as rural (rural area).
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 68959.
Brookestone Home Health & Hospice, office in Kearney, 16.6 miles away, straight line (CMS family survey rating 4 of 5 stars)
Aseracare Hospice, office in Kearney, 17.9 miles away, straight line (CMS family survey rating 4 of 5 stars) - Nearest geriatric medicine practice
- Unmc Physicians, Omaha. 152.9 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively low, wildfire relatively low, tornado relatively high, heat wave relatively low, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | See above |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | See above |
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Frequently asked questions
Is Bethany Home, West First Street a good nursing home?
CMS gives Bethany Home, West First Street an overall rating of 1 out of 5 stars, including 4/5 for staffing and 2/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Bethany Home, West First Street staffed?
Bethany Home, West First Street reports 4.37 total nurse hours per resident per day, compared with the Nebraska average of 4.17.
Has Bethany Home, West First Street had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Bethany Home, West First Street have?
Bethany Home, West First Street is certified for 64 beds.