Nursing home
Bethel Lutheran Home
1001 S Egan Ave, Madison, SD 57042 · Map
Non profit - Church related · 59 certified beds
Bethel Lutheran Home is a Medicare-certified nursing home in Madison, South Dakota. CMS rates it 2 out of 5 stars overall (4/5 for staffing, 2/5 for health inspections). Nurse staffing is 3.82 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Jul 17, 2025 cited 7 deficiencies.
- 2 fines totaling $56,430In CMS records: 2 total penalties.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Bethel Lutheran Home compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 3.82 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.77 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 2.65 | 2.61 | 2.34 | above avg |
| Nursing staff turnover | 58.0% | 49.7% | 46.4% | above avg |
| Deficiencies cited, last inspection | 7.0 | 6.8 | 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 July 17, 2025 inspection was corrected by September 9, 2025
Penalties in CMS records: 2 fines totaling $56,430, 2 total penalties.
What inspectors found at Bethel Lutheran Home
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Actual harm
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Quality of Life and Care Deficiencies · Jul 17, 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 · Jul 17, 2025 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
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.
Quality of Life and Care Deficiencies · Jul 17, 2025 · Full report (PDF) - Potential for harm
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Resident Rights Deficiencies · Jul 17, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
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.
Resident Rights Deficiencies · Jul 17, 2025 · Full report (PDF) - Minimal
Ensure residents have reasonable access to and privacy in their use of communication methods.
Resident Rights Deficiencies · Jul 17, 2025 · Full report (PDF) - Actual harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Nov 6, 2024 · 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 · Jan 18, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 18, 2024 · Full report (PDF) - Potential for harm
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.
Resident Rights Deficiencies · Jan 18, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Jan 26, 2023
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
- 1001 S Egan Ave
Madison, SD 57042 - CMS certification #
- 435076
- Ownership
- Non profit - Church related
- Certified beds
- 59
- Avg residents/day
- 52.1
- Provider type
- Medicare and Medicaid
- First certified
- 1994-04-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Bethel Lutheran Home using Google Maps.
Other public records
- Website says Transportation, 3 meals a day
Full public records, with dates and sources
Care and services
From the community’s website
What Bethel Lutheran Home says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Provides transportation.
Weekly housekeeping, maintenance, and in-town transportation for medical appointments.
(page, checked Oct 15, 2026) - 3 meals a day.
Three meals daily in the central dining room, offering social interaction.
(page, checked Oct 15, 2026) - Apartment types named: cottage or villa.
Cottage homes are purchased under contract and include a monthly maintenance fee.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Madison Regional Health System, Madison. 0.2 miles away, straight line.
- Nearest Medicare nursing home
- Good Samaritan Society Howard, Howard. 20.7 miles away, straight line.
- Nearest home health agency office
- Brookings Health System, Brookings. 27.6 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis Drug. 26.1 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57042 as small town (small town core).
- Dialysis within 15 miles
- Madison Dialysis Of Sanford Health, Madison, 0.2 miles away, straight line
- Hospice
- 7 Medicare hospices tell CMS they serve ZIP code 57042.
- Nearest geriatric medicine practice
- Hutchinson Health, Hutchinson. 148.0 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 high. By hazard: inland flooding relatively moderate, wildfire relatively low, tornado very high, heat wave relatively moderate, 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 | Nothing on record |
| 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 Bethel Lutheran Home a good nursing home?
CMS gives Bethel Lutheran Home an overall rating of 2 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 Bethel Lutheran Home staffed?
Bethel Lutheran Home reports 3.82 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Bethel Lutheran Home had inspection problems?
Its most recent CMS inspection cited 7 deficiencies.
How many beds does Bethel Lutheran Home have?
Bethel Lutheran Home is certified for 59 beds.