Bethel Lutheran Home
Nursing Home Facility
1001 S Egan Ave, Madison, SD 57042

Bethel Lutheran Home is a senior care community located in Madison, SD. It provides nursing home care and senior living for older adults in the Madison area. To learn more or schedule a tour, call (605) 256-4539.
Bethel Lutheran Home is licensed for 59 beds, about typical for the area, where senior care communities in Madison average about 59 beds.
Federal reporting puts occupancy at about 93% of its licensed beds, which is high; communities this full often maintain a waiting list, so it is worth calling well before you need a place.
Medicare rates this community 2 out of 5 stars overall, a score based on health inspections, staffing levels and quality measures. The individual scores differ noticeably: 4 stars for staffing against 2 stars for health inspections, so it is worth reading both before deciding. Its most recent standard health inspection was in July 2025 and recorded 7 deficiencies.
Residents receive about 3.7 hours of nursing care per day on average, including 1.0 hours from a registered nurse. Nursing staff turnover over the past year was about 52%.
The community is located in Lake County, SD.
Inspection record
In its last three standard inspections and any complaint visits, federal inspectors cited 12 problems at Bethel Lutheran Home. 2 findings involved harm to a resident. 1 came from investigating complaints by residents or families.
In the last three years Medicare fined this home twice, a total of $56,430.
Findings from the most recent inspection cycle
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Caused harm to a resident, one or a few residents
Quality of Life and Care
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
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Could cause more than minimal harm, widespread
Nutrition and Dietary
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Could cause more than minimal harm, a pattern
Resident Rights
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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Could cause more than minimal harm, a pattern
Quality of Life and Care
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.
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Could cause more than minimal harm, a pattern
Infection Control
Provide and implement an infection prevention and control program.
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Could cause more than minimal harm, one or a few residents
Resident Rights
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.
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Minimal harm or the potential for it, widespread
Resident Rights
Ensure residents have reasonable access to and privacy in their use of communication methods.
A citation on its own does not mean poor care, and most are corrected within weeks. What matters most is how serious the findings were and whether the same problems keep coming back. When you visit, it is fair to ask the administrator what inspectors found and what has changed since.
Bethel Lutheran Home offers nursing home care and senior living.
Facility details
- Organization type Non profit - Church related
- Beds / units 59
- Religious affiliation Lutheran
- Occupancy 93%
- Nursing hours per resident/day 3.7
- Annual staff turnover 52%
- Last health inspection July 2025
Resident & family reviews
No one has shared a review of Bethel Lutheran Home yet. If you or someone you love has lived here, what you saw could help another family make this decision with more confidence.