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Bethel Lutheran Home

Nursing Home Facility

1001 S Egan Ave, Madison, SD 57042

Nursing Home Care Senior Living
Bethel Lutheran Home

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.

Medicare five-star ratings

  • Overall ★★★★★ 2/5
  • Health inspections ★★★★★ 2/5
  • Staffing ★★★★★ 4/5
  • Quality measures ★★★★★ 4/5

Source: Centers for Medicare & Medicaid Services (CMS) Care Compare. Ratings apply to Medicare/Medicaid-certified nursing homes and are updated by CMS monthly.

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

  • 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.

    Inspected July 2025. Corrected by August 13, 2025.

  • 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.

    Inspected July 2025. Corrected by September 9, 2025.

  • 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.

    Inspected July 2025. Corrected by August 13, 2025.

  • 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.

    Inspected July 2025. Corrected by August 12, 2025.

  • Could cause more than minimal harm, a pattern Infection Control

    Provide and implement an infection prevention and control program.

    Inspected July 2025. Corrected by August 16, 2025.

  • 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.

    Inspected July 2025. Corrected by August 15, 2025.

  • Minimal harm or the potential for it, widespread Resident Rights

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

    Inspected July 2025. Corrected by August 9, 2025.

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.

Source: Centers for Medicare & Medicaid Services, Health Deficiencies and Penalties files, updated monthly. See the full record on Medicare Care Compare.

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

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