Bethel Lutheran Home: Staffing, Turnover, and Inspection Record
Bethel Lutheran Home is a 59-bed nonprofit nursing home in Madison, South Dakota. In the CMS August 2026 release it reported 2.42 nurse aide hours per resident per day, 4% below the South Dakota average of 2.52, and 52.2% nursing staff turnover (South Dakota average 48.2%).
Bethel Lutheran Home
1001 S Egan AveMadison, SD 57042
Lake County
CMS Care Compare, August 2026 release
How many staff hours residents get
CMS reports staffing as hours per resident per day, from the payroll records each home submits. At Bethel Lutheran Home, nurse aides logged 2.42 hours per resident per day, 4% below the South Dakota average. With about 55 residents a day, that works out to roughly 132 aide hours a day, or about 17 eight-hour aide shifts across day, evening, and night. On weekends, total nursing hours per resident ran 14% below the all-days figure.
| Hours per resident per day | This home | South Dakota avg | US avg |
|---|---|---|---|
| Nurse aides (CNAs) | 2.42 | 2.52 | 2.32 |
| Licensed practical nurses | 0.31 | 0.47 | 0.86 |
| Registered nurses | 1.00 | 0.80 | 0.69 |
| All nursing staff | 3.73 | 3.79 | 3.86 |
| All nursing staff, weekends | 3.20 | 3.26 | 3.42 |
CMS Care Compare, August 2026 release: reported staffing hours from Payroll-Based Journal data, and CMS state and US averages.
Staff turnover
52.2% of nursing staff at Bethel Lutheran Home left over the year CMS measured, against a South Dakota average of 48.2% and a US average of 45.8%. Registered nurse turnover was 27.3%. 2 administrators left over the same period.
Inspections and penalties
State inspectors last completed a standard health inspection on Jul 17, 2025. The most recent inspection cycle, which also counts complaint and infection-control inspections from the past 12 months, found 7 health deficiencies (South Dakota average 6.9). CMS lists 2 fines totaling $56,430 in the last three years.
| Inspection date | Penalty | Amount or length |
|---|---|---|
| Jul 17, 2025 | Fine | $48,412 |
| Nov 6, 2024 | Fine | $8,018 |
CMS Penalties file, August 2026 release. A payment denial stops Medicare and Medicaid payment for new admissions for the days shown.
CMS star ratings
CMS rates every nursing home from one to five stars overall and on health inspections, staffing, and quality measures. Bethel Lutheran Home holds 2 of 5 overall; the South Dakota average is 2.9.
About Bethel Lutheran Home
- Ownership: Non profit - Church related
- Medicare and Medicaid certified since: Apr 1, 1994
- Councils: resident council
- Area: rural
Nursing homes near Bethel Lutheran Home
The closest homes by distance, with the same CMS figures. Select a column to sort.
| Good Samaritan Society Howard Howard | 20.7 | 45 | 2.34 | 3.39 | 53.7% | 5 | None |
| Dells Nursing and Rehab Center Inc Dell Rapids | 23.0 | 50 | 2.17 | 3.00 | 41.5% | 4 | $173,010 |
| Flandreau Santee Sioux Tribe Care Center Flandreau | 25.6 | 42 | — | — | — | 3 | $27,967 |
| Riverview Healthcare Center Flandreau · SFF candidate · abuse citation | 26.5 | 63 | 2.26 | 3.62 | 66.7% | 1 | $176,867 |
| United Living Community Brookings | 26.7 | 67 | 3.62 | 4.78 | 50.0% | 2 | $33,027 |
| The Neighborhoods at Brookview Brookings | 27.7 | 79 | 3.49 | 4.60 | 53.6% | 5 | None |
| Good Samaritan Society Canistota Canistota | 28.9 | 55 | 2.49 | 3.23 | 68.0% | 3 | $9,009 |
| Good Samaritan Society de Smet De Smet | 34.5 | 46 | 2.10 | 3.40 | 64.4% | 1 | $27,989 |
Aide hrs and all nurse hrs are staff hours per resident per day. Fines are the CMS total for the last three years. Turnover is the share of nursing staff who left over a year. All figures from CMS Care Compare.
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Source: CMS Care Compare Provider Information, State and US Averages, and Penalties files, August 2026 release. Figures are as CMS publishes them; check Medicare Care Compare for the latest. Methodology.