Independent · Federal inspection records, searchable
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Nursing Home Violations Public inspection data, searchable
Facility profile · CCN 165524

Bethany Lutheran Home

48 federal citations on record , including 2 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $55,846.

2 Immediate Jeopardy

Record summary

Federal record · Q1 2026
48
Total citations
42
Last 3 years
5
Actual harm+
3
Federal penalties
$55,846
Total fines
1
Overall ★ rating

Most common violation categories here

Quality of Care15 Care Planning12 Resident Rights8 Nursing & Physician Services4 Abuse & Neglect3

Most common F-tags at this facility

F6585 F6895 F5504 F6563 F8803

Citation history

48 on record
SurveyF-TagViolationSeveritySource
Oct 2, 2025F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Oct 2, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.JComplaint
Oct 2, 2025F880Provide and implement an infection prevention and control program.FStandard
Oct 2, 2025F760Ensure that residents are free from significant medication errors.DStandard
Oct 2, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DStandard
Oct 2, 2025F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard
Oct 2, 2025F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Oct 2, 2025F637Assess the resident when there is a significant change in conditionDStandard
May 30, 2025F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 30, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.GComplaint
Mar 13, 2025F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Mar 13, 2025F657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.DComplaint
Mar 13, 2025F609Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.DComplaint
Mar 13, 2025F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Oct 31, 2024F880Provide and implement an infection prevention and control program.DStandard
Oct 31, 2024F812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard
Oct 31, 2024F744Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia.DStandard
Oct 31, 2024F727Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.EStandard
Oct 31, 2024F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard
Oct 31, 2024F644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.DStandard
Oct 31, 2024F625Notify 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.DStandard
Oct 31, 2024F623Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.DStandard
Aug 12, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint
Aug 12, 2024F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
May 14, 2024F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
May 14, 2024F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EComplaint
Nov 2, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.JComplaint
Nov 2, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Aug 21, 2023F760Ensure that residents are free from significant medication errors.DComplaint
Aug 21, 2023F725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EComplaint
Aug 21, 2023F698Provide safe, appropriate dialysis care/services for a resident who requires such services.DComplaint
Aug 21, 2023F695Provide safe and appropriate respiratory care for a resident when needed.GComplaint
Aug 21, 2023F690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.DComplaint
Aug 21, 2023F689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint
Aug 21, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Aug 21, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Aug 21, 2023F658Ensure services provided by the nursing facility meet professional standards of quality.DComplaint
Aug 21, 2023F656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint
Aug 21, 2023F585Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.DComplaint
Aug 21, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint
Aug 21, 2023F880Provide and implement an infection prevention and control program.DStandard
Aug 21, 2023F625Notify 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.DStandard
Mar 8, 2023F686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DComplaint
Mar 8, 2023F684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DComplaint
Mar 8, 2023F677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint
Mar 8, 2023F610Respond appropriately to all alleged violations.DComplaint
Mar 8, 2023F607Develop and implement policies and procedures to prevent abuse, neglect, and theft.DComplaint
Mar 8, 2023F550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.DComplaint

Federal enforcement history

Federal regulators have imposed 3 enforcement actions against this facility, including 3 civil money penalties totaling $55,846 .

DateTypeFinePayment denial
Oct 2, 2025Fine$25,520—
Nov 2, 2023Fine$11,183—
Aug 21, 2023Fine$19,143—
About this record A citation is a finding by a state survey team working under federal contract. It is not a court judgment. The description above is drawn verbatim from federal public datasets. Facilities have the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.

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