Home / South Dakota / Sioux Falls
Bethany Home Sioux Falls
1901 South Holly Avenue, Sioux Falls, SD 57105 · Minnehaha County · (605) 338-2351
54 certified beds, about 42 residents a day · Non profit - Corporation · Medicare and Medicaid since 1996
Certified for Medicaid Certified for Medicare
Overall
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
CMS note: The accuracy of the staffing data for this measure could not be validated by CMS.
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435096 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on December 18, 2025, inspectors cited 0 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
None of its 12 health citations since July 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
44.9% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
307/23
711/24
110/25
112/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 12 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
6D
3E
3F
Potential for minimal harm
0A
0B
0C
December 18, 2025Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, record review, and policy review, the provider failed to ensure the safety for one of one discharged sampled resident (57) who eloped (left the facility without staff knowledge) from the front door of the facility on 8/29/25 and was reported to the facility by a community member. The facility's front door was not alarmed or monitored at that time of the resident's elopement.
October 29, 2025Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on the South Dakota Department of Health (SD DOH) facility-reported incident (FRI) review, interview, record review, and policy review, the provider failed to ensure one of one licensed practical nurse (LPN) G followed facility policy, practiced within his scope of practice, and sought direction from a registered nurse (RN) or physician for one of one sampled resident (1) related to the family's concerns of the resident having a low hemoglobin blood level (protein in the red blood cells that carries oxygen).
November 7, 2024Standard inspection, Complaint inspection · 7 citations
- F Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
Inspectors wroteBased on menu review, observation, and interview, the provider failed to ensure adequate portions were served according to the menu for one of one observed meal. This had the potential to affect all residents receiving the main menu in the facility.
- F Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and document review, the facility failed to maintain cleanliness in one of one steamer and one of one convection oven in the kitchen.
- E Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Inspectors wroteBased on record review and policy review, the provider failed to provide Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) and Notice of Medicare Non-Coverage (NOMNC) for one of three (247) sampled residents. This citation is considered past non-compliance based on review of the corrective actions the provider implemented following the incident.
- E Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) Facility Reported Incident ( FRI), record review, interview, and policy review the provider failed to ensure 25 of 25 sampled residents on Promise Lane (1,2,3,5,6,7,8, 9, 10, 11,12, 13, 14, 20, 21, 22, 23, 25, 26, 27, 28, 36, 38, 39, and 40) had their blood sugar checked and received treatment and medications as ordered by one of one registered nurse (RN) F during a twelve-hour shift.
- D Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Inspectors wroteBased on interview and record review, the provider failed to provide a written notice of transfer or discharge and to notify the ombudsman of that transfer or discharge, for two of two sampled residents reviewed (31 and 45). This citation is considered past non-compliance based on review of the corrective actions the provider implemented after discovering the lack of documentation.
- D 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.
Inspectors wroteBased on interview and record review, the provider failed to provide a written bed-hold notice to the resident or their representative when transferred to the emergency department for one of two sampled residents reviewed (45). This citation is considered past non-compliance based on review of the corrective actions the provider implemented after discovering the lack of documentation.
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure the care plan for two of two sampled residents (11and 25) had been updated to reflect their current condition.
July 20, 2023Standard inspection · 3 citations
- F Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure infection prevention and control practices were implemented for the following: *Ensuring one of one resident (304) had performed hand hygiene after he had touched his blood from a wound on his arm prior to having the resident sign his name in the narcotics binder. *Establishing a water management program that addressed the prevention of Legionella.
- E Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure medication prescription labels were accurate with the most recent physician's orders for two of twenty-eight medication labels reviewed.
- D Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Inspectors wroteBased on record review, interview and policy review the provider failed to ensure Minimum Data Set (MDS) discharge assessments were completed in a timely manner for two of two sampled residents (4 and 36).
Fire safety inspections
1 fire safety citation on file: 1 on December 18, 2025.
Every fire safety citation1 citation
- D Have proper medical gas storage and administration areas.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | not reported | 3.79 | 3.86 |
| Registered nurses | not reported | 0.80 | 0.69 |
| All nursing staff on weekends | not reported | 3.26 | 3.42 |
| Nurse aides | not reported | ||
| Licensed practical nurses | not reported | ||
| Nursing staff turnover (share who left in a year) | 44.9% | 48.2% | 45.8% |
| Registered nurse turnover | 25.0% | 34.7% | 42.9% |
| Administrators who left | 1 |
CMS note on this home's staffing data: The accuracy of the staffing data for this measure could not be validated by CMS.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 5.63 on weekdays and 4.82 on weekends, 14% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 1.7% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 5.17 in April to June 2025 to 5.40 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 5.40 | 0.82 | 5.63 | 4.82 | 1.7% | 0 of 90 | 42 |
| Oct to Dec 2025 | 5.27 | 0.79 | 5.52 | 4.64 | 0.0% | 0 of 92 | 43 |
| Jul to Sep 2025 | 5.25 | 0.80 | 5.50 | 4.61 | 0.0% | 0 of 92 | 43 |
| Apr to Jun 2025 | 5.17 | 0.84 | 5.49 | 4.38 | 1.1% | 0 of 91 | 42 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 22.3 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 2.7 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 3.5 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 4.2 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.8 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 20.3 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.9 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 19.8 | 24.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 19.2 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 10.2 | 12.0 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.6 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.7 | 1.8 | 1.8 |
Owners and operators
Legal business name: BETHANY LUTHERAN HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Augustana Lutheran Church | 5% or greater direct ownership interest | Organization | 20% | 01/01/1966 |
| Beaver Valley Lutheran Church | 5% or greater direct ownership interest | Organization | 20% | 01/01/1966 |
| Benton Lutheran Church | 5% or greater direct ownership interest | Organization | 20% | 01/01/1966 |
| Nathanael Lutheran Church | 5% or greater direct ownership interest | Organization | 20% | 01/01/1966 |
| St. Marks Lutheran Church | 5% or greater direct ownership interest | Organization | 20% | 01/01/1966 |
| Anderson, Robert | Direct ownership interest | Individual | 01/02/2025 | |
| Flier, Joel | Direct ownership interest | Individual | 01/02/2025 | |
| Fonder, Lynda | Direct ownership interest | Individual | 01/02/2025 | |
| Heinemann, Daniel | Direct ownership interest | Individual | 01/02/2025 | |
| Hendricks-Wilkens, Mary | Direct ownership interest | Individual | 01/02/2025 | |
| Herrboldt, Deborah | Direct ownership interest | Individual | 01/02/2025 | |
| Hope, Lori | Direct ownership interest | Individual | 01/02/2025 | |
| Johnson, Ellen | Direct ownership interest | Individual | 01/02/2025 | |
| Kruse, Susan | Direct ownership interest | Individual | 01/02/2025 | |
| Neiderhiser, Debra | Direct ownership interest | Individual | 01/02/2025 | |
| Paulson, John | Direct ownership interest | Individual | 01/02/2025 | |
| Person, Lee | Direct ownership interest | Individual | 01/02/2025 | |
| Sanden, James | Direct ownership interest | Individual | 01/01/2020 | |
| Zingmark, Karen | Direct ownership interest | Individual | 01/02/2025 | |
| Anderson, Robert | Corporate director | Individual | 01/01/2016 | |
| Flier, Joel | Corporate director | Individual | 01/01/2021 | |
| Fonder, Lynda | Corporate director | Individual | 01/01/2023 | |
| Hendricks-Wilkens, Mary | Corporate director | Individual | 01/01/2022 | |
| Herrboldt, Deborah | Corporate director | Individual | 07/01/2014 | |
| Hope, Lori | Corporate director | Individual | 01/01/2012 | |
| Johnson, Ellen | Corporate director | Individual | 01/01/2021 | |
| Kruse, Susan | Corporate director | Individual | 01/01/2021 | |
| Neiderhiser, Debra | Corporate director | Individual | 01/01/2024 | |
| Paulson, John | Corporate director | Individual | 01/01/2021 | |
| Person, Lee | Corporate director | Individual | 01/01/2020 | |
| Sanden, James | Corporate director | Individual | 01/02/2025 | |
| Zingmark, Karen | Corporate director | Individual | 01/01/2024 | |
| Kroger, Heather | Corporate officer | Individual | 01/01/2024 | |
| Heinemann, Daniel | Operational/managerial control | Individual | 01/01/2015 | |
| Herrboldt, Deborah | Operational/managerial control | Individual | 07/01/2014 | |
| Heinemann, Daniel | General partnership interest | Individual | 01/01/2015 | |
| Heinemann, Daniel | Adp of the SNF | Individual | 12/23/2025 | |
| Herrboldt, Deborah | Adp of the SNF | Individual | 12/04/2025 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do residents and families raise a complaint or grievance, and how fast is it answered?Inspectors cited 3 problems in this area, most recently on November 7, 2024: "Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 2 problems in this area, most recently on December 18, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 2 problems in this area, most recently on November 7, 2024: "Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on November 7, 2024: "Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Good Samaritan Society Luther Manor Sioux Falls, 0.9 mi · 2 of 5 stars · 22 citations
- Avantara Norton Sioux Falls, 1.5 mi · not rated · 75 citations
- Dow Rummel Village Sioux Falls, 2.2 mi · 3 of 5 stars · 10 citations
- Good Samaritan Society Sioux Falls Center Sioux Falls, 2.2 mi · 2 of 5 stars · 18 citations
- Good Samaritan Society Sioux Falls Village Sioux Falls, 2.2 mi · 2 of 5 stars · 32 citations
- Avera Prince of Peace Sioux Falls, 3.9 mi · 4 of 5 stars · 17 citations
- Bethany Home - Brandon Brandon, 11.4 mi · 1 of 5 stars · 27 citations
- Good Samaritan Society Canton Canton, 17.3 mi · 4 of 5 stars · 7 citations
South Dakota contacts for a concern about a nursing home
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Dakota Department of Health, Office of Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: South Dakota Department of Health Nursing Facility Reports, where South Dakota publishes its own records on licensed homes.
Common questions
- What is Bethany Home Sioux Falls's Medicare star rating?
- CMS rates Bethany Home Sioux Falls 3 out of 5 stars overall, with 4 for health inspections, 1 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bethany Home Sioux Falls get at its last inspection?
- 0 health deficiencies at the standard inspection on December 18, 2025. The South Dakota average is 6.7.
- Has Bethany Home Sioux Falls been fined?
- CMS lists no fines in the last three years.
- Does Bethany Home Sioux Falls accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Bethany Home Sioux Falls?
- CMS lists 38 owners and managers. Legal business name: BETHANY LUTHERAN HOME.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.