Bethany Home
1226 Berlin Street, Waupaca, WI 54981 · Waupaca County · (715) 258-5521
100 certified beds, about 75 residents a day · For profit - Corporation · Medicare and Medicaid since 1994
Part of a continuing care retirement community Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
4 of 5
Staffing
4 of 5
Quality measures
5 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 525538 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on May 21, 2025, inspectors cited 3 health deficiencies (the Wisconsin average is 9.5, the national average 9.2).
Of 10 health citations since March 2023, 1 was rated as actual harm or immediate jeopardy to residents.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.52 hours per resident per day, against 4.21 across Wisconsin and 3.86 nationally. Registered nurses accounted for 0.80 of those hours.
73.7% of nursing staff left within the year CMS measured (Wisconsin average 46.9%).
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.
003/23
404/24
109/24
305/25
210/25
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 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
1G
0H
0I
Potential for more than minimal harm
8D
1E
0F
Potential for minimal harm
0A
0B
0C
October 27, 2025Complaint inspection · 2 citations
- G Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on staff interview and record review, the facility did not ensure the resident environment was as free of accident hazards as possible for 1 Resident (R) (R1) of 3 sampled residents. R1 required an EZ stand mechanical lift with the assistance of 2 staff for transfers. On 9/25/25, R1 slipped from the EZ stand, was lowered to the floor, and suffered a left clavicle fracture when agency Certified Nursing Assistant (CNA)-C transferred R1 alone. In addition, agency Registered Nurse (RN)-D did not transfer R1 to the emergency room (ER) per R1's request because RN-D did not know how to complete the paperwork. The facility identified deficient practices but did not provide education to agency staff who worked since the incident.
- D Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Inspectors wroteBased on staff interview and record review, the facility did not implement policies and procedures to prevent abuse for 1 (Certified Nursing Assistant (CNA)-C)) of 8 staff reviewed for caregiver background checks. The facility did not ensure an out-of-state background check was completed for CNA-C.
May 21, 2025Standard inspection · 3 citations
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on staff interview and record review, the facility did not maintain an infection prevention and control program designed to prevent the transmission of communicable disease and infection. This practice had potential to affect more than 4 of the 73 residents residing in the facility. The facility allowed 3 staff with gastrointestinal (GI) illness symptoms to return to work earlier than recommended per the facility's policy.
- D Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not consult with a physician when there was a change in condition or a need to alter treatment for 1 resident (R) (R61) of 1 sampled resident. R61 was assessed on 5/12/25 and noted to have a 5 pound weight gain and bilateral pitting edema. The physician ordered compression stockings. R61 did not have compression stockings as of 5/21/25. The physician was not notified of the delay in treatment.
- D PASARR screening for Mental disorders or Intellectual Disabilities
Inspectors wroteBased on staff interview and record review, the facility did not ensure 1 resident (R) (R36) of 5 sampled residents suspected of having a mental illness and/or intellectual/developmental disability was screened through the Pre-admission Screen and Resident Review (PASRR) Level II process to determine if nursing home placement was appropriate and if specialized services were required. The facility did not follow-up appropriately to ensure completion of a PASRR Level II Screen for R36 and did not follow a Qualified Mental Health Professional's (QMHP) request to resubmit for a PASRR Level II Screen if R36 remained in the facility.
September 30, 2024Complaint inspection · 1 citation
- D Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on staff interview and record review, the facility did not ensure thorough assessments were completed post-fall for 2 residents (R) (R1 and R2) of 3 sampled residents. Staff did not consistently complete vital signs per the facility's policy following R1's fall on 9/5/24. Staff did not consistently complete vital signs per the facility's policy following R2's fall on 7/19/24.
April 17, 2024Standard inspection · 4 citations
- D Provide enough food/fluids to maintain a resident's health.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not ensure the necessary treatment and services were provided to prevent weight loss for 1 resident (R) (R17) of 5 sampled residents. R17 had a significant weight loss of 22 pounds between 10/11/23 and 4/22/24. During observations on 4/15/24 and 4/16/24, the facility did not ensure R17 received one-to-one (1:1) assistance with meals per R17's plan of care.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on observation, staff and resident interview, and record review, the facility did not ensure 1 resident (R) (R216) of 1 sampled resident received the necessary care and treatment for respiratory therapy. R216 received respiratory therapy via oxygen concentrator and nasal cannula. R216's plan of care did not contain orders for staff to clean/change R216's equipment in accordance with the facility's policy.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, staff interview, and record review, the facility did not provide pharmaceutical services to ensure all drugs and biologicals were accurately acquired, received, dispensed, and administered for 2 residents (R) (R44 and R48) of 5 residents reviewed for medication administration. R44's medication card labels for diltiazem (a blood pressure (BP) medication), carvedilol (a BP medication) and spironolactone (a BP medication) were not updated to reflect the orders in R44's Medication Administration Record (MAR). During an observation of medication administration on 4/16/24, staff crushed R48's potassium chloride extended release (ER) medication.
- D Ensure each resident’s drug regimen must be free from unnecessary drugs.
Inspectors wroteBased on staff interview and record review, the facility did not ensure adequate monitoring of a high-risk medication for 1 resident (R) (R4) of 6 sampled residents. R4 was prescribed digoxin (used to treat atrial fibrillation (abnormal heart rhythm)). Staff indicated R4 was administered digoxin without an apical pulse taken one minute prior to administration. In addition, R4's digoxin level was not checked as indicated in R4's plan of care.
March 15, 2023Standard inspection · 0 citations
Fire safety inspections
20 fire safety citations on file: 5 on May 21, 2025, 13 on April 17, 2024, 2 on March 15, 2023.
Every fire safety citation20 citations
- F Have approved installation, maintenance and testing program for fire alarm systems.
- E Provide properly protected cooking facilities.
- E Install properly constructed and protected linen or trash chutes.
- E Have generator or other power source capable of supplying service within 10 seconds.
- D Install emergency lighting that can last at least 1 1/2 hours.
- F Provide primary/alternate means for communication.
- F Provide family notifications of emergency plan.
- F Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- F Provide a written emergency evacuation plan.
- F Have generator or other power source capable of supplying service within 10 seconds.
- E Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- E Have approved installation, maintenance and testing program for fire alarm systems.
- E Inspect, test, and maintain automatic sprinkler systems.
- E Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Install emergency lighting that can last at least 1 1/2 hours.
- D Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.
- D Meet requirements for the installation and maintenance of electrical systems.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Meet requirements for the installation and maintenance of electrical systems.
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 | Wisconsin | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 4.52 | 4.21 | 3.86 |
| Registered nurses | 0.80 | 0.99 | 0.69 |
| All nursing staff on weekends | 4.01 | 3.77 | 3.42 |
| Nurse aides | 2.70 | ||
| Licensed practical nurses | 1.03 | ||
| Nursing staff turnover (share who left in a year) | 73.7% | 46.9% | 45.8% |
| Registered nurse turnover | 57.9% | 39.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.54 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
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 4.73 on weekdays and 4.01 on weekends, 15% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 9.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.45 in April to June 2025 to 4.52 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 | 4.52 | 0.80 | 4.73 | 4.01 | 9.9% | 0 of 90 | 75 |
| Oct to Dec 2025 | 4.44 | 0.80 | 4.67 | 3.88 | 7.6% | 0 of 92 | 78 |
| Jul to Sep 2025 | 4.54 | 1.04 | 4.81 | 3.85 | 12.4% | 0 of 92 | 82 |
| Apr to Jun 2025 | 4.45 | 0.92 | 4.72 | 3.77 | 7.8% | 0 of 91 | 74 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| Wisconsin, Jan to Mar 2026 | 4.19 | 0.95 | 4.36 | 3.74 | 8.8% | 0.3% 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review.
Official wage estimates for Wisconsin
| Job | Median | Middle half | Employed |
|---|---|---|---|
| Wisconsin, all employers | |||
| CNAs (nursing assistants) | $21.70 | $19.03 to $22.75 | 28,370 |
| LPNs and LVNs | $30.65 | $28.67 to $36.06 | 7,390 |
| Registered nurses | $45.93 | $39.39 to $49.33 | 68,060 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | Wisconsin | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 11.9 | 16.1 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 0.4 | 2.6 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 1.6 | 3.3 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 1.2 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 21.0 | 18.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 1.6 | 5.0 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 13.6 | 15.8 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 10.0 | 23.1 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 9.5 | 15.5 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 0.7 | 1.7 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.6 | 2.3 | 1.8 |
Owners and operators
Legal business name: BETHANY HOME, INC..
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Abrahamson, Sue | Corporate director | Individual | 02/22/2023 | |
| Conradt, Barbara | Corporate director | Individual | 02/22/2022 | |
| Gutho, Hannah | Corporate director | Individual | 02/22/2023 | |
| Jacquart, Mike | Corporate director | Individual | 02/22/2022 | |
| Mazemke, Michele | Corporate director | Individual | 05/01/2024 | |
| Reichenbach, Gregory | Corporate officer | Individual | 01/10/2024 | |
| Mazemke, Michele | Operational/managerial control | Individual | 05/01/2024 | |
| Reichenbach, Gregory | Operational/managerial control | Individual | 01/10/2024 | |
| Mazemke, Michele | Adp of the SNF | Individual | 05/01/2024 | |
| Reichenbach, Gregory | Adp of the SNF | Individual | 04/15/2025 |
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 you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on October 27, 2025: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 2 problems in this area, most recently on April 17, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
- How are allegations of abuse or neglect reported and investigated, and who tells the family?Inspectors cited 1 problem in this area, most recently on October 27, 2025: "Develop and implement policies and procedures to prevent abuse, neglect, and theft."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on May 21, 2025: "Provide and implement an infection prevention and control program."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
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Wisconsin contacts for a concern about a nursing home
These are the official offices in Wisconsin. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: Wisconsin Department of Health Services, Division of Quality Assurance, Nursing Homes, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: Wisconsin Board on Aging and Long Term Care, Ombudsman Program, 1-800-815-0015. 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: Wisconsin DHS Provider Search (Survey History), where Wisconsin publishes its own records on licensed homes.
Common questions
- What is Bethany Home's Medicare star rating?
- CMS rates Bethany Home 5 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 5 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bethany Home get at its last inspection?
- 3 health deficiencies at the standard inspection on May 21, 2025. The Wisconsin average is 9.5.
- Has Bethany Home been fined?
- CMS lists no fines in the last three years.
- Does Bethany Home 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?
- CMS lists 10 owners and managers. Legal business name: BETHANY HOME, INC..
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.