Home / South Dakota / Webster
Bethesda Home
129 W Hwy 12, Webster, SD 57274 · Day County · (605) 345-3331
50 certified beds, about 42 residents a day · Non profit - Church related · Medicare and Medicaid since 1993
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435071 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on April 15, 2026, inspectors cited 4 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
None of its 8 health citations since September 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 4.53 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 1.15 of those hours.
30.6% 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.
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 8 health citations on file.
April 15, 2026Standard inspection, Complaint inspection · 4 citations
- E Ensure that residents are fully informed and understand their health status, care and treatments.
Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure the staff educated the resident or the resident's representative of the risks versus benefits of medications or of alternative treatments to make an informed decision for the consent for the use of psychotropic medications (drugs that affect brain activities associated with mental processes and behavior) before they were administered to three of three sampled residents (1, 12, and 25).
- D Ensure each resident receives an accurate assessment.
Inspectors wroteBased on record review, interview, and Centers for Medicare and Medicaid Services (CMS) Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual Version 1.20.1 October 2025 review, the provider failed to ensure one of one sampled residents' (1) Minimum Data Set (MDS) (a tool used to evaluate a resident's health status and to develop an individualized care plan to manage the resident's care needs) assessment was accurately coded for the area of PASARR, and one of one sampled residents' (12) MDS assessment was accurately coded for the area of active diagnoses.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on observation, interview, record review, policy review, and review of budesonide (a steroid used to treat lung inflammation) manufacturer's instructions the provider failed to ensure staff administered the budesonide nebulizer (a device that converts liquid medication into an inhalable mist) according to the manufacturer's instructions for one of one sampled resident (7) who developed thrush (a yeast infection in the mouth and throat).
- D 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 South Dakota Department of Health (SD DOH) facility reported incident (FRI), record review, observation, interview, and policy review the provider failed to ensure drugs and biologicals were labeled, securely stored, and discarded regarding:*One of one fentanyl patch (a medications with risk for abuse and addiction) pain medication for resident 35 that was not administered or securely stored after it was removed from the double locked storage on medication cart C by registered nurse (RN) K.*One of one sampled resident's (24) Vicks Vaporub, Gold Bond Medicated Powder, Blu-Emu Cream (a pain-relieving cream) Voltaren 1% cream (a pain-relieving cream), and seawater nasal spray that were not securely stored to prevent other residents from accessing them.*Medications with shortened expiration dates (medications that, after opening, expire before the manufacturer's expiration date) [...]
January 9, 2025Standard inspection · 3 citations
- E Keep residents' personal and medical records private and confidential.
Inspectors wroteBased on observation, interview, document review, and policy review the provider failed to ensure practices were in place to ensure the residents' right to privacy for six of six (1, 12, 20, 25, 37, and 42) sampled residents with audio and video monitoring devices in their rooms. *Obtain consent for audio and video monitoring use for six of six (1, 12, 20, 25, 37, and 42) sampled residents with audio and video monitoring devices in their rooms.
- E Honor 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.
Inspectors wroteBased on interview, observation, record review, and policy review, the provider failed to implement an effective grievance process to ensure two of two sampled residents (10 and 32) who had reported grievances included documentation, investigation, and follow-up with the resident regarding issues of resident care and quality of life that were important to the resident. Specifically, the provider failed to ensure the following: [...]
- E Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Inspectors wroteBased on interview, record review, and policy review, the provider failed to maintain the physical, mental, and psychosocial wellbeing by ensuring staff promptly respond to call lights for five of five residents (2, 10, 17, 32, and 35) who used call lights to alert staff of their assistance needs.
September 13, 2023Standard inspection · 1 citation
- E 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 policy review, the provider failed to ensure proper glove use and hand hygiene were performed during two of three meal services by two of three observed dietary cooks (D and E) in the dining room.
Fire safety inspections
6 fire safety citations on file: 4 on April 15, 2026, 2 on September 13, 2023.
Every fire safety citation6 citations
- F Have simulated fire drills held at unexpected times.
- D Develop and maintain an Emergency Preparedness Program (EP).
- D List the names and contact information of those in the facility.
- D Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- E Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.
- E Have properly installed hallway dispensers for alcohol-based hand rub.
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) | 4.53 | 3.79 | 3.86 |
| Registered nurses | 1.15 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.65 | 3.26 | 3.42 |
| Nurse aides | 2.88 | ||
| Licensed practical nurses | 0.50 | ||
| Nursing staff turnover (share who left in a year) | 30.6% | 48.2% | 45.8% |
| Registered nurse turnover | 0.0% | 34.7% | 42.9% |
| Administrators who left | 1 |
CMS expects 3.21 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 4.88 on weekdays and 3.65 on weekends, 25% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 0.0% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.44 in April to June 2025 to 4.53 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 | 4.53 | 1.15 | 4.88 | 3.65 | 0.0% | 0 of 90 | 42 |
| Oct to Dec 2025 | 4.28 | 1.03 | 4.60 | 3.46 | 0.0% | 0 of 92 | 45 |
| Jul to Sep 2025 | 4.26 | 1.04 | 4.60 | 3.37 | 0.0% | 0 of 92 | 45 |
| Apr to Jun 2025 | 4.44 | 1.13 | 4.76 | 3.65 | 0.0% | 0 of 91 | 43 |
| 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.
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 South Dakota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Dakota, all employers | |||
| CNAs (nursing assistants) | $18.65 | $17.71 to $21.12 | 6,860 |
| LPNs and LVNs | $25.36 | $23.88 to $29.47 | 2,050 |
| Registered nurses | $37.53 | $31.29 to $40.52 | 14,710 |
| 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 | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 12.4 | 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 | 1.9 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 9.6 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 10.1 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.1 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 10.9 | 24.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.9 | 1.8 | 1.8 |
Owners and operators
Legal business name: BETHESDA HOME.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Bethesda Home | 5% or greater direct ownership interest | Organization | 100% | 01/01/2008 |
| Anderson, Barb | Indirect ownership interest | Individual | 01/01/2025 | |
| Christensen, Tanner | Indirect ownership interest | Individual | 10/28/2025 | |
| Fischer, Gail | Indirect ownership interest | Individual | 01/01/2025 | |
| Peterson, Paul | Indirect ownership interest | Individual | 01/01/2025 | |
| Sigdestad, David | Indirect ownership interest | Individual | 03/24/2025 | |
| Witt, Linda | Indirect ownership interest | Individual | 01/01/2025 | |
| Zimmerman, Brent | Indirect ownership interest | Individual | 01/01/2025 | |
| Anderson, Barb | Managing control - governing body | Individual | 01/01/2025 | |
| Christensen, Tanner | Managing control - governing body | Individual | 10/28/2025 | |
| Fischer, Gail | Managing control - governing body | Individual | 01/01/2025 | |
| Peterson, Paul | Managing control - governing body | Individual | 01/01/2025 | |
| Sigdestad, David | Managing control - governing body | Individual | 03/24/2025 | |
| Witt, Linda | Managing control - governing body | Individual | 01/01/2025 | |
| Zimmerman, Brent | Managing control - governing body | Individual | 01/01/2025 | |
| Baumgarn, Anne | Corporate officer | Individual | 01/07/2022 | |
| Bethesda Home | Operational/managerial control | Organization | 01/01/2008 | |
| Baumgarn, Anne | Operational/managerial control | Individual | 07/23/2025 | |
| Gravley, Elizabeth | Operational/managerial control | Individual | 01/01/2025 | |
| Rithmiller, Dawn | Operational/managerial control | Individual | 01/07/2022 | |
| Bethesda Home | Adp of the SNF | Organization | 04/17/2026 | |
| Baumgarn, Anne | Adp of the SNF | Individual | 04/17/2026 | |
| Gravley, Elizabeth | Adp of the SNF | Individual | 04/17/2026 |
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 April 15, 2026: "Ensure that residents are fully informed and understand their health status, care and treatments."
- When is the care plan meeting, and can family attend it?Inspectors cited 2 problems in this area, most recently on April 15, 2026: "Ensure each resident receives an accurate assessment."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on April 15, 2026: "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."
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 1 problem in this area, most recently on January 9, 2025: "Provide appropriate treatment and care according to orders, resident’s preferences and goals."
- How long has the current administrator been here?CMS counts 1 administrator who left in the period it measured.
Other nursing homes nearby
- Sun Dial Manor Bristol, 10.6 mi · 3 of 5 stars · 21 citations
- Strand-Kjorsvig Community Rest Home Roslyn, 10.8 mi · 2 of 5 stars · 23 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 Bethesda Home's Medicare star rating?
- CMS rates Bethesda Home 5 out of 5 stars overall, with 4 for health inspections, 5 for staffing and 4 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bethesda Home get at its last inspection?
- 4 health deficiencies at the standard inspection on April 15, 2026. The South Dakota average is 6.7.
- Has Bethesda Home been fined?
- CMS lists no fines in the last three years.
- Does Bethesda 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 Bethesda Home?
- CMS lists 23 owners and managers. Legal business name: BETHESDA 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.