| Bethany Home Sioux Falls | |
| 1901 South Holly Avenue, Sioux Falls, South Dakota 57105 | |
| (605) 338-2351 | |
| Name | Bethany Home Sioux Falls |
|---|---|
| Location | 1901 South Holly Avenue, Sioux Falls, South Dakota |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 52 |
| Occupancy Rate | 81.35% |
| Medicare ID (CCN) | 435096 |
| Legal Business Name | Bethany Lutheran Home |
| Ownership Type | Non Profit - Corporation |
| NPI Number | 1023063856 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Bethany Lutheran Home |
| Doing Business As | Bethany Home Sioux Falls |
| Address | 1901 S Holly Ave, Sioux Falls, SD 57105 |
| Phone Number | 605-338-2351 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | Not available: CMS could not validate the staffing data | 3.86 |
| Registered nurse (RN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | Not available: CMS could not validate the staffing data | 0.86 |
| Nurse aide hours per resident per day | Not available: CMS could not validate the staffing data | 2.32 |
| Total nurse staff hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 3.42 |
| RN hours per resident per day on the weekend | Not available: CMS could not validate the staffing data | 0.48 |
| Physical therapist hours per resident per day | Not available: the staffing data did not meet CMS's criteria for this measure | 0.07 |
| Total nursing staff turnover | 44.9% | 45.8% |
| Registered nurse turnover | 25% | 42.9% |
| Number of administrators who have left the nursing home | 1 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Dec 18, 2025 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 5, 2026 |
| Oct 29, 2025 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Nov 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. F0803, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 6, 2024 |
| Nov 7, 2024 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 6, 2024 |
| Nov 7, 2024 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, pattern | Past non-compliance (already corrected) |
| Nov 7, 2024 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Complaint inspection | Potential for harm, pattern | Corrected by Dec 6, 2024 |
| Nov 7, 2024 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Nov 7, 2024 | 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. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Past non-compliance (already corrected) |
| Nov 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. F0657, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2024 |
| Jul 20, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Sep 3, 2023 |
| Jul 20, 2023 | 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. F0761, Pharmacy Service, Standard inspection | Potential for harm, pattern | Corrected by Sep 3, 2023 |
| Jul 20, 2023 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. F0640, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Sep 3, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 22.34 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 3.26 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.7 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 3.45 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 4.17 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.17 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 96.67 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 92.07 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0.84 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 20.3 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 15.63 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 63.64 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 86.57 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 3.9 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 38.63 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 19.77 | 15.38 |
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