Brandon, SD

Bethany Home - Brandon

1-star overall rating with 1-star inspections with $24,385 in total fines with 13 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle

3012 E Aspen Blvd, Brandon, SD

(605) 582-5200

Compare this facility

Overall

1 / 5

CMS overall stars

Health inspections

1 / 5

Survey and complaint cycles

Staffing

5 / 5

RN + nurse staffing

Quality measures

1 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

60

Certified beds

Average residents

56

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

2012-10-11

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Staffing

Hours and turnover

RN hours / resident day

0.89

Registered nurse staffing

LPN hours / resident day

0.33

Licensed practical nurse staffing

Aide hours / resident day

3.70

Nurse aide staffing

Weekend hours

4.21

Weekend nurse staffing

RN turnover

31%

Annual RN turnover

Total nurse turnover

46%

Annual nurse turnover

Quality measures

Resident outcomes and process scores

Measure Facility State National Note
Number of hospitalizations per 1000 long-stay resident days 3.2
1.5
1.7 pts worse
1.9
1.3 pts worse
Long Stay · 20240701-20250630
Number of outpatient emergency department visits per 1000 long-stay resident days 2.6
1.9
0.7 pts worse
1.8
0.8 pts worse
Long Stay · 20240701-20250630
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine 98.0%
95.4%
2.6 pts better
93.4%
4.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
96.9%
3.1 pts better
95.5%
4.5 pts better
Long Stay · 2024Q3-2025Q2
Percentage of long-stay residents experiencing one or more falls with major injury 8.1%
5.1%
3 pts worse
3.3%
4.8 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who have depressive symptoms 2.8%
4.6%
1.8 pts better
11.4%
8.6 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who lose too much weight 3.4%
5.5%
2.1 pts better
5.4%
2 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antianxiety or hypnotic medication 12.3%
17.8%
5.5 pts better
19.6%
7.3 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who received an antipsychotic medication 32.8%
25.1%
7.7 pts worse
16.7%
16.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents who were physically restrained 0.0%
0.0%
About the same
0.1%
0.1 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose ability to walk independently worsened 38.4%
21.3%
17.1 pts worse
16.3%
22.1 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents whose need for help with daily activities has increased 27.9%
21.6%
6.3 pts worse
14.9%
13 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a catheter inserted and left in their bladder 4.7%
2.0%
2.7 pts worse
1.0%
3.7 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with a urinary tract infection 0.0%
3.3%
3.3 pts better
1.7%
1.7 pts better
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with new or worsened bowel or bladder incontinence 40.7%
25.8%
14.9 pts worse
19.8%
20.9 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of long-stay residents with pressure ulcers 9.1%
4.6%
4.5 pts worse
5.1%
4 pts worse
Long Stay · 2024Q4-2025Q3
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
83.2%
16.8 pts better
81.7%
18.3 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who had an outpatient emergency department visit 8.4%
11.7%
3.3 pts better
12.0%
3.6 pts better
Short Stay · 20240701-20250630
Percentage of short-stay residents who newly received an antipsychotic medication 0.8%
1.7%
0.9 pts better
1.6%
0.8 pts better
Short Stay · 2024Q4-2025Q3
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine 100.0%
78.2%
21.8 pts better
79.7%
20.3 pts better
Short Stay · 2024Q3-2025Q2
Percentage of short-stay residents who were rehospitalized after a nursing home admission 33.1%
21.5%
11.6 pts worse
23.9%
9.2 pts worse
Short Stay · 20240701-20250630

Survey summary

Recent inspection cycles

Cycle 1 Health 2025-12-18 · Fire 2025-12-18

13 health deficiencies

Top issue: Quality of Life and Care (4 deficiencies)

1 fire-safety deficiencies

Top issue: Smoke (1 deficiency)

Cycle 2 Health 2024-11-08 · Fire 2024-11-08

6 health deficiencies

Top issue: Nutrition and Dietary (2 deficiencies)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Cycle 3 Health 2023-07-20 · Fire 2023-07-20

4 health deficiencies

Top issue: Resident Rights (2 deficiencies)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Fire safety

Fire-safety citations

E · Potential for more than minimal harm 2025-12-18

K353 · Smoke Deficiencies

Fire Safety

Inspect, test, and maintain automatic sprinkler systems.

Corrected 2026-02-01

D · Potential for more than minimal harm 2024-11-08

K222 · Egress Deficiencies

Fire Safety

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.

Corrected 2024-12-10

Inspection history

Recent health citations

E · Potential for more than minimal harm 2025-12-18

F578 · Resident Rights Deficiencies

Health

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Corrected 2026-02-01

E · Potential for more than minimal harm 2025-12-18

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-09-11

E · Potential for more than minimal harm 2025-12-18

F695 · Quality of Life and Care Deficiencies

Health

Provide safe and appropriate respiratory care for a resident when needed.

Corrected 2026-02-01

E · Potential for more than minimal harm 2025-12-18

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2026-02-01

E · Potential for more than minimal harm 2025-12-18

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2026-02-01

D · Potential for more than minimal harm 2025-12-18

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2026-02-01

D · Potential for more than minimal harm 2025-12-18

F584 · Resident Rights Deficiencies

Health

Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Corrected 2026-02-01

D · Potential for more than minimal harm 2025-12-18

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2026-02-01

D · Potential for more than minimal harm 2025-12-18

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2026-02-01

G · Actual harm 2025-10-21

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Not marked corrected

G · Actual harm 2025-05-29

F689 · Quality of Life and Care Deficiencies

Health

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Corrected 2025-06-25

D · Potential for more than minimal harm 2025-05-29

F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Corrected 2025-06-25

D · Potential for more than minimal harm 2025-05-29

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2025-03-27

K · Immediate jeopardy 2024-11-08

F812 · Nutrition and Dietary Deficiencies

Health

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Corrected 2024-12-06

F · Potential for more than minimal harm 2024-11-08

F801 · Nutrition and Dietary Deficiencies

Health

Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-11-08

F583 · Resident Rights Deficiencies

Health

Keep residents' personal and medical records private and confidential.

Corrected 2024-12-06

E · Potential for more than minimal harm 2024-11-08

F585 · Resident Rights Deficiencies

Health

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.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-08

F610 · Freedom from Abuse, Neglect, and Exploitation Deficiencies

Health

Respond appropriately to all alleged violations.

Corrected 2024-12-06

D · Potential for more than minimal harm 2024-11-08

F641 · Resident Assessment and Care Planning Deficiencies

Health

Ensure each resident receives an accurate assessment.

Corrected 2024-12-06

E · Potential for more than minimal harm 2023-07-20

F880 · Infection Control Deficiencies

Health

Provide and implement an infection prevention and control program.

Corrected 2023-09-03

D · Potential for more than minimal harm 2023-07-20

F554 · Resident Rights Deficiencies

Health

Allow residents to self-administer drugs if determined clinically appropriate.

Corrected 2023-09-03

D · Potential for more than minimal harm 2023-07-20

F559 · Resident Rights Deficiencies

Health

Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made.

Corrected 2023-09-03

D · Potential for more than minimal harm 2023-07-20

F658 · Resident Assessment and Care Planning Deficiencies

Health

Ensure services provided by the nursing facility meet professional standards of quality.

Corrected 2023-09-03

Penalties and ownership

What sits behind the stars

$24,385 2024-11-08

Fine

Fine · fine $24,385

Fine

Ownership

Augustana Lutheran Church

5% Or Greater Direct Ownership Interest · Organization

20% 2 facilities 1966-01-01
Benton Lutheran Church

5% Or Greater Direct Ownership Interest · Organization

20% 2 facilities 1966-01-01
Nathanael Lutheran Church

5% Or Greater Direct Ownership Interest · Organization

20% 2 facilities 1966-01-01
St Marks Lutheran Church

5% Or Greater Direct Ownership Interest · Organization

20% 2 facilities 1966-01-01
Anderson, Robert

Corporate Officer · Individual

0% 10 facilities 2016-01-01
Beaver Valley Lutheran Church

5% Or Greater Direct Ownership Interest · Organization

0% 2 facilities 1966-01-01
Compeer Financial

5% Or Greater Mortgage Interest · Organization

0% 2 facilities 2011-05-05
Flier, Joel

Corporate Officer · Individual

0% 2 facilities 2021-01-01
Fonder, Lynda

Corporate Officer · Individual

0% 2 facilities 2023-01-01
Grant, Rose

Corporate Officer · Individual

0% 1 facilities 2016-01-01
Heinemann, Daniel

Operational/Managerial Control · Individual

0% 2 facilities 2015-01-01
Hendricks-Wilkens, Mary

Corporate Officer · Individual

0% 2 facilities 2022-01-01
Herrboldt, Deborah

Operational/Managerial Control · Individual

0% 2 facilities 2014-07-01
Herrboldt, Deborah

Corporate Officer · Individual

0% 2 facilities 2014-07-01
Hope, Lori

Corporate Officer · Individual

0% 2 facilities 2008-04-01
Johnson, Ellen

Corporate Officer · Individual

0% 3 facilities 2021-01-01
Johnson, Gregory

Corporate Officer · Individual

0% 1 facilities 2017-01-01
Kroger, Heather

Operational/Managerial Control · Individual

0% 2 facilities 2024-01-01
Kroger, Heather

Corporate Officer · Individual

0% 2 facilities 2024-01-01
Kruse, Susan

Corporate Officer · Individual

0% 2 facilities 2024-01-01
Neiderhiser, Debra

Corporate Officer · Individual

0% 2 facilities 2024-01-01
Paulson, John

Corporate Officer · Individual

0% 2 facilities 2021-01-01
Person, Lee

Corporate Officer · Individual

0% 2 facilities 2024-01-01
Sanden, James

Corporate Officer · Individual

0% 2 facilities 2023-01-01
Winklepleck, Hunter

Operational/Managerial Control · Individual

0% 1 facilities 2017-10-23
Zingmark, Karen

Corporate Officer · Individual

0% 2 facilities 2024-01-01

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#3

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Overall
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Health
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Staffing
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Fines
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