Federal inspection record · CMS data as of October 1, 2026
Bethel Lutheran Home
2280 Dockery Avenue, Selma, CA · (559) 896-4900
- Certified beds
- 59
- Residents per day
- 56
- Ownership
- Non-Profit
- Chain
- No chain reported
- Medicare / Medicaid
- Medicare + Medicaid
- Certified since
- August 9, 2021
1
How this home got 3 stars
The overall rating isn't an average. CMS starts from the inspection rating and nudges it at most two steps. Here is the arithmetic for this home, using CMS's own rules.
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Health inspections
★★★★★starting point
Everything starts from what state inspectors found on site. This is a ranking against other homes in California.
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Staffing
★★★★★no change
Only a 5-star staffing rating adds a star, and only a 1-star rating removes one. Ratings of 2 to 4 change nothing.
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Quality measures
★★★★★no change
Same rule: 5 stars adds one, 1 star takes one away. These measures are mostly reported by the home itself.
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Overall
★★★★★3 of 5
Matches the rating CMS publishes on Care Compare.
2
Where it sits among California homes
Bethel Lutheran Home carries 73 inspection points. That is fewer than 60% of California's 1,154 rated homes.
Inspectors' citations earn points by how serious and how widespread they were (the grid below). CMS then ranks every home in California: the 10% with the fewest points get 5 stars, the 20% with the most get 1 star, and the middle 70% split evenly into 2, 3 and 4.
- 5★ 0–33 pts
- 4★ 33–66 pts
- 3★ 66–96 pts
- 2★ 96–146 pts
- 1★ over 146 pts
Bars show every rated home in California by its weighted inspection score. CMS recalibrates the cut points monthly but holds a home's rating until its own score changes, so a home can sit just outside today's band.
3
What inspectors found
41 health citations on record since 2023. Each one gets a letter: the row says how badly residents were affected, the column how many.
Immediate jeopardyResidents at risk of serious injury or death
Actual harmA resident was hurt
Potential for harmNo one was hurt, but could have been
Minimal harmPaperwork-level problems
Read the rows, not the total. Most citations nationwide are a D: one problem, nobody hurt. Rows G–I mean a resident was harmed; J–L mean inspectors found residents in immediate danger of serious injury or death.
Small numbers in each cell are the inspection points CMS assigns per citation. Those points are what the state curve above ranks.
No citation on record at the harm or immediate-jeopardy level.
Everything else, by area of care
Resident Assessment and Care Planning11E
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
- E
Ensure services provided by the nursing facility meet professional standards of quality.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- E
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
- D
Ensure each resident receives an accurate assessment.
- D
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- D
Ensure services provided by the nursing facility meet professional standards of quality.
Nutrition and Dietary7F
- E
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.
- E
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- E
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
- D
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.
- D
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
- D
Dispose of garbage and refuse properly.
Resident Rights7E
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.
- E
Keep residents' personal and medical records private and confidential.
- D
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
- D
Honor the resident's right to manage his or her financial affairs.
- D
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.
Pharmacy Service6E
- E
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- 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.
- 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.
- E
Ensure medication error rates are not 5 percent or greater.
- D
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
- 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.
Environmental4E
- B
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- E
Keep all essential equipment working safely.
- C
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
- C
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.
Infection Control3F
- F
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
- D
Provide and implement an infection prevention and control program.
Nursing and Physician Services1D
- D
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.
Administration1D
- D
Develop, implement, and/or maintain an effective training program for all new and existing staff members.
Quality of Life and Care1D
- D
Provide safe, appropriate pain management for a resident who requires such services.
Inspection history
2025-12-05
10 health deficiencies · 7 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
2024-10-28
18 health deficiencies · 9 fire-safety deficiencies
Top issue: Nutrition and Dietary (4 deficiencies)
2023-12-01
13 health deficiencies · 12 fire-safety deficiencies
Top issue: Resident Assessment and Care Planning (4 deficiencies)
4
Nursing time per resident, per day
Each resident here gets about 3 h 56 min of nursing staff time a day, 11 min of it from a registered nurse.
This home
3 h 56 min
California average
4 h 33 min
U.S. average
3 h 54 min
- Registered nurse
- Licensed practical nurse
- Nurse aide
Turnover: 44% of nursing staff and 83% of registered nurses left in the past year, along with 3 administrators.
Reported hours from payroll data the home submits to CMS, divided by its daily resident count. Not adjusted for how sick residents are.
5
Resident outcomes
Quality measures compared with state and national averages. Most come from assessments the home itself reports.
| Measure | This home | State | U.S. |
|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days0.8 pts better | 1.4 | 2.2 | 1.8 |
| Number of outpatient emergency department visits per 1000 long-stay resident days2.3 pts worse | 3.8 | 1.5 | 1.7 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine0.7 pts worse | 98.0% | 98.7% | 93.7% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine1.6 pts worse | 96.3% | 97.9% | 95.3% |
| Percentage of long-stay residents experiencing one or more falls with major injury3.9 pts worse | 5.5% | 1.6% | 3.2% |
| Percentage of long-stay residents who have depressive symptoms7.1 pts better | 0.5% | 7.6% | 13.5% |
| Percentage of long-stay residents who lose too much weight0.2 pts worse | 4.3% | 4.1% | 5.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication0.1 pts worse | 13.8% | 13.7% | 19.5% |
| Percentage of long-stay residents who received an antipsychotic medication5.2 pts better | 7.1% | 12.3% | 15.4% |
| Percentage of long-stay residents who were physically restrained0.3 pts better | 0.0% | 0.3% | 0.1% |
| Percentage of long-stay residents whose ability to walk independently worsened8.5 pts worse | 17.4% | 8.9% | 12.7% |
| Percentage of long-stay residents whose need for help with daily activities has increased4.5 pts worse | 14.7% | 10.2% | 13.5% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder0.7 pts better | 0.0% | 0.7% | 0.7% |
| Percentage of long-stay residents with a urinary tract infection0.9 pts worse | 2.1% | 1.2% | 1.5% |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence9.5 pts worse | 19.3% | 9.8% | 18.3% |
| Percentage of long-stay residents with pressure ulcers3.3 pts better | 1.0% | 4.3% | 4.5% |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine5.3 pts worse | 89.3% | 94.6% | 82.3% |
| Percentage of short-stay residents who had an outpatient emergency department visit16.9 pts worse | 28.0% | 11.1% | 11.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication1.2 pts worse | 2.5% | 1.3% | 1.5% |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine23.9 pts worse | 69.2% | 93.1% | 80.1% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission1.5 pts worse | 24.1% | 22.6% | 23.4% |
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Who owns and runs it
8 owners and managers reported to CMS. The last column counts how many nursing homes each one is tied to.
Show ownership list
| Name | Role | Share | Homes |
|---|---|---|---|
| Benner, Philip | Corporate Officer · Individual | 0% | 1 facilities |
| Hertzog, Bonny | Corporate Director · Individual | 0% | 1 facilities |
| Jacobsen, Laurel | Corporate Director · Individual | 0% | 1 facilities |
| Patteson, Shikha | Operational/Managerial Control · Individual | 0% | 1 facilities |
| Safreno, Daniel | Corporate Director · Individual | 0% | 1 facilities |
| Schauland, Donna | Corporate Director · Individual | 0% | 1 facilities |
| Steck, Edward | Corporate Director · Individual | 0% | 1 facilities |
| Wadewitz, Betty | Corporate Director · Individual | 0% | 1 facilities |
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Fire safety
28 life-safety citations (sprinklers, exits, alarms). These don't count toward the star rating.
Smoke13F
- F
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Provide properly protected cooking facilities.
- D
Install corridor and hallway doors that block smoke.
- F
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- F
Inspect, test, and maintain automatic sprinkler systems.
- D
Provide properly protected cooking facilities.
- D
Install a fire alarm system that can be heard throughout the facility.
- D
Have approved installation, maintenance and testing program for fire alarm systems.
- D
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
- D
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
- D
Properly select, install, inspect, or maintain portable fire extinguishes.
Gas, Vacuum, and Electrical Systems6F
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
- D
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
- F
Have generator or other power source capable of supplying service within 10 seconds.
- D
Meet requirements for the use of electrical equipment.
- D
Ensure proper usage of power strips and extension cords.
Emergency Preparedness4F
- F
Implement emergency and standby power systems.
- C
Address subsistence needs for staff and patients.
- D
List the names and contact information of those in the facility.
- D
Provide emergency officials' contact information.
Miscellaneous2F
- F
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
- D
Have restrictions on the use of portable space heaters.
Egress2D
- D
Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D
Have properly located and lighted "Exit" signs.
Construction1F
- F
Meet requirements for sections of health care facilities separated by fire resistive construction.
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Other homes nearby
-
Rolling Hills Care Center
Selma, CA · Ajc Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 4 h 26 min
- Fines
- $0
-
Kingsburg Center
Kingsburg, CA · Genesis Healthcare
★★★★★- Worst citation, 3 yrs
- G
- Nursing / resident / day
- 3 h 58 min
- Fines
- $0
-
Fowler Care Center
Fowler, CA · Ajc Healthcare
★★★★★- Worst citation, 3 yrs
- F
- Nursing / resident / day
- 4 h 23 min
- Fines
- $0