Aberdeen, SD

Bethesda Home of Aberdeen

4-star overall rating with 4-star inspections with 4 recent health deficiencies

1224 S High St, Aberdeen, SD

(605) 225-7580

Compare this facility

Overall

4 / 5

CMS overall stars

Health inspections

4 / 5

Survey and complaint cycles

Staffing

4 / 5

RN + nurse staffing

Quality measures

2 / 5

Resident outcomes and process measures

Quick facts

Facility snapshot

Beds

86

Certified beds

Average residents

86

Average occupied residents

Ownership

Non-Profit

Publicly displayed owner type

Chain

No chain reported

Operator or chain grouping

Approved since

1993-10-01

CMS approved date

Coverage

Medicare + Medicaid

Participation flags

Changed ownership

No

Within the last 12 months

Family council

Yes

Resident and family council reported

Sprinklers

Yes

Automatic sprinklers in all required areas

Staffing

Hours and turnover

RN hours / resident day

0.74

Registered nurse staffing · state 0.80 · national 0.68

LPN hours / resident day

0.60

Licensed practical nurse staffing · state 0.49 · national 0.87

Aide hours / resident day

2.34

Nurse aide staffing · state 2.61 · national 2.35

Total nurse hours

3.68

All reported nurse hours · state 3.89 · national 3.89

Licensed hours

1.34

RN + LPN hours · state 1.28 · national 1.54

Weekend hours

2.76

Weekend nurse staffing · state 3.32 · national 3.43

Weekend RN hours

0.37

Weekend registered nurse coverage · state 0.51 · national 0.47

Physical therapist

0.10

Reported PT staffing · state 0.06 · national 0.07

Adjusted RN hours

0.87

CMS adjusted RN staffing hours

Adjusted total hours

4.33

CMS adjusted total nurse staffing hours

Case-mix index

1.16

Higher values indicate more complex resident acuity

RN turnover

17%

Annual RN turnover · state 39% · national 45%

Total nurse turnover

37%

Annual nurse turnover · state 50% · national 46%

SNF VBP

Value-based purchasing

Program rank

1,941

Lower is better among SNFs in the FY 2026 VBP program.

Performance score

52.86

Composite VBP score used to determine payment impact.

Payment multiplier

1.0075

Above 1.000 increases Medicare payment; below 1.000 reduces it.

Program components

How the VBP score is built

Readmission

6.46

Baseline 17.04% · Performance 18.44% · Measure score 6.46 · Achievement 6.46 · Improvement 0

Healthcare-associated infections

4.21

Baseline 6.20% · Performance 6.58% · Measure score 4.21 · Achievement 4.21 · Improvement 0

Total nurse turnover

6.22

Baseline 33.75% · Performance 38.27% · Measure score 6.22 · Achievement 6.22 · Improvement 0

Adjusted total nurse staffing

4.27

Baseline 4.14 hours · Performance 4.29 hours · Measure score 4.27 · Achievement 4.27 · Improvement 0.44

SNF QRP

Medicare quality reporting measures

Measure	Facility	National	Note
Potentially preventable 30-day readmission	8.72%	10.72% 2 pts better	No Different than the National Rate · Eligible stays 115 · Observed rate 3.48% · Lower 95% interval 6.19%
Discharge to community	41.26%	50.57% 9.3 pts worse	Worse than the National Rate · Eligible stays 101 · Observed rate 36.63% · Lower 95% interval 33.81%
Medicare spending per beneficiary	1.19	1.02 0.2 pts worse
Drug regimen review with follow-up	97.06%	95.27% 1.8 pts better	Numerator 66 · Denominator 68
Falls with major injury	1.47%	0.77% 0.7 pts worse	Numerator 1 · Denominator 68
Discharge self-care score	38.6%	53.69% 15.1 pts worse	Numerator 22 · Denominator 57
Discharge mobility score	57.89%	50.94% 7 pts better	Numerator 33 · Denominator 57
Pressure ulcers or injuries, new or worsened	5.88%	2.29% 3.6 pts worse	Numerator 4 · Denominator 68 · Adjusted rate 5.82%
Healthcare-associated infections requiring hospitalization	6.58%	7.12% 0.5 pts better	No Different than the National Rate · Eligible stays 77 · Observed rate 3.9% · Lower 95% interval 3.23%
Staff COVID-19 vaccination coverage	6.86%	8.2% 1.3 pts worse	Numerator 14 · Denominator 204
Staff flu vaccination coverage	52.49%	42% 10.5 pts better	Numerator 116 · Denominator 221
Discharge function score	57.89%	56.45% 1.4 pts better	Numerator 33 · Denominator 57
Transfer of health information to provider	Not Available	95.95%	Numerator Not Available · Denominator 10 · Too few residents or stays to report publicly.
Transfer of health information to patient	100%	96.28% 3.7 pts better	Numerator 21 · Denominator 21
Resident COVID-19 vaccinations up to date	70.59%	25.2% 45.4 pts better	Numerator 24 · Denominator 34

Quality measures

Resident outcomes and process scores

Measure	Facility	State	National	Note
Number of hospitalizations per 1000 long-stay resident days	1.8	1.5 0.3 pts worse	1.9 0.1 pts better	Long Stay · 20240701-20250630 · Adjusted 1.8 · Observed 1.5 · Expected 1.6 · Used in QM five-star
Number of outpatient emergency department visits per 1000 long-stay resident days	1.2	1.9 0.7 pts better	1.8 0.6 pts better	Long Stay · 20240701-20250630 · Adjusted 1.2 · Observed 1.1 · Expected 1.5 · Used in QM five-star
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine	100.0%	95.4% 4.6 pts better	93.4% 6.6 pts better	Long Stay · 2024Q4-2025Q3 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
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 · 4Q avg 100.0%
Percentage of long-stay residents experiencing one or more falls with major injury	4.6%	5.1% 0.5 pts better	3.3% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 5.3% · Q2 5.1% · Q3 5.6% · Q4 2.6% · 4Q avg 4.6% · Used in QM five-star
Percentage of long-stay residents who have depressive symptoms	3.5%	4.6% 1.1 pts better	11.4% 7.9 pts better	Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 4.1% · Q3 2.9% · Q4 4.1% · 4Q avg 3.5%
Percentage of long-stay residents who lose too much weight	4.9%	5.5% 0.6 pts better	5.4% 0.5 pts better	Long Stay · 2024Q4-2025Q3 · Q1 7.2% · Q2 4.5% · Q3 4.8% · Q4 3.0% · 4Q avg 4.9%
Percentage of long-stay residents who received an antianxiety or hypnotic medication	12.5%	17.8% 5.3 pts better	19.6% 7.1 pts better	Long Stay · 2024Q4-2025Q3 · Q1 11.3% · Q2 12.7% · Q3 17.2% · Q4 9.1% · 4Q avg 12.5%
Percentage of long-stay residents who received an antipsychotic medication	21.0%	25.1% 4.1 pts better	16.7% 4.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 17.5% · Q2 21.4% · Q3 22.6% · Q4 23.0% · 4Q avg 21.0% · Used in QM five-star
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 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0%
Percentage of long-stay residents whose ability to walk independently worsened	20.2%	21.3% 1.1 pts better	16.3% 3.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 28.0% · Q2 17.2% · Q3 13.5% · Q4 20.3% · 4Q avg 20.2% · Used in QM five-star
Percentage of long-stay residents whose need for help with daily activities has increased	23.5%	21.6% 1.9 pts worse	14.9% 8.6 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 25.4% · Q2 20.9% · Q3 26.2% · Q4 21.7% · 4Q avg 23.5% · Used in QM five-star
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 · Q1 4.9% · Q2 4.7% · Q3 5.1% · Q4 4.2% · 4Q avg 4.7% · Used in QM five-star
Percentage of long-stay residents with a urinary tract infection	2.0%	3.3% 1.3 pts better	1.7% 0.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 1.4% · Q2 4.1% · Q3 2.9% · Q4 0.0% · 4Q avg 2.0% · Used in QM five-star
Percentage of long-stay residents with new or worsened bowel or bladder incontinence	27.7%	25.8% 1.9 pts worse	19.8% 7.9 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 27.3% · Q2 19.7% · Q3 32.3% · Q4 31.2% · 4Q avg 27.7%
Percentage of long-stay residents with pressure ulcers	6.4%	4.6% 1.8 pts worse	5.1% 1.3 pts worse	Long Stay · 2024Q4-2025Q3 · Q1 4.7% · Q2 8.2% · Q3 6.0% · Q4 6.7% · 4Q avg 6.4% · Used in QM five-star
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 · Q1 100.0% · Q2 100.0% · Q3 100.0% · Q4 100.0% · 4Q avg 100.0%
Percentage of short-stay residents who had an outpatient emergency department visit	18.6%	11.7% 6.9 pts worse	12.0% 6.6 pts worse	Short Stay · 20240701-20250630 · Adjusted 18.6% · Observed 15.6% · Expected 9.4% · Used in QM five-star
Percentage of short-stay residents who newly received an antipsychotic medication	4.9%	1.7% 3.2 pts worse	1.6% 3.3 pts worse	Short Stay · 2024Q4-2025Q3 · 4Q avg 4.9% · Used in QM five-star
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 · 4Q avg 100.0%
Percentage of short-stay residents who were rehospitalized after a nursing home admission	17.6%	21.5% 3.9 pts better	23.9% 6.3 pts better	Short Stay · 20240701-20250630 · Adjusted 17.6% · Observed 15.6% · Expected 21.1% · Used in QM five-star

Survey summary

Recent inspection cycles

Cycle 1 Health 2024-11-21 · Fire 2024-11-21

4 health deficiencies

Top issue: Administration (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 2 Health 2023-07-27 · Fire 2023-07-27

1 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

0 fire-safety deficiencies

No concentrated fire-safety issue counts in this cycle.

Cycle 3 Health 2022-05-12 · Fire 2022-05-12

2 health deficiencies

Top issue: Nutrition and Dietary (1 deficiency)

1 fire-safety deficiencies

Top issue: Egress (1 deficiency)

Fire safety

Fire-safety citations

D · Potential for more than minimal harm 2022-05-12

K211 · Egress Deficiencies

Fire Safety

Keep aisles, corridors, and exits free of obstruction in case of emergency.

Corrected 2022-06-03

Inspection history

Recent health citations

E · Potential for more than minimal harm 2024-11-21

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 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F656 · Resident Assessment and Care Planning Deficiencies

Health

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F695 · Quality of Life and Care Deficiencies

Health

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

Corrected 2025-01-05

D · Potential for more than minimal harm 2024-11-21

F849 · Administration Deficiencies

Health

Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Corrected 2025-01-05

E · Potential for more than minimal harm 2023-07-27

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 2023-09-10

F · Potential for more than minimal harm 2022-05-12

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 2022-06-09

D · Potential for more than minimal harm 2022-05-12

F658 · Resident Assessment and Care Planning Deficiencies

Health

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

Corrected 2022-06-09

Penalties and ownership