Where They Care · plain answers about nursing homes

Bethel Lutheran Home

1001 S Egan Ave, Madison, SD 57042 · 59 beds · Non profit - Church related

The records flag: 2 citations where a resident was harmed.

Everything here comes from Medicare's own inspection and payroll records. We don't rank facilities or take payment from them.

Medicare overall rating
★★
Below average · 2 of 5
All nursing staff, hours / resident
4.08
RNs, LPNs and aides · state average 4.33
Weekend RN coverage
−42%
vs weekdays
Staff turnover
52%
state average 48%
2 citations where a resident was harmed
Harm was found, without immediate danger to life.
Registered nurse staffing above the state average
1.10 hours per resident per day, against a state average of 0.91.

These are drawn straight from Medicare's records. We report what the record says — we don't rate facilities or judge the care given in them.

Who's actually on the floor

Staffing is the thing most closely tied to day-to-day quality of care, and it's the number families most often never see. This is registered nurses only — a smaller figure than the all-staff total above, because it counts the most highly qualified staff on their own — per resident, per day, comparing an average weekday against an average weekend.

Weekdays
1.10 hrs
Weekends
0.64 hrs
SD average
0.91 hrs

Registered nurses only — hours per resident per day. Longer is better.

Registered nurse coverage drops about 42% at weekends.

Staff turnover: 52%

High turnover matters because continuity does — a nurse who knows your mother notices when something is different about her. Someone on their second shift doesn't have that baseline.

What inspectors found

State inspectors visit at least once a year and after complaints. Over the last three years this facility received 12 citations. Raw counts mislead, though — a paperwork slip and a resident being harmed both count as one. Here they are by how serious inspectors judged them.

SeverityCitations
Actual harm
A resident was harmed, without immediate danger to life
2
Potential for harm
No one harmed yet, but conditions could allow it
9
No harm
Rule and paperwork findings
1

1 of these came from someone filing a complaint rather than a routine visit — worth weighing differently, because it means a person picked up the phone. All findings are recorded as corrected.

Medicare has issued $56,430 in fines here over the past three years.

Disclosed affiliations

Medicare requires every facility to disclose the people and companies connected to it. Most names below are not owners — they are officers, directors, managers, trustees, and what Medicare calls “additional disclosable parties.” The role beside each name is the one Medicare recorded. This is worth reading because operators tend to run their facilities alike: where the same group stands behind a dozen homes, the record across all twelve tells you more than any single inspection does.

NameRole recorded by MedicareSince
Barber, Dawn Indirect owner, Governing body, Operational or managerial control 04/01/2024
Bethel Lutheran Home Direct owner, Operational or managerial control, Additional disclosable party 01/01/1966
Breddin, Karl Indirect owner, Governing body, Operational or managerial control 10/01/2021
Clem, Justin Indirect owner, Managing employee (contracted), Operational or managerial control, Additional disclosable party 07/11/2018
Feldhaus, Maria Indirect owner, Governing body, Operational or managerial control 10/01/2023
Glanzer, Rebecca Indirect owner, Managing employee, Operational or managerial control, Additional disclosable party 07/20/2015
Schneider, Jeremiah Indirect owner, Managing employee, Corporate officer, Operational or managerial control, Additional disclosable party 07/18/2022
Voelker, Jackie Indirect owner, Governing body, Operational or managerial control 10/01/2022

Of the 8 parties disclosed here, 8 hold an ownership interest; the rest are recorded in a management, officer, financial, or other disclosable capacity. A percentage is shown only where Medicare published one — for most disclosed parties it publishes none.

Other options nearby

Most families are choosing between whatever is close enough to visit often — and visiting often is itself one of the better protections a resident has. These are the closest 8 facilities.

FacilityMilesRating Nurse hrsWeekend
Good Samaritan Society Howard
Howard
20.7 5 0.74 −41%
Dells Nursing and Rehab Center INC
Dell Rapids
23.0 4 0.59 −50%
Flandreau Santee Sioux Tribe Care Center
Flandreau
25.6 3
Riverview Healthcare Center
Flandreau
26.5 1 0.77 −41%
United Living Community
Brookings
26.7 2 0.66 −63%
The Neighborhoods at Brookview
Brookings
27.7 5 0.97 −44%
Good Samaritan Society Canistota
Canistota
28.9 3 0.60 −56%
Good Samaritan Society de Smet
De Smet
34.5 1 1.10 −49%

Weekend column shows the change in registered-nurse coverage at weekends compared with weekdays.

Worth asking on a visit

Records only tell you so much. These are the questions this facility's particular numbers suggest you ask — go on a weekend if you possibly can.

  1. Can I visit on a Sunday rather than a weekday? How many registered nurses are on duty then, and for how many residents?
  2. Turnover here is about 52%. How long has the director of nursing been in post?
  3. Who will actually be caring for my relative at 3am on a Saturday — an agency nurse or someone on staff?

Where these numbers come from

All figures are published by the Centers for Medicare & Medicaid Services. Different measures cover different periods — some are considerably older than others, so each is dated separately below rather than under one "last updated" stamp.

Staffing hours
Jan–Mar 2026
Staff turnover
calendar year 2025
Inspections & citations
Jul 2023 – Jun 2026
Fines & penalties
last 3 years
Ownership
as reported to Medicare
Star rating & file release
CMS file dated 1 July 2026

We report what the records say and don't draw conclusions about care quality. If you believe something on this page is wrong — email a correction. It reaches a person, not a form. We check every report, fix what is wrong, and say so on the page; see how we handle corrections. If you work at this facility and our figures disagree with your own records, we want to hear that too.