All citations for Bethel Lutheran Home

State inspectors check nursing homes that take Medicare or Medicaid against federal rules, usually about once a year, and also look into complaints. Each rule a home did not meet is a citation.

Back to Bethel Lutheran Home

Last standard health inspection on record

December 5, 2025

Showing 1 to 25 of 28 citations

No harm, with potential for more than minimal harm
Implement emergency and standby power systems.
Widespread (many residents). CMS level F.
Emergency preparedness citation E-0041, Emergency Preparedness Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2025).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2025).
No harm, with potential for more than minimal harm
To conduct inspection, testing and maintenance of fire doors by qualified individuals.
Widespread (many residents). CMS level F.
Fire safety citation K-0761, Miscellaneous Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2025).
No harm, with potential for more than minimal harm
Meet requirements for sections of health care facilities separated by fire resistive construction.
Widespread (many residents). CMS level F.
Fire safety citation K-0131, Construction Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2024).
No harm, with potential for more than minimal harm
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection.
Widespread (many residents). CMS level F.
Fire safety citation K-0342, Smoke Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2024).
No harm, with potential for more than minimal harm
Inspect, test, and maintain automatic sprinkler systems.
Widespread (many residents). CMS level F.
Fire safety citation K-0353, Smoke Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Have generator or other power source capable of supplying service within 10 seconds.
Widespread (many residents). CMS level F.
Fire safety citation K-0918, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0211, Egress Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (January 2, 2026).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2025).
No harm, with potential for more than minimal harm
Install corridor and hallway doors that block smoke.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0363, Smoke Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2025).
No harm, with potential for more than minimal harm
Have restrictions on the use of portable space heaters.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0781, Miscellaneous Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2025).
No harm, with potential for more than minimal harm
Have properly located and lighted "Exit" signs.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0293, Egress Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2024).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2024).
No harm, with potential for more than minimal harm
Meet requirements for the use of electrical equipment.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0919, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2024).
No harm, with potential for more than minimal harm
Ensure proper usage of power strips and extension cords.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0920, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2024).
No harm, with potential for more than minimal harm
Ensure precautions for handling oxygen cylinders and equipment are correctly followed.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0929, Gas, Vacuum, and Electrical Systems Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.
The home gave a date the problem would be corrected (November 7, 2024).
No harm, with potential for more than minimal harm
List the names and contact information of those in the facility.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0030, Emergency Preparedness Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Provide emergency officials' contact information.
Isolated (one or a few residents). CMS level D.
Emergency preparedness citation E-0031, Emergency Preparedness Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Provide properly protected cooking facilities.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0324, Smoke Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Install a fire alarm system that can be heard throughout the facility.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0341, Smoke Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Have approved installation, maintenance and testing program for fire alarm systems.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0345, Smoke Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the fire alarm was out of service for more than 4 hours.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0346, Smoke Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0354, Smoke Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).
No harm, with potential for more than minimal harm
Properly select, install, inspect, or maintain portable fire extinguishes.
Isolated (one or a few residents). CMS level D.
Fire safety citation K-0355, Smoke Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.
The home gave a date the problem would be corrected (December 26, 2023).

Source: CMS Provider Information, Fire Safety Deficiencies, Health Deficiencies, Citation Code Look-up, data as of September 30, 2026. Inspection results describe the home at the time of each inspection.