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 51 to 69 of 69 citations

  1. No harm, with potential for more than minimal harm

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

    Isolated (one or a few residents). CMS level D.

    Health citation F-0658, Resident Assessment and Care Planning Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

  2. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0758, Pharmacy Service Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

  3. No harm, with potential for more than minimal harm

    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.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0761, Pharmacy Service Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

  4. No harm, with potential for more than minimal harm

    Dispose of garbage and refuse properly.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0814, Nutrition and Dietary Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

  5. No harm, with potential for more than minimal harm

    Provide and implement an infection prevention and control program.

    Isolated (one or a few residents). CMS level D.

    Health citation F-0880, Infection Control Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (January 21, 2024).

  6. 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).

  7. 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).

  8. 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).

  9. 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).

  10. 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).

  11. 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).

  12. 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).

  13. 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).

  14. 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 December 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2023).

  15. 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 December 1, 2023. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2023).

  16. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Widespread (many residents). CMS level C.

    Health citation F-0912, Environmental Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.

    A waiver was granted (November 22, 2024).

  17. No harm, with potential for minimal harm

    Address subsistence needs for staff and patients.

    Widespread (many residents). CMS level C.

    Emergency preparedness citation E-0015, Emergency Preparedness Deficiencies. Inspection of October 28, 2024. Found during a standard inspection.

    The home gave a date the problem would be corrected (November 7, 2024).

  18. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Widespread (many residents). CMS level C.

    Health citation F-0912, Environmental Deficiencies. Inspection of December 1, 2023. Found during a standard inspection.

    A waiver was granted (January 21, 2024).

  19. No harm, with potential for minimal harm

    Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.

    Pattern (more than a few residents). CMS level B.

    Health citation F-0912, Environmental Deficiencies. Inspection of December 5, 2025. Found during a standard inspection.

    The home gave a date the problem would be corrected (December 26, 2025).

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.