Bethel Lutheran Home is certified as a Medicare and Medicaid facility and has been approved to provide these services since 1994-04-01. Medicare covers short-term skilled nursing care (typically up to 100 days after a qualifying hospital stay). Medicaid covers long-term care for residents who meet financial eligibility requirements. Contact the facility at (605) 256-4539 or your local Medicaid office to verify current eligibility.

Bethel Lutheran Home holds an overall CMS (Centers for Medicare & Medicaid Services) rating of 2 out of 5 stars. This is made up of three components: Health Inspection (2★), Staffing (4★), and Quality of Resident Care (4★). Our independent composite quality score — which uses the raw underlying CMS numbers to break ties between similarly-rated facilities — is 72.3/100, placing it #7189 of 14703 facilities nationally and #34 of 97 in South Dakota. Star ratings are a useful starting point, but the composite score and individual sub-ratings give a more complete picture for families comparing facilities.

Each resident at Bethel Lutheran Home receives a reported average of 3 hours 49 minutes of total nurse staffing per day. This breaks down as: Registered Nurse (RN) coverage — 46 minutes; Licensed Practical Nurse (LPN) — 24 minutes; Nurse Aide — 2 hours 39 minutes. On weekends, total nurse staffing is 3 hours 12 minutes per resident per day. The CMS Staffing Rating for this facility is 4 out of 5. The national average for total nursing hours is approximately 3.5 hrs/day. Total nursing staff turnover is 58.0%. Families are encouraged to ask about current staffing schedules during their facility visit.

In the current reporting period, the facility received 2 fine(s) totaling $56,430. No substantiated complaints have been recorded in the available data. In the most recent CMS reporting period, the facility received 2 fine(s) totaling $56,430, and 0 Medicare payment denial(s). Total penalties: 2. The Total Weighted Health Survey Score is 84.0 (lower scores are better). Full inspection history and complaint details are available at medicare.gov/care-compare.

Nationally, Bethel Lutheran Home ranks 7189th out of 14,703 facilities (composite score: 72.3/100), placing it in the above average nationwide. Within SD, it ranks 34th out of 97 nursing homes. For 2026 staffing: total nurse hours rank #6,110 nationally and RN hours rank #3,941 nationally (#44 in SD). Our composite quality score of 72.3/100 weighs health inspections, quality of resident care, staffing hours, compliance record, and five-year performance trends — giving a more complete picture than CMS star ratings alone, which can place hundreds of facilities in the same 5-star bucket. To browse and compare all nursing homes in Madison, visit: https://nursinghomesnearme.org/south_dakota/madison/