Bethel Lutheran Home in Selma, CA has an overall 3 out of 5 stars. Staffing is lower at 2 stars, with reported nurse staffing at 3.81 hours per resident per day versus the 4.1-hour federal benchmark; quality measures are also 2 stars, and there were no fines in the last 24 months.
Last inspection: December 5, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.8062.
Staffing detail
Registered nurses
0.24
Licensed practical nurses
0.97
Nurse aides
2.59
Weekend nursing
3.51
Hours per resident per day.
Total staff turnover: 53%
Registered nurse turnover: 80%
Resident outcomes
Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.
Negative outcomes
Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).
Last yrNowTrend
Long-stay residents on antipsychotic medication
3.8%3.6%No change
Residents with a fall causing major injury
6.5%4.3%Improving
Residents with pressure ulcers (bedsores)
1.4%2.6%Worsening
Residents with a urinary tract infection
0%2.2%Worsening
Residents who lost too much weight
2.9%0%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
16.1%13.8%Improving
Residents whose ability to walk got worse
—17.3%—
Long-stay residents on antianxiety or sleep medication
11.8%17.1%Worsening
Short-stay residents newly given an antipsychotic
—2.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
29.6%26.1%Improving
Residents with depressive symptoms
0%0%No change
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
100%95.7%Worsening
Short-stay residents given the seasonal flu vaccine
—96.3%—
Short-stay residents given the pneumonia vaccine
100%84.6%Worsening
What the inspectors found
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited December 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited October 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to provide pharmacy services and a licensed pharmacist needed to meet each resident’s medication needs. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 755 — 42 CFR §483.45 — S/S: E
The home failed to properly label and securely store medications and biologicals. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 761 — 42 CFR §483.45(g) — S/S: E
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 10 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Occupancy
56.8 residents on an average day (96% of 59 beds)
Resident voice
Resident council
Medicare history
Certified for 5 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.