The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Bethesda Of Beresford
BERESFORD, SD · Medicare-certified · 39 beds
In good standing
Non-profit
2 of 5 overall
Bethesda Of Beresford has an overall rating of 2 out of 5 stars, with a 2-star health inspection rating, 3-star staffing, and 4-star quality measures. Reported nurse staffing is 3.58 hours per resident per day versus the 4.1-hour federal benchmark, with $0 in fines in the last 24 months and recent inspection concerns about accident hazards, food handling, and infection prevention.
Facility ratings
Health inspections
Staffing
3.5752 hrs/resident/day
Quality measures
Last inspection: August 13, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.5752.
Staffing detail
- Registered nurses
- 1.09
- Licensed practical nurses
- 0.19
- Nurse aides
- 2.30
- Weekend nursing
- 3.10
Hours per resident per day.
Total staff turnover: 56%
Registered nurse turnover: 33%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
15.8%Improving
Residents with a fall causing major injury
1.5%Worsening
Residents with pressure ulcers (bedsores)
5.6%Worsening
Residents with a urinary tract infection
1.6%Worsening
Residents who lost too much weight
1.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
16.5%Improving
Residents whose ability to walk got worse
17.9%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
25%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
22.9%Improving
Residents with depressive symptoms
3.6%Worsening
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
99.2%Worsening
Short-stay residents given the pneumonia vaccine
63.4%Steady
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
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 April 2024 — 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 submit complete and accurate staffing information based on verifiable records. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to provide enough nursing staff each day and ensure a licensed nurse was in charge on every shift. Cited April 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 725 — 42 CFR §483.35 — S/S: F
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 14 health deficiencies.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $16,088 in total fines.
- $16,088
Federal fine
Oct 4, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 33.2 residents on an average day (85% of 39 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 31 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.