The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited November 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
Nursing home report
Bethesda
WILLMAR, MN · Medicare-certified · 248 beds
In good standing
Non-profit
4 of 5 overall
Bethesda (Willmar, MN) has an overall rating of 4 out of 5 stars, with strong staffing at 5 out of 5 stars and reported nurse staffing above the federal benchmark (4.99 vs. 4.1 hours per resident per day). Health inspection and quality measures are both 3 out of 5 stars, and there were no fines in the last 24 months.
Facility ratings
Health inspections
Staffing
4.9861 hrs/resident/day
Quality measures
Last inspection: December 10, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9861.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.76
- Nurse aides
- 3.45
- Weekend nursing
- 4.44
Hours per resident per day.
Total staff turnover: 37%
Registered nurse turnover: 23%
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).
Long-stay residents on antipsychotic medication
12.7%9.3%Improving
Residents with a fall causing major injury
11.4%5%Improving
Residents with pressure ulcers (bedsores)
6.2%6.9%Worsening
Residents with a urinary tract infection
3.1%4.5%Worsening
Residents who lost too much weight
3.8%4.2%No change
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
24.2%22.2%Improving
Residents whose ability to walk got worse
22%21.8%No change
Long-stay residents on antianxiety or sleep medication
10.8%8.3%Improving
Short-stay residents newly given an antipsychotic
0.7%1.4%Worsening
Residents with a long-term catheter
2.5%1.9%Improving
Residents with new or worsening incontinence
27.2%28.1%Worsening
Residents with depressive symptoms
1.8%1.1%Improving
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Long-stay residents given the seasonal flu vaccine
—100%—
Long-stay residents given the pneumonia vaccine
99.5%100%Improving
Short-stay residents given the seasonal flu vaccine
—99.1%—
Short-stay residents given the pneumonia vaccine
99.5%98.5%Worsening
What the inspectors found
The home failed to submit complete and accurate staffing information based on verifiable records. Cited January 2024 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2024 — widespread issue, potential for harm.
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F-Tag 921 — 42 CFR §483.90 — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — limited pattern, potential for harm.
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F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 5 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 3 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 6 health deficiencies.
See what inspectors found
Operator & ownership
- Ownership
- Non profit - Church related
- Occupancy
- 223.2 residents on an average day (90% of 248 beds)
- Resident voice
- Resident & family councils
- Medicare history
- Certified for 39 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.