BETHANY HOME SIOUX FALLS

1901 SOUTH HOLLY AVENUE
SIOUX FALLS, SD, 57105
6053382351
CCN: 435096
4
Overall
4
Health
4
Staffing
2
Quality
Special FocusAbuse IconOwnership Changed (12mo)Inspection OverdueOIG ExcludedUnder CIA
Ownership
NameRole%
AUGUSTANA LUTHERAN CHURCH5% OR GREATER DIRECT OWNERSHIP INTEREST20%
BEAVER VALLEY LUTHERAN CHURCH5% OR GREATER DIRECT OWNERSHIP INTEREST20%
BENTON LUTHERAN CHURCH5% OR GREATER DIRECT OWNERSHIP INTEREST20%
NATHANAEL LUTHERAN CHURCH5% OR GREATER DIRECT OWNERSHIP INTEREST20%
ST MARKS LUTHERAN CHURCH5% OR GREATER DIRECT OWNERSHIP INTEREST20%
HENDRICKS-WILKENS, MARYCORPORATE DIRECTORNOT APPLICABLE
PAULSON, JOHNCORPORATE DIRECTORNOT APPLICABLE
PERSON, LEECORPORATE DIRECTORNOT APPLICABLE
SANDEN, JAMESCORPORATE DIRECTORNOT APPLICABLE
ZINGMARK, KARENCORPORATE DIRECTORNOT APPLICABLE
ANDERSON, ROBERTCORPORATE DIRECTORNOT APPLICABLE
FLIER, JOELCORPORATE DIRECTORNOT APPLICABLE
FONDER, LYNDACORPORATE DIRECTORNOT APPLICABLE
HERRBOLDT, DEBORAHCORPORATE DIRECTORNOT APPLICABLE
HOPE, LORICORPORATE DIRECTORNOT APPLICABLE
JOHNSON, ELLENCORPORATE DIRECTORNOT APPLICABLE
KRUSE, SUSANCORPORATE DIRECTORNOT APPLICABLE
NEIDERHISER, DEBRACORPORATE DIRECTORNOT APPLICABLE
KROGER, HEATHERCORPORATE OFFICERNOT APPLICABLE
HEINEMANN, DANIELGENERAL PARTNERSHIP INTERESTNOT APPLICABLE
HEINEMANN, DANIELOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
HERRBOLDT, DEBORAHOPERATIONAL/MANAGERIAL CONTROLNOT APPLICABLE
Health Deficiencies (12)
2025-12-18 · Health
D
F689 · Quality of Life and Care Deficiencies
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
2025-10-29 · Health
D
F684 · Quality of Life and Care Deficiencies
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
2024-11-07 · Health
F
F812 · Nutrition and Dietary Deficiencies
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
F
F803 · Nutrition and Dietary Deficiencies
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
D
F657 · Resident Assessment and Care Planning Deficiencies
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
D
F625 · Resident Rights Deficiencies
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
D
F623 · Resident Rights Deficiencies
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
E
F600 · Freedom from Abuse, Neglect, and Exploitation Deficiencies
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
E
F582 · Resident Rights Deficiencies
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
2023-07-20 · Health
F
F880 · Infection Control Deficiencies
Provide and implement an infection prevention and control program.
E
F761 · Pharmacy Service Deficiencies
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.
D
F640 · Resident Assessment and Care Planning Deficiencies
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Staffing
MetricThis FacilityNational Avg
Total Nurse Hrs/Resident/Day
5.25
3.68
RN Hrs/Resident/Day
0.80
0.54
LPN Hrs/Resident/Day
0.91
0.81
CNA Hrs/Resident/Day
3.53
2.33
PT Hrs/Resident/Day
0.10
0.12
Data as of 2026-03-01