Deficiency Index

Bethany Home Sioux Falls

Sioux Falls, South Dakota · CCN 435096

16 surveys since 2012. The first finding at harm level was recorded in 2019.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
74
Surveys
16
Harm or worse
3
Immediate jeopardy
0
The record, 2012–2025
’12’15’20’25
No harm recordedHarm or worseNot surveyed
Harm or worse3

Findings where a surveyor recorded actual harm to a resident.

Beyond CMS’s monthly file12/16

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
54
Ownership
Non profit - Corporation
Chain
Independent
County
Minnehaha
Medicare-certified since
1996

CMS ratings

Overall
3
Health inspection
4
Staffing
1
Quality measures
3

CMS’s own Five-Star ratings.

Compared with similar facilities

Not shown for this facility: too few citations in window (n=14, floor 20).

Last survey on record

Dec 18, 2025

326 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Annual nurse turnover44.9%49.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ—K—L—
Actual harmG—H—I—
No harm, potential for more than minimalD650.0%E325.0%F325.0%
No harm, potential for minimalA—B—C—
CMS’s current file: 12 of the 74 citations on record.

In the surveyor’s words

From the most serious findings on record at Bethany Home Sioux Falls, in the surveyor’s own words.

  • No harm, potential for more than minimal, widespreadF803Nov 7, 2024

    Based on menu review, observation, and interview, the provider failed to ensure adequate portions were served according to the menu for one of one observed meal. This had the potential to affect all residents receiving the main menu in the facility. Findings include: 1. Review of the provider's menu for lunch on 11/7/24 revealed the following main menu items: *Beef & broccoli, #8 dip x2, which was eight ounces (oz.) total. *Diced carrots, four oz. spoodle. -A spoodle is a slotted scoop to drain the liquid. 2. Observation on 11/7/24 at 11:11 a.m. in the kitchen during lunch service revealed: *Cook L was plating the residents' lunch meal food items. *She served a three oz. […]

  • No harm, potential for more than minimal, widespreadF812Nov 7, 2024

    Based on observation, interview, and document review, the facility failed to maintain cleanliness in one of one steamer and one of one convection oven in the kitchen. Findings include: 1. Observation during the initial kitchen tour on 11/5/24 from 11:43 a.m. to 12:19 p.m. revealed: *The interior of the Vulcan brand convection oven was heavily coated in baked-on grease and food particles. *The interior of the Cleveland brand SteamChef steamer had an excessive buildup of limescale and scum, and there were food particles at the bottom of the basin sitting in standing water. 2. Interview on 11/7/24 at 10:45 a.m. […]

  • No harm, potential for more than minimal, widespreadF880Jul 20, 2023

    Based on observation, interview, record review, and policy review, the provider failed to ensure infection prevention and control practices were implemented for the following: *Ensuring one of one resident (304) had performed hand hygiene after he had touched his blood from a wound on his arm prior to having the resident sign his name in the narcotics binder. *Establishing a water management program that addressed the prevention of Legionella. Findings include: 1. Observation and interview on 7/20/23 at 8:42 a.m. […]

  • No harm, potential for more than minimal, patternF582Nov 7, 2024

    Based on record review and policy review, the provider failed to provide Skilled Nursing Facility Advance Beneficiary Notice (SNF ABN) and Notice of Medicare Non-Coverage (NOMNC) for one of three (247) sampled residents. This citation is considered past non-compliance based on review of the corrective actions the provider implemented following the incident. Findings include: Review of provider's documentation regarding advanced beneficiary notices (ABN) revealed on 10/11/24, the provider identified previous social worker (SW) O had not been completing SNF ABNs or NOMNCs for residents who received Medicare Part A skilled services. *Administrator A interviewed (SW) O and SW P on 10/16/24. -SW O had reported he was not trained upon his hiring on how to complete the ABNs by SW P. […]

  • No harm, potential for more than minimal, patternF600Nov 7, 2024

    Based on South Dakota Department of Health (SD DOH) Facility Reported Incident ( FRI), record review, interview, and policy review the provider failed to ensure 25 of 25 sampled residents on Promise Lane (1,2,3,5,6,7,8, 9, 10, 11,12, 13, 14, 20, 21, 22, 23, 25, 26, 27, 28, 36, 38, 39, and 40) had their blood sugar checked and received treatment and medications as ordered by one of one registered nurse (RN) F during a twelve-hour shift. Findings include: 1. Review of SD DOH FRI submitted on 10/9/24 revealed: *On 10/6/24 RN F had left her unit from 9:00 a.m. until 11:00 a.m. […]

Read 20 findings in full →The most serious and the most recent: 20 of 74 on record.

Every survey on record

FindingsAt actual harm or above

  • Dec 18, 2025Complaint1 finding
  • Oct 29, 2025Complaint1 finding
  • Nov 7, 2024Standard and complaint7 findings
  • Jul 20, 2023Standard3 findings
  • Apr 27, 2022Standard2 findings
  • Jun 13, 2019Standard14 findings · 3 harm
  • Mar 29, 2018Standard3 findings
  • Mar 22, 2017Standard and complaint5 findings
Show the 8 earlier surveys
  • Jun 9, 2016Standard8 findings
  • Aug 12, 2015Standard1 finding
  • Aug 14, 2014Standard5 findings
  • Apr 22, 2014Complaint3 findings
  • Sep 5, 2013—6 findings
  • Dec 5, 2012—3 findings
  • Mar 15, 2012—5 findings
  • Feb 1, 2012—7 findings

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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