Bethesda Home of Aberdeen
Aberdeen, South Dakota · CCN 435073
14 surveys since 2011, 7 of them producing a finding at harm level or worse.
Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.
- Citations on record
- 55
- Surveys
- 14
- Harm or worse
- 7
- Immediate jeopardy
- 0
Findings where a surveyor recorded actual harm to a resident.
Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.
The facility
- Certified beds
- 86
- Ownership
- Non profit - Church related
- Chain
- Independent
- County
- Brown · rural
- Medicare-certified since
- 1993
CMS ratings
- Overall
- 3
- Health inspection
- 3
- Staffing
- 4
- Quality measures
- 2
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
Mar 12, 2026
242 days ago.
Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.
Staffing
| Measure | This facility | Peer median |
|---|---|---|
| Nurse hours per resident day | 3.79 | 3.70 |
| Registered-nurse hours per resident day | 0.79 | — |
| Annual nurse turnover | 38.9% | 46.6% |
As reported by the facility to CMS, beside the peer-group median.
Enforcement
- Fines
- $25,265 across 1 penalty
Federal civil money penalties and remedies as CMS currently publishes them. Amounts may still be under appeal.
Severity of recent findings
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J— | K— | L— |
| Actual harm | G18.3% | H— | I— |
| No harm, potential for more than minimal | D758.3% | E325.0% | F18.3% |
| No harm, potential for minimal | A— | B— | C— |
Most frequently cited here
In CMS’s current monthly file.
- F8123×
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
- F5521×
Ensure that residents are fully informed and understand their health status, care and treatments.
- F6401×
Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
- F6561×
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- F6571×
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
In the surveyor’s words
From the most serious findings on record at Bethesda Home of Aberdeen, in the surveyor’s own words.
- Actual harm, isolatedF686Mar 12, 2026
Based on interview, record review, and policy review, the provider failed to ensure pressure injury prevention interventions were identified and implemented for one of one sampled resident (70) who developed a deep tissue injury (DTI) (a pressure ulcer/injury with purple or maroon discolored skin and underlying soft tissue damage, caused by intense, prolonged pressure) on her right heel. Findings include: 1. Observation and interview on 3/10/26 at 2:35 p.m. with resident 70 while she was in her room watching television, revealed that her bed was located next to the window. She had hard surface protective boots on both her lower legs and feet. There were Velcro straps that were wrapped around her lower legs, holding those boots in place. […]
- No harm, potential for more than minimal, widespreadF812Mar 12, 2026
Based on observation, interview, record review, and policy review, the provider failed to ensure the staff followed food safety standards to:*Maintain a clean and sanitary food service environment in one of one main kitchen and one of one activity room kitchenette.*Store raw meat to prevent potential cross-contamination in one of one walk-in cooler.*Label and date bulk food ingredients in one of one activity room kitchenette according to the provider's policy.*Ensure one of one activity room dishwasher used for special events reached the temperature required for sanitizing residents' drinkware and dishes.*Ensure hand hygiene (washing hands or using hand sanitizer) was performed after direct contact with soiled surfaces and resident equipment by certified nurse aide (CNA) (M) before the CNA… […]
- No harm, potential for more than minimal, widespreadF812May 12, 2022
Based on observation, interview, and policy review, the provider failed to ensure appropriate use of personal protective equipment (PPE) and appropriate hand hygiene had been followed for two of two observed meal services by nine of nine observed staff (cook E, culinary assistant (CA) F, dietary manager (DM) D, cook R, dietary aide (DA) S, certified nurse assistant (CNA) Q, DA V, CNA T, and DA U). Findings include: 1. Observation on 5/10/22 from 11:40 a.m. through 12:20 p.m. of staff assisting in the resident dining area during the noon meal service revealed: *No hand sanitizer had been observed in the main dining area. *A sink to wash hands had been available for staff to use in the beverage serving area. -Staff were not observed to have used it. […]
- No harm, potential for more than minimal, patternF803Mar 12, 2026
Based on observation, interview, and record review, the provider failed to ensure the menu serving sizes and therapeutic diet menus were created and followed regarding:*One of one chef (P) failed to follow the menu serving sizes for each resident who was offered food at the facility for one of two observed meal services.*Nine of nine sampled residents (1, 7, 15, 17, 42, 48, 53, 75, and 90) who were prescribed a NAS (no added salt) diet, and eighteen of eighteen residents (9, 20, 21, 23, 27, 32, 33, 40, 41, 46, 50, 57, 63, 68, 71, 78, 79, and 87) who were prescribed a Heart healthy diet, and did not have their therapeutic diet created or followed. Findings include:1. Observation on 3/12/26 at 8:41 a.m. in the kitchen of chef P revealed he was serving breakfast from a steam table. […]
- No harm, potential for more than minimal, patternF812Nov 21, 2024
Based on observation, interview, record review, and policy review, the provider failed to ensure safe food was at safe temperatures prior to serving residents food by one chef (H) during an observed breakfast meal service. Findings include: 1. Observation and interview on 11/19/24 at 7:45 a.m. with chef M, chef H, and culinary services manager (CSM) D revealed: *Chef M was at the steam table serving breakfast to residents and stated chef H would have done the food temperatures this morning. […]
Read 24 findings in full →The most serious and the most recent: 24 of 55 on record.
Every survey on record
FindingsAt actual harm or above
- Mar 12, 2026Standard7 findings · 1 harm
- Nov 21, 2024Standard4 findings
- Jul 27, 2023Standard1 finding
- May 12, 2022Standard2 findings
- Sep 26, 2019Standard2 findings
- Dec 6, 2017Complaint1 finding
- Jun 8, 2017Standard1 finding · 1 harm
- Apr 13, 2016Standard8 findings · 1 harm
Show the 6 earlier surveys
- Jan 13, 2016Complaint3 findings
- Jun 17, 2015Standard6 findings
- Apr 16, 2014Standard5 findings
- Mar 7, 2013—7 findings · 2 harm
- Feb 29, 2012—1 finding
- May 4, 2011—7 findings · 2 harm
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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