SNF
BETHANY HOME SIOUX FALLS
CCN: 435096 · SIOUX FALLS, SD 57105 · Minnehaha County
Overview
- Address
- 1901 SOUTH HOLLY AVENUE, SIOUX FALLS, SD 57105
- Phone
- 6053382351
- Certified beds
- 52
- Avg daily residents
- 43 (82% of beds filled)
- Ownership
- Non-profit corporation
- Provider type
- Medicare and Medicaid
- Medicare/Medicaid since
- 1996-03-01
- Setting
- Urban
4 /5
★★★★★
CMS Overall Rating
CMS 5-Star Ratings
CMS rates every Medicare/Medicaid-certified nursing home on four domains. The Overall rating is driven primarily by Health Inspection results, then adjusted up or down by Staffing and Quality Measures.
Staffing & Workforce
Direct-care staffing is the strongest operational driver of quality in nursing homes. Values are hours per resident per day, derived from payroll-based journal (PBJ) submissions. "Case-mix" adjusts for resident acuity; "Adjusted" is the CMS rating-input value.
| Role | Reported | Case-mix expected | Adjusted | Federal floor | |
|---|---|---|---|---|---|
| Total nurse All nursing staff combined: RN + LPN + Aide | 5.25 | 3.69 | 5.49 | ≥ 3.48 | |
| Registered Nurse (RN) Licensed RN hours. Strongest driver of clinical outcomes. | 0.80 | 0.65 | 0.84 | ≥ 0.55 | |
| Licensed Practical Nurse (LPN) LPN/LVN hours. Often handles medication administration. | 0.91 | 0.82 | 0.96 | — | |
| Nurse aide CNA hours. Bulk of direct resident care — bathing, feeding, mobility. | 3.53 | 2.22 | 3.70 | — | |
| Licensed (RN + LPN) Combined licensed nurse coverage. | 1.71 | — | — | — | |
| Physical therapist Rehabilitation therapist hours — important for post-acute / rehab admissions. | 0.10 | — | — | — |
Federal minimums (phasing in under the CMS 2024 minimum staffing rule) shown for reference. RN: 0.55 hrs/resident/day. Total nurse: 3.48 hrs/resident/day.
Weekend staffing
Total nurse (weekend)
4.61
hrs / resident / day
RN (weekend)
0.47
hrs / resident / day
Total nurse (adjusted, weekend)
4.83
hrs / resident / day
Weekend under-staffing is a common quality-of-care concern — adverse events are more frequent when licensed coverage drops.
Staff turnover
Total nursing staff turnover
41.9%
annual
RN turnover
50.0%
annual
Administrators departed
1
last 12 months
Resident acuity
Nursing Case-Mix Index
1.31
higher acuity than avg
Case-Mix Index Ratio
0.95
facility / state ratio
Health Inspections
CMS weights three inspection cycles to compute the Health Inspection rating: the most recent (50%), the second most recent (33%), and the oldest (17%). Each standard-survey deficiency is assigned a score based on scope and severity; complaint-survey findings and revisit scores are added to produce the cycle total.
| Cycle | Date | Total defs. | Standard | Complaint | Deficiency score | Revisits | Total score |
|---|---|---|---|---|---|---|---|
| Cycle 1 (most recent) | 2025-12-18 | 2 | 0 | 2 | 8 | 1 | 8 |
| Cycle 2/3 (prior) | 2024-11-07 | 7 | 6 | 1 | 60 | 1 | 60 |
Total weighted health score
21.0
lower is better
Deficiencies (12)
Individual survey findings. Scope/severity uses the CMS A–L matrix: letters further down the alphabet indicate greater harm and wider scope, up through J–L (immediate jeopardy).
12 D/E/F Actual harm — potential for minor
| Tag | Description | Scope/Severity | Survey date | Corrected |
|---|---|---|---|---|
| 0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | 2025-12-18 | 2026-02-05 |
| 0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | 2025-10-29 | — |
| 0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | E | 2024-11-07 | 2024-12-06 |
| 0582 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | E | 2024-11-07 | 2024-11-05 |
| 0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | 2024-11-07 | 2024-11-05 |
| 0625 | 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 | 2024-11-07 | 2024-11-05 |
| 0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | 2024-11-07 | 2024-12-06 |
| 0803 | 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. | F | 2024-11-07 | 2024-12-06 |
| 0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | 2024-11-07 | 2024-12-06 |
| 0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | D | 2023-07-20 | 2023-09-03 |
| 0761 | 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. | E | 2023-07-20 | 2023-09-03 |
| 0880 | Provide and implement an infection prevention and control program. | F | 2023-07-20 | 2023-09-03 |
Financial Health (FY 2024)
Payer mix (share of resident days)
Medicare 24.7% Medicaid 50.9% Other 24.4%
Operating performance
Operating Margin
-20.2%
Total Margin
-14.3%
Occupancy Rate
78.5%
Cost per Resident Day
$56
Revenue & costs
Net Patient Revenue
$5.9M
Total Costs
$832K
Net Income
-$891K
Balance sheet
Total Assets
$31.3M
Total Liabilities
$25.6M
Fund Balance
$5.8M
Current Ratio
2.14
Source: CMS SNF Cost Report (FY 2024). Cost report data lags by ~2 years.
Ownership & Corporate Structure
Owner / manager organizations (5)
| Organization | Role | Association |
|---|---|---|
| AUGUSTANA LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/1966 |
| BEAVER VALLEY LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/1966 |
| BENTON LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/1966 |
| NATHANAEL LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/1966 |
| ST MARKS LUTHERAN CHURCH | 5% OR GREATER DIRECT OWNERSHIP INTEREST | since 01/01/1966 |
Owner / manager individuals (17)
| Name | Role | Association |
|---|---|---|
| HEINEMANN, DANIEL | GENERAL PARTNERSHIP INTEREST | since 01/01/2015 |
| HEINEMANN, DANIEL | OPERATIONAL/MANAGERIAL CONTROL | since 01/01/2015 |
| HERRBOLDT, DEBORAH | OPERATIONAL/MANAGERIAL CONTROL | since 07/01/2014 |
| ANDERSON, ROBERT | CORPORATE DIRECTOR | since 01/01/2016 |
| FLIER, JOEL | CORPORATE DIRECTOR | since 01/01/2021 |
| FONDER, LYNDA | CORPORATE DIRECTOR | since 01/01/2023 |
| HENDRICKS-WILKENS, MARY | CORPORATE DIRECTOR | since 01/01/2022 |
| HERRBOLDT, DEBORAH | CORPORATE DIRECTOR | since 07/01/2014 |
| HOPE, LORI | CORPORATE DIRECTOR | since 01/01/2012 |
| JOHNSON, ELLEN | CORPORATE DIRECTOR | since 01/01/2021 |
| KRUSE, SUSAN | CORPORATE DIRECTOR | since 01/01/2021 |
| NEIDERHISER, DEBRA | CORPORATE DIRECTOR | since 01/01/2024 |
| PAULSON, JOHN | CORPORATE DIRECTOR | since 01/01/2021 |
| PERSON, LEE | CORPORATE DIRECTOR | since 01/01/2020 |
| SANDEN, JAMES | CORPORATE DIRECTOR | since 01/02/2025 |
| ZINGMARK, KAREN | CORPORATE DIRECTOR | since 01/01/2024 |
| KROGER, HEATHER | CORPORATE OFFICER | since 01/01/2024 |
Source: CMS Nursing Home Ownership. Percent ownership is rarely disclosed — CMS only requires it for specific roles.
Facility Features
- CCRC
- No
- Hospital-based
- No
- Resident / family council
- Both
- Sprinkler systems
- Yes
- Abuse citation flag
- No
Methodology & sources
- Nursing Home Provider Info (
nh-provider-info), vintage 2026, downloaded 2026-04-14 , 14,703 rows. - Nursing Home Health Deficiencies (
nh-deficiencies), vintage 2026, downloaded 2026-04-14 , 418,972 rows. - Nursing Home Ownership (
nh-ownership), vintage 2026, downloaded 2026-04-14 , 160,393 rows. - Skilled Nursing Facility Cost Report (
snf-cost-report), vintage 2024, downloaded 2026-04-14 , 14,120 rows.
All Data
Every labeled field shipped for this facility by CMS. No national median or percentile context is available for SNFs in the current release.
Show 113 rows
| Source | Metric | Value | Raw key |
|---|---|---|---|
| Cost Report | Cost per Resident Day ($) | $56 | metrics.cost_per_resident_day |
| Cost Report | Current Ratio | 2.14 | metrics.current_ratio |
| Cost Report | fiscal_year | 2,024 | fiscal_year |
| Cost Report | Medicaid Day Share (%) | 50.9% | metrics.medicaid_day_share |
| Cost Report | Medicare Day Share (%) | 24.7% | metrics.medicare_day_share |
| Cost Report | Net Income ($) | $-890,879 | metrics.net_income |
| Cost Report | Net Patient Revenue ($) | $5,924,153 | metrics.net_patient_revenue |
| Cost Report | Occupancy Rate (%) | 78.5% | metrics.occupancy_rate |
| Cost Report | Operating Margin (%) | -20.2% | metrics.operating_margin |
| Cost Report | Total Assets ($) | $31,310,916 | metrics.total_assets |
| Cost Report | Total Costs ($) | $831,962 | metrics.total_costs |
| Cost Report | Total Fund Balances ($) | $5,751,124 | metrics.fund_balance |
| Cost Report | Total Liabilities ($) | $25,559,792 | metrics.total_liabilities |
| Cost Report | Total Margin (%) | -14.3% | metrics.total_margin |
| Provider Information | Abuse Icon | N | Abuse Icon |
| Provider Information | Adjusted LPN Staffing Hours per Resident per Day | 0.95609 | Adjusted LPN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Nurse Aide Staffing Hours per Resident per Day | 3.69793 | Adjusted Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Adjusted RN Staffing Hours per Resident per Day | 0.83729 | Adjusted RN Staffing Hours per Resident per Day |
| Provider Information | Adjusted Total Nurse Staffing Hours per Resident per Day | 5.49132 | Adjusted Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day | 4.82580 | Adjusted Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Administrator turnover footnote | — | Administrator turnover footnote |
| Provider Information | Automatic Sprinkler Systems in All Required Areas | Yes | Automatic Sprinkler Systems in All Required Areas |
| Provider Information | Average Number of Residents per Day | 42.8 | Average Number of Residents per Day |
| Provider Information | Average Number of Residents per Day Footnote | — | Average Number of Residents per Day Footnote |
| Provider Information | Case-Mix LPN Staffing Hours per Resident per Day | 0.81858 | Case-Mix LPN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Nurse Aide Staffing Hours per Resident per Day | 2.22471 | Case-Mix Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Case-Mix RN Staffing Hours per Resident per Day | 0.64522 | Case-Mix RN Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Total Nurse Staffing Hours per Resident per Day | 3.68851 | Case-Mix Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day | 3.25103 | Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Chain Average Health Inspection Rating | — | Chain Average Health Inspection Rating |
| Provider Information | Chain Average Overall 5-star Rating | — | Chain Average Overall 5-star Rating |
| Provider Information | Chain Average QM Rating | — | Chain Average QM Rating |
| Provider Information | Chain Average Staffing Rating | — | Chain Average Staffing Rating |
| Provider Information | Chain ID | — | Chain ID |
| Provider Information | Chain Name | — | Chain Name |
| Provider Information | City/Town | SIOUX FALLS | City/Town |
| Provider Information | CMS Certification Number (CCN) | 435096 | CMS Certification Number (CCN) |
| Provider Information | Continuing Care Retirement Community | N | Continuing Care Retirement Community |
| Provider Information | County/Parish | Minnehaha | County/Parish |
| Provider Information | Date First Approved to Provide Medicare and Medicaid Services | 1996-03-01 | Date First Approved to Provide Medicare and Medicaid Services |
| Provider Information | Geocoding Footnote | — | Geocoding Footnote |
| Provider Information | Health Inspection Rating | 4 | Health Inspection Rating |
| Provider Information | Health Inspection Rating Footnote | — | Health Inspection Rating Footnote |
| Provider Information | Latitude | 43.5285 | Latitude |
| Provider Information | Legal Business Name | BETHANY LUTHERAN HOME | Legal Business Name |
| Provider Information | Location | 1901 SOUTH HOLLY AVENUE,SIOUX FALLS,SD,57105 | Location |
| Provider Information | Long-Stay QM Rating | 1 | Long-Stay QM Rating |
| Provider Information | Long-Stay QM Rating Footnote | — | Long-Stay QM Rating Footnote |
| Provider Information | Longitude | -96.754 | Longitude |
| Provider Information | Most Recent Health Inspection More Than 2 Years Ago | N | Most Recent Health Inspection More Than 2 Years Ago |
| Provider Information | Number of administrators who have left the nursing home | 1 | Number of administrators who have left the nursing home |
| Provider Information | Number of Certified Beds | 52 | Number of Certified Beds |
| Provider Information | Number of Citations from Infection Control Inspections | — | Number of Citations from Infection Control Inspections |
| Provider Information | Number of Facilities in Chain | — | Number of Facilities in Chain |
| Provider Information | Number of Fines | 0 | Number of Fines |
| Provider Information | Number of Payment Denials | 0 | Number of Payment Denials |
| Provider Information | Nursing Case-Mix Index | 1.30667 | Nursing Case-Mix Index |
| Provider Information | Nursing Case-Mix Index Ratio | 0.94848 | Nursing Case-Mix Index Ratio |
| Provider Information | Overall Rating | 4 | Overall Rating |
| Provider Information | Overall Rating Footnote | — | Overall Rating Footnote |
| Provider Information | Ownership Type | Non profit - Corporation | Ownership Type |
| Provider Information | Physical Therapist Staffing Footnote | — | Physical Therapist Staffing Footnote |
| Provider Information | Processing Date | 2026-03-01 | Processing Date |
| Provider Information | Provider Address | 1901 SOUTH HOLLY AVENUE | Provider Address |
| Provider Information | Provider Changed Ownership in Last 12 Months | N | Provider Changed Ownership in Last 12 Months |
| Provider Information | Provider Name | BETHANY HOME SIOUX FALLS | Provider Name |
| Provider Information | Provider Resides in Hospital | N | Provider Resides in Hospital |
| Provider Information | Provider SSA County Code | 490 | Provider SSA County Code |
| Provider Information | Provider Type | Medicare and Medicaid | Provider Type |
| Provider Information | QM Rating | 2 | QM Rating |
| Provider Information | QM Rating Footnote | — | QM Rating Footnote |
| Provider Information | Rating Cycle 1 Health Deficiency Score | 8 | Rating Cycle 1 Health Deficiency Score |
| Provider Information | Rating Cycle 1 Health Revisit Score | 0 | Rating Cycle 1 Health Revisit Score |
| Provider Information | Rating Cycle 1 Number of Complaint Health Deficiencies | 2 | Rating Cycle 1 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 1 Number of Health Revisits | 1 | Rating Cycle 1 Number of Health Revisits |
| Provider Information | Rating Cycle 1 Number of Standard Health Deficiencies | 0 | Rating Cycle 1 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 1 Standard Survey Health Date | 2025-12-18 | Rating Cycle 1 Standard Survey Health Date |
| Provider Information | Rating Cycle 1 Total Health Score | 8 | Rating Cycle 1 Total Health Score |
| Provider Information | Rating Cycle 1 Total Number of Health Deficiencies | 2 | Rating Cycle 1 Total Number of Health Deficiencies |
| Provider Information | Rating Cycle 2 Number of Standard Health Deficiencies | 6 | Rating Cycle 2 Number of Standard Health Deficiencies |
| Provider Information | Rating Cycle 2 Standard Health Survey Date | 2024-11-07 | Rating Cycle 2 Standard Health Survey Date |
| Provider Information | Rating Cycle 2/3 Health Deficiency Score | 60 | Rating Cycle 2/3 Health Deficiency Score |
| Provider Information | Rating Cycle 2/3 Health Revisit Score | 0 | Rating Cycle 2/3 Health Revisit Score |
| Provider Information | Rating Cycle 2/3 Number of Complaint Health Deficiencies | 1 | Rating Cycle 2/3 Number of Complaint Health Deficiencies |
| Provider Information | Rating Cycle 2/3 Number of Health Revisits | 1 | Rating Cycle 2/3 Number of Health Revisits |
| Provider Information | Rating Cycle 2/3 Total Health Score | 60 | Rating Cycle 2/3 Total Health Score |
| Provider Information | Rating Cycle 2/3 Total Number of Health Deficiencies | 7 | Rating Cycle 2/3 Total Number of Health Deficiencies |
| Provider Information | Registered Nurse hours per resident per day on the weekend | 0.47194 | Registered Nurse hours per resident per day on the weekend |
| Provider Information | Registered Nurse turnover | 50.0 | Registered Nurse turnover |
| Provider Information | Registered Nurse turnover footnote | — | Registered Nurse turnover footnote |
| Provider Information | Reported Licensed Staffing Hours per Resident per Day | 1.71330 | Reported Licensed Staffing Hours per Resident per Day |
| Provider Information | Reported LPN Staffing Hours per Resident per Day | 0.91340 | Reported LPN Staffing Hours per Resident per Day |
| Provider Information | Reported Nurse Aide Staffing Hours per Resident per Day | 3.53279 | Reported Nurse Aide Staffing Hours per Resident per Day |
| Provider Information | Reported Physical Therapist Staffing Hours per Resident Per Day | 0.10282 | Reported Physical Therapist Staffing Hours per Resident Per Day |
| Provider Information | Reported RN Staffing Hours per Resident per Day | 0.79990 | Reported RN Staffing Hours per Resident per Day |
| Provider Information | Reported Staffing Footnote | — | Reported Staffing Footnote |
| Provider Information | Reported Total Nurse Staffing Hours per Resident per Day | 5.24609 | Reported Total Nurse Staffing Hours per Resident per Day |
| Provider Information | Short-Stay QM Rating | 2 | Short-Stay QM Rating |
| Provider Information | Short-Stay QM Rating Footnote | — | Short-Stay QM Rating Footnote |
| Provider Information | Special Focus Status | — | Special Focus Status |
| Provider Information | Staffing Rating | 4 | Staffing Rating |
| Provider Information | Staffing Rating Footnote | — | Staffing Rating Footnote |
| Provider Information | State | SD | State |
| Provider Information | Telephone Number | 6053382351 | Telephone Number |
| Provider Information | Total Amount of Fines in Dollars | 0.00 | Total Amount of Fines in Dollars |
| Provider Information | Total number of nurse staff hours per resident per day on the weekend | 4.61030 | Total number of nurse staff hours per resident per day on the weekend |
| Provider Information | Total Number of Penalties | 0 | Total Number of Penalties |
| Provider Information | Total nursing staff turnover | 41.9 | Total nursing staff turnover |
| Provider Information | Total nursing staff turnover footnote | — | Total nursing staff turnover footnote |
| Provider Information | Total Weighted Health Survey Score | 21.000 | Total Weighted Health Survey Score |
| Provider Information | Urban | Y | Urban |
| Provider Information | With a Resident and Family Council | Both | With a Resident and Family Council |
| Provider Information | ZIP Code | 57105 | ZIP Code |