SNF

BETHEL LUTHERAN HOME

CCN: 555924 · SELMA, CA 93662 · Fresno County

Overview

Address
2280 DOCKERY AVENUE, SELMA, CA 93662
Phone
5598964900
Certified beds
59
Avg daily residents
52 (88% of beds filled)
Ownership
Non-profit corporation
Provider type
Medicare and Medicaid
Medicare/Medicaid since
2021-08-09
Setting
Urban
2 /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.

Overall Rating
Composite of Health Inspection, Staffing, and Quality Measures.
★★★★★ 2/5
Health Inspection
Based on the three most recent standard surveys, with more weight on recent results.
★★★★★ 3/5
Staffing
Weighted combination of RN and total nurse staffing hours per resident per day, case-mix adjusted.
Resident count too small for reliable rating.
★★★★★ 1/5
Quality Measures
15 resident-level quality measures split between long-stay and short-stay (post-acute) residents.
★★★★★ 2/5
Quality Measures breakdown
Long-Stay Quality Measures ★★★★★ 2/5
Short-Stay Quality Measures ★★★★★ 1/5

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) 2025-12-05 12 10 2 72 1 72
Cycle 2/3 (prior) 2024-10-28 15 12 3 92 1 92
Total weighted health score
77.0
lower is better
Infection-control citations
0
last cycle

Deficiencies (41)

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).

3 A/B/C No actual harm — minor
38 D/E/F Actual harm — potential for minor
Tag Description Scope/Severity Survey date Corrected
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2025-12-05 2025-12-26
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-12-05 2025-12-26
0755 Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. E 2025-12-05 2025-12-26
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 2025-12-05 2025-12-26
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. E 2025-12-05 2025-12-26
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. E 2025-12-05 2025-12-26
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2025-12-05 2025-12-26
0880 Provide and implement an infection prevention and control program. F 2025-12-05 2025-12-26
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. B 2025-12-05 2025-12-26
0947 Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. D 2025-12-05 2025-12-26
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2025-08-22 2025-09-15
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2025-08-22 2025-09-15
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2024-11-15 2024-12-06
0940 Develop, implement, and/or maintain an effective training program for all new and existing staff members. D 2024-11-15 2024-12-06
0942 Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. D 2024-11-15 2024-12-06
0583 Keep residents' personal and medical records private and confidential. E 2024-10-28 2024-11-22
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2024-10-28 2024-11-22
0658 Ensure services provided by the nursing facility meet professional standards of quality. E 2024-10-28 2024-11-22
0697 Provide safe, appropriate pain management for a resident who requires such services. D 2024-10-28 2024-11-22
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 2024-10-28 2024-11-22
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. D 2024-10-28 2024-11-22
0804 Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. E 2024-10-28 2024-11-22
0806 Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. D 2024-10-28 2024-11-22
0812 Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F 2024-10-28 2024-11-22
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. D 2024-10-28 2024-11-22
0880 Provide and implement an infection prevention and control program. D 2024-10-28 2024-11-22
0908 Keep all essential equipment working safely. E 2024-10-28 2024-11-22
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. C 2024-10-28 2024-11-22
0550 Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. D 2023-12-01 2024-01-21
0567 Honor the resident's right to manage his or her financial affairs. D 2023-12-01 2024-01-21
0585 Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. D 2023-12-01 2024-01-21
0641 Ensure each resident receives an accurate assessment. D 2023-12-01 2024-01-21
0656 Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. D 2023-12-01 2024-01-21
0658 Ensure services provided by the nursing facility meet professional standards of quality. D 2023-12-01 2024-01-21
0758 Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. D 2023-12-01 2024-01-21
0759 Ensure medication error rates are not 5 percent or greater. E 2023-12-01 2024-01-21
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. D 2023-12-01 2024-01-21
0814 Dispose of garbage and refuse properly. D 2023-12-01 2024-01-21
0842 Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. E 2023-12-01 2024-01-21
0880 Provide and implement an infection prevention and control program. D 2023-12-01 2024-01-21
0912 Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. C 2023-12-01 2024-01-21

Financial Health (FY 2023)

Payer mix (share of resident days)

Medicare 4.5% Medicaid 18.7% Other 76.8%

Operating performance

Operating Margin
-23.6%
Total Margin
7.4%
Occupancy Rate
71.0%

Revenue & costs

Net Patient Revenue
$7.0M
Total Costs
$372K
Net Income
$688K

Balance sheet

Total Assets
$5.7M
Total Liabilities
$4.9M
Fund Balance
$791K
Current Ratio
2.85

Source: CMS SNF Cost Report (FY 2023). Cost report data lags by ~2 years.

Ownership & Corporate Structure

Owner / manager individuals (8)

Name Role Association
PATTESON, SHIKHA OPERATIONAL/MANAGERIAL CONTROL since 01/21/2021
HERTZOG, BONNY CORPORATE DIRECTOR since 01/01/2016
JACOBSEN, LAUREL CORPORATE DIRECTOR since 01/01/2015
SAFRENO, DANIEL CORPORATE DIRECTOR since 07/19/2016
SCHAULAND, DONNA CORPORATE DIRECTOR since 10/01/2016
STECK, EDWARD CORPORATE DIRECTOR since 01/01/2017
WADEWITZ, BETTY CORPORATE DIRECTOR since 06/20/2017
BENNER, PHILIP CORPORATE OFFICER since 01/01/2015

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
Resident
Sprinkler systems
Yes
Abuse citation flag
No
Methodology & sources

Full methodology →

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.

Download CSV

Show 112 rows
Source Metric Value Raw key
Cost Report Current Ratio 2.85 metrics.current_ratio
Cost Report fiscal_year 2,023 fiscal_year
Cost Report Medicaid Day Share (%) 18.7% metrics.medicaid_day_share
Cost Report Medicare Day Share (%) 4.5% metrics.medicare_day_share
Cost Report Net Income ($) $688,160 metrics.net_income
Cost Report Net Patient Revenue ($) $6,965,422 metrics.net_patient_revenue
Cost Report Occupancy Rate (%) 71.0% metrics.occupancy_rate
Cost Report Operating Margin (%) -23.6% metrics.operating_margin
Cost Report Total Assets ($) $5,683,884 metrics.total_assets
Cost Report Total Costs ($) $371,651 metrics.total_costs
Cost Report Total Fund Balances ($) $790,663 metrics.fund_balance
Cost Report Total Liabilities ($) $4,893,221 metrics.total_liabilities
Cost Report Total Margin (%) 7.4% metrics.total_margin
Provider Information Abuse Icon N Abuse Icon
Provider Information Adjusted LPN Staffing Hours per Resident per Day — Adjusted LPN Staffing Hours per Resident per Day
Provider Information Adjusted Nurse Aide Staffing Hours per Resident per Day — Adjusted Nurse Aide Staffing Hours per Resident per Day
Provider Information Adjusted RN Staffing Hours per Resident per Day — Adjusted RN Staffing Hours per Resident per Day
Provider Information Adjusted Total Nurse Staffing Hours per Resident per Day — Adjusted Total Nurse Staffing Hours per Resident per Day
Provider Information Adjusted Weekend Total Nurse Staffing Hours per Resident per Day — 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 51.9 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 — Case-Mix LPN Staffing Hours per Resident per Day
Provider Information Case-Mix Nurse Aide Staffing Hours per Resident per Day — Case-Mix Nurse Aide Staffing Hours per Resident per Day
Provider Information Case-Mix RN Staffing Hours per Resident per Day — Case-Mix RN Staffing Hours per Resident per Day
Provider Information Case-Mix Total Nurse Staffing Hours per Resident per Day — Case-Mix Total Nurse Staffing Hours per Resident per Day
Provider Information Case-Mix Weekend Total Nurse Staffing Hours per Resident per Day — 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 SELMA City/Town
Provider Information CMS Certification Number (CCN) 555924 CMS Certification Number (CCN)
Provider Information Continuing Care Retirement Community N Continuing Care Retirement Community
Provider Information County/Parish Fresno County/Parish
Provider Information Date First Approved to Provide Medicare and Medicaid Services 2021-08-09 Date First Approved to Provide Medicare and Medicaid Services
Provider Information Geocoding Footnote — Geocoding Footnote
Provider Information Health Inspection Rating 3 Health Inspection Rating
Provider Information Health Inspection Rating Footnote — Health Inspection Rating Footnote
Provider Information Latitude 36.5668 Latitude
Provider Information Legal Business Name BETHEL LUTHERAN HOME INC Legal Business Name
Provider Information Location 2280 DOCKERY AVENUE,SELMA,CA,93662 Location
Provider Information Long-Stay QM Rating 2 Long-Stay QM Rating
Provider Information Long-Stay QM Rating Footnote — Long-Stay QM Rating Footnote
Provider Information Longitude -119.6 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 59 Number of Certified Beds
Provider Information Number of Citations from Infection Control Inspections 0 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 — Nursing Case-Mix Index
Provider Information Nursing Case-Mix Index Ratio — Nursing Case-Mix Index Ratio
Provider Information Overall Rating 2 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 6 Physical Therapist Staffing Footnote
Provider Information Processing Date 2026-03-01 Processing Date
Provider Information Provider Address 2280 DOCKERY AVENUE Provider Address
Provider Information Provider Changed Ownership in Last 12 Months N Provider Changed Ownership in Last 12 Months
Provider Information Provider Name BETHEL LUTHERAN HOME Provider Name
Provider Information Provider Resides in Hospital N Provider Resides in Hospital
Provider Information Provider SSA County Code 090 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 72 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 10 Rating Cycle 1 Number of Standard Health Deficiencies
Provider Information Rating Cycle 1 Standard Survey Health Date 2025-12-05 Rating Cycle 1 Standard Survey Health Date
Provider Information Rating Cycle 1 Total Health Score 72 Rating Cycle 1 Total Health Score
Provider Information Rating Cycle 1 Total Number of Health Deficiencies 12 Rating Cycle 1 Total Number of Health Deficiencies
Provider Information Rating Cycle 2 Number of Standard Health Deficiencies 12 Rating Cycle 2 Number of Standard Health Deficiencies
Provider Information Rating Cycle 2 Standard Health Survey Date 2024-10-28 Rating Cycle 2 Standard Health Survey Date
Provider Information Rating Cycle 2/3 Health Deficiency Score 92 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 3 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 92 Rating Cycle 2/3 Total Health Score
Provider Information Rating Cycle 2/3 Total Number of Health Deficiencies 15 Rating Cycle 2/3 Total Number of Health Deficiencies
Provider Information Registered Nurse hours per resident per day on the weekend — Registered Nurse hours per resident per day on the weekend
Provider Information Registered Nurse turnover — Registered Nurse turnover
Provider Information Registered Nurse turnover footnote 27 Registered Nurse turnover footnote
Provider Information Reported Licensed Staffing Hours per Resident per Day — Reported Licensed Staffing Hours per Resident per Day
Provider Information Reported LPN Staffing Hours per Resident per Day — Reported LPN Staffing Hours per Resident per Day
Provider Information Reported Nurse Aide Staffing Hours per Resident per Day — Reported Nurse Aide Staffing Hours per Resident per Day
Provider Information Reported Physical Therapist Staffing Hours per Resident Per Day — Reported Physical Therapist Staffing Hours per Resident Per Day
Provider Information Reported RN Staffing Hours per Resident per Day — Reported RN Staffing Hours per Resident per Day
Provider Information Reported Staffing Footnote 25 Reported Staffing Footnote
Provider Information Reported Total Nurse Staffing Hours per Resident per Day — Reported Total Nurse Staffing Hours per Resident per Day
Provider Information Short-Stay QM Rating 1 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 1 Staffing Rating
Provider Information Staffing Rating Footnote 25 Staffing Rating Footnote
Provider Information State CA State
Provider Information Telephone Number 5598964900 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 — 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 47.7 Total nursing staff turnover
Provider Information Total nursing staff turnover footnote — Total nursing staff turnover footnote
Provider Information Total Weighted Health Survey Score 77.000 Total Weighted Health Survey Score
Provider Information Urban Y Urban
Provider Information With a Resident and Family Council Resident With a Resident and Family Council
Provider Information ZIP Code 93662 ZIP Code