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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E6 | F20 |
| Minimal | A· | B· | C· |
CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.
Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.
| Date | Domain | Survey types | Citations | Most severe | Open | |
|---|---|---|---|---|---|---|
| Jun 26, 2025 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jun 26, 2025 | Health | Health Standard | 7 | Potential harm | — | Open → |
| May 2, 2024 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| May 2, 2024 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Jun 8, 2023 | Fire safety | Fire Safety Standard | 7 | Potential harm | — | Open → |
| Jun 8, 2023 | Health | Health Standard | 6 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D14 | E6 | F20 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Jun 26, 2025 | E-0035 | Provide family notifications of emergency plan. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 8, 2025 | |
| Jun 26, 2025 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Aug 22, 2025 | |
| Jun 26, 2025 | K-0222 |
“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.
CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.
CMS legal business name of the certified provider. Operates 2 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bethany Home Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1966 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bethany Home Inc | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 1966 |
| Terry Christensen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2023 |
| Marcia Dorn | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2019 |
| Dana Faber | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2014 |
| Rob Hultquist | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Bethany Home 1226 Berlin Street, Waupaca, WI 54981 CCN 525538 | 100 | Oct 27, 2025 | 301 harm5 open | — |
Coordinates as published by CMS.
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 285270 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 285270 | ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only. | Verified | Oct 1, 2026 | Nov 7, 2026 |
First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Environment & life safety |
| E · Potential harm Pattern |
| Corrected Aug 22, 2025 |
| Jun 26, 2025 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 22, 2025 |
| Jun 26, 2025 | K-0372 | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Aug 22, 2025 |
| Jun 26, 2025 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 22, 2025 |
| Jun 26, 2025 | K-0921 | Ensure that testing and maintenance of electrical equipment is performed. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Aug 22, 2025 |
| Jun 26, 2025 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 8, 2025 |
| Jun 26, 2025 | F-0605 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 8, 2025 |
| Jun 26, 2025 | F-0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Aug 8, 2025 |
| Jun 26, 2025 | F-0645 | PASARR screening for Mental disorders or Intellectual Disabilities Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 8, 2025 |
| Jun 26, 2025 | F-0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Aug 8, 2025 |
| Jun 26, 2025 | F-0802 | Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 8, 2025 |
| Jun 26, 2025 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Aug 8, 2025 |
| May 2, 2024 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jun 7, 2024 |
| May 2, 2024 | K-0321 | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 7, 2024 |
| May 2, 2024 | K-0324 | Provide properly protected cooking facilities. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 7, 2024 |
| May 2, 2024 | K-0345 | Have approved installation, maintenance and testing program for fire alarm systems. Smoke Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 7, 2024 |
| May 2, 2024 | K-0754 | Provide properly sized and located linen or trash receptacles. Miscellaneous Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jun 7, 2024 |
| May 2, 2024 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 7, 2024 |
| May 2, 2024 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 7, 2024 |
| May 2, 2024 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| May 2, 2024 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| May 2, 2024 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| May 2, 2024 | F-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. Pharmacy Service Deficiencies · Medication management | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| May 2, 2024 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jun 7, 2024 |
| May 2, 2024 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | D · Potential harm Isolated | Corrected Jun 7, 2024 |
| Jun 8, 2023 | E-0041 | Implement emergency and standby power systems. Emergency Preparedness Deficiencies · Emergency preparedness | F · Potential harm Widespread | Corrected Jul 31, 2023 |
| Jun 8, 2023 | K-0131 | Meet requirements for sections of health care facilities separated by fire resistive construction. Construction Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Jul 31, 2023 |
| Jun 8, 2023 | K-0761 | To conduct inspection, testing and maintenance of fire doors by qualified individuals. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 31, 2023 |
| Jun 8, 2023 | K-0914 | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 31, 2023 |
| Jun 8, 2023 | K-0918 | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 31, 2023 |
| Jun 8, 2023 | K-0919 | Meet requirements for the use of electrical equipment. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 8, 2023 | K-0920 | Ensure proper usage of power strips and extension cords. Gas, Vacuum, and Electrical Systems Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jul 31, 2023 |
| Jun 8, 2023 | F-0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 8, 2023 | F-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. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | E · Potential harm Pattern | Corrected Jul 31, 2023 |
| Jun 8, 2023 | F-0809 | Ensure meals and snacks are served at times in accordance with resident’s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | D · Potential harm Isolated | Corrected Jul 31, 2023 |
| Jun 8, 2023 | F-0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Jul 31, 2023 |
| Jun 8, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | F · Potential harm Widespread | Corrected Jul 31, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 4.84 (case-mix index 1.19).
| Scott Johnson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Sharry Nielsen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2023 |
| Karla Paulsen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2022 |
| Kay Tira | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2025 |
| Mary Evelyn Yant | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 1, 2024 |
| Douglas Althouse | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Sep 1, 2016 |
| Robert Tank | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Mar 1, 2008 |
| Terry Christensen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2023 |
| Marcia Dorn | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2019 |
| Dana Faber | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2014 |
| Rob Hultquist | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2024 |
| Scott Johnson | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2024 |
| Sharry Nielsen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2023 |
| Karla Paulsen | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2022 |
| Kay Tira | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2025 |
| Mary Evelyn Yant | Individual | Corporate officer / director | CORPORATE DIRECTOR | not provided | Oct 1, 2024 |
| Bethany Home Inc | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Jan 1, 1966 |
| Douglas Althouse | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Sep 1, 2016 |
| Terry Christensen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2023 |
| Marcia Dorn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2019 |
| Dana Faber | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2014 |
| Rob Hultquist | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Scott Johnson | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |
| Sharry Nielsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2023 |
| Karla Paulsen | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2022 |
| Robert Tank | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Dec 16, 2025 |
| Kay Tira | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2025 |
| Mary Evelyn Yant | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Oct 1, 2024 |