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| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E7 | F1 |
| 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 | |
|---|---|---|---|---|---|---|
| Apr 15, 2026 | Fire safety | Fire Safety Standard | 4 | Potential harm | — | Open → |
| Apr 15, 2026 | Health | Health Complaint, Health Standard | 4 | Potential harm | — | Open → |
| Jan 9, 2025 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jan 9, 2025 | Health | Health Standard | 3 | Potential harm | — | Open → |
| Sep 13, 2023 | Fire safety | Fire Safety Standard | 2 | Potential harm | — | Open → |
| Sep 13, 2023 | Health | Health Standard | 1 | Potential harm | — | Open → |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K· | L· |
| Actual harm | G· | H· | I· |
| Potential harm | D6 | E7 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| Apr 15, 2026 | E-0004 | Develop and maintain an Emergency Preparedness Program (EP). Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 4, 2026 | |
| Apr 15, 2026 | E-0030 | List the names and contact information of those in the facility. Emergency Preparedness Deficiencies · Emergency preparedness | D · Potential harm Isolated | Corrected Jun 4, 2026 | |
| Apr 15, 2026 | K-0342 |
“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 this facility only.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bethesda Home | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2008 |
| Barb Anderson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Tanner Christensen | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 28, 2025 |
| Gail Fischer | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Paul Peterson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| David Sigdestad | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2025 |
| Linda Witt | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Brent Zimmerman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Bethesda Home | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 100% | Jan 1, 2008 |
| Barb Anderson | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Tanner Christensen | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Oct 28, 2025 |
| Gail Fischer | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Paul Peterson | Individual |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Strand-Kjorsvig Community Rest Home 801 S Main, Roslyn, SD 57261 CCN 435125 | 17.3 km | 35 | Aug 13, 2026 | 332 harm8 open | $25k |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435071 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435071 | 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
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Smoke Deficiencies · Environment & life safety |
| D · Potential harm Isolated |
| Corrected Jun 4, 2026 |
| Apr 15, 2026 | K-0712 | Have simulated fire drills held at unexpected times. Miscellaneous Deficiencies · Environment & life safety | F · Potential harm Widespread | Corrected Jun 4, 2026 |
| Apr 15, 2026 | F-0552 | Ensure that residents are fully informed and understand their health status, care and treatments. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected May 15, 2026 |
| Apr 15, 2026 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 29, 2026 |
| Apr 15, 2026 | F-0658 | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected May 15, 2026 |
| Apr 15, 2026 | 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 May 29, 2026 | Complaint |
| Jan 9, 2025 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 7, 2025 |
| Jan 9, 2025 | F-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. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 7, 2025 |
| Jan 9, 2025 | F-0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 7, 2025 |
| Sep 13, 2023 | K-0223 | Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Egress Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2023 |
| Sep 13, 2023 | K-0325 | Have properly installed hallway dispensers for alcohol-based hand rub. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Oct 4, 2023 |
| Sep 13, 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 | E · Potential harm Pattern | Corrected Oct 4, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.39 (case-mix index 1.12).
| Indirect owner |
| INDIRECT OWNERSHIP INTEREST |
| not provided |
| Jan 1, 2025 |
| David Sigdestad | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Mar 24, 2025 |
| Linda Witt | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Brent Zimmerman | Individual | Indirect owner | INDIRECT OWNERSHIP INTEREST | not provided | Jan 1, 2025 |
| Barb Anderson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Tanner Christensen | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Oct 28, 2025 |
| Gail Fischer | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Paul Peterson | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| David Sigdestad | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Mar 24, 2025 |
| Linda Witt | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Brent Zimmerman | Individual | Operational / managerial control | MANAGING CONTROL - GOVERNING BODY | not provided | Jan 1, 2025 |
| Bethesda Home | Organization | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2008 |
| Anne Baumgarn | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 23, 2025 |
| Elizabeth Gravley | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2025 |
| Dawn Rithmiller | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 7, 2022 |
| Anne Baumgarn | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 7, 2022 |
| Bethesda Home | Organization | Additional disclosable party | ADP OF THE SNF | not provided | Apr 17, 2026 |
| Anne Baumgarn | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 17, 2026 |
| Elizabeth Gravley | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Apr 17, 2026 |