Loading facility…
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D15 | E9 | 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 | |
|---|---|---|---|---|---|---|
| May 28, 2026 | Health | Health Complaint | 4 | Actual harm | — | Open → |
| Dec 18, 2025 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Dec 18, 2025 | Health | Health Complaint, Health Standard | 9 | Potential harm | — | Open → |
| Oct 21, 2025 | Health | Health Complaint | 1 | Actual harm | — | Open → |
| May 29, 2025 | Health | Health Complaint | 3 | Actual harm | — | Open → |
| Nov 8, 2024 | Fire safety | Fire Safety Standard | 1 | Potential harm | — | Open → |
| Nov 8, 2024 | Health | Health Complaint, Health Standard | 6 | Immediate jeopardy | — | Open → |
| Jul 20, 2023 | Fire safety | Fire Safety Standard | 0 | No citations | — | Open → |
| Jul 20, 2023 | Health | Health Standard | 4 | Potential harm | — | Open → |
| Date | Type | Amount | Payment denial | Record |
|---|---|---|---|---|
| May 28, 2026 | Civil money penalty (fine) | $10,628 | — | 435130|Fine|144230 |
| Oct 21, 2025 | Civil money penalty (fine) | $17,345 | — | 435130|Fine|137708 |
| May 29, 2025 | Civil money penalty (fine) | $9,620 | — | 435130|Fine|137676 |
| Nov 8, 2024 | Civil money penalty (fine) | $24,385 | — | 435130|Fine|100201 |
| Severity | Isolated | Pattern | Widespread |
|---|---|---|---|
| Immediate jeopardy | J· | K1 | L· |
| Actual harm | G3 | H· | I· |
| Potential harm | D15 | E9 | F1 |
| Minimal | A· | B· | C· |
| Date | Tag | Deficiency | Scope / severity | Correction | Flags |
|---|---|---|---|---|---|
| May 28, 2026 | F-0760 | Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management | G · Actual harm Isolated | Corrected Jun 25, 2026 | Complaint |
| May 28, 2026 | 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 25, 2026 | Complaint |
“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 3 facilities.
Not part of a CMS-reported chain.
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Augustana Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jan 1, 1966 |
| Benton Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jan 1, 1966 |
| Nathanael Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jan 1, 1966 |
| St Marks Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jan 1, 1966 |
| Beaver Valley Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 1966 |
| Name | Type | Role (Carefield group) | CMS role text | Share | Since |
|---|---|---|---|---|---|
| Augustana Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jan 1, 1966 |
| Benton Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jan 1, 1966 |
| Nathanael Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jan 1, 1966 |
| St Marks Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | 20% | Jan 1, 1966 |
| Facility | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|
| Bethany Lutheran Home Seven Elliott Street, Council Bluffs, IA 51503 CCN 165524 | 112 | May 21, 2026 | 562 IJ3 harm | $28k | |
| Bethany Home Sioux Falls 1901 South Holly Avenue, Sioux Falls, SD 57105 CCN 435096 |
Coordinates as published by CMS.
| Facility | Distance | Beds | CMS overall | Last inspection | Citations (window) | Fines |
|---|---|---|---|---|---|---|
| Avera Prince of Peace 4513 South Prince of Peace Place, Sioux Falls, SD 57103 CCN 435066 | 14.9 km | 126 | Nov 6, 2025 | 191 harm | $8,278 |
| Source | Record | Facts | Evidence | Source release | Retrieved |
|---|---|---|---|---|---|
| CMS Provider Information US-CMS | 435130 | name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain | Verified | Oct 1, 2026 | Nov 7, 2026 |
| CMS Provider Information US-CMS | 435130 | 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
| May 28, 2026 | F-0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2026 | Complaint |
| May 28, 2026 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Jun 25, 2026 | Complaint |
| Dec 18, 2025 | K-0353 | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Environment & life safety | E · Potential harm Pattern | Corrected Feb 1, 2026 |
| Dec 18, 2025 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 1, 2026 |
| Dec 18, 2025 | F-0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Feb 1, 2026 |
| Dec 18, 2025 | F-0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Feb 1, 2026 |
| Dec 18, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Past non-compliance Sep 11, 2025 | Complaint |
| Dec 18, 2025 | 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 Feb 1, 2026 |
| Dec 18, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Feb 1, 2026 |
| Dec 18, 2025 | F-0695 | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Clinical care | E · Potential harm Pattern | Corrected Feb 1, 2026 |
| Dec 18, 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 | E · Potential harm Pattern | Corrected Feb 1, 2026 |
| Dec 18, 2025 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Feb 1, 2026 |
| Oct 21, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Past non-compliance | Complaint |
| May 29, 2025 | F-0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care | G · Actual harm Isolated | Corrected Jun 25, 2025 | Complaint |
| May 29, 2025 | F-0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Jun 25, 2025 | Complaint |
| May 29, 2025 | 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 | Past non-compliance Mar 27, 2025 | Complaint |
| Nov 8, 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 | K · Immediate jeopardy Pattern | Corrected Dec 6, 2024 |
| Nov 8, 2024 | K-0222 | 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 | D · Potential harm Isolated | Corrected Dec 10, 2024 |
| Nov 8, 2024 | F-0583 | Keep residents' personal and medical records private and confidential. Resident Rights Deficiencies · Resident rights & abuse/neglect | E · Potential harm Pattern | Corrected Dec 6, 2024 |
| Nov 8, 2024 | 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 Dec 6, 2024 |
| Nov 8, 2024 | F-0610 | Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Dec 6, 2024 | Complaint |
| Nov 8, 2024 | F-0641 | Ensure each resident receives an accurate assessment. Resident Assessment and Care Planning Deficiencies · Clinical care | D · Potential harm Isolated | Corrected Dec 6, 2024 |
| Nov 8, 2024 | F-0801 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Nutrition and Dietary Deficiencies · Food, nutrition & hydration | F · Potential harm Widespread | Corrected Dec 6, 2024 |
| Jul 20, 2023 | F-0554 | Allow residents to self-administer drugs if determined clinically appropriate. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 3, 2023 |
| Jul 20, 2023 | F-0559 | Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. Resident Rights Deficiencies · Resident rights & abuse/neglect | D · Potential harm Isolated | Corrected Sep 3, 2023 |
| Jul 20, 2023 | 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 Sep 3, 2023 |
| Jul 20, 2023 | F-0880 | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention | E · Potential harm Pattern | Corrected Sep 3, 2023 |
Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 5.45 (case-mix index 1.23).
| Beaver Valley Lutheran Church | Organization | Direct owner | 5% OR GREATER DIRECT OWNERSHIP INTEREST | not provided | Jan 1, 1966 |
| Daniel Heinemann | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2015 |
| Deborah Herrboldt | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jul 1, 2014 |
| Heather Kroger | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Jan 1, 2024 |
| Hunter Winklepleck | Individual | Operational / managerial control | OPERATIONAL/MANAGERIAL CONTROL | not provided | Oct 23, 2017 |
| Robert Anderson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2016 |
| Joel Flier | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2021 |
| Lynda Fonder | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Rose Grant | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2016 |
| Mary Hendricks-Wilkens | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2022 |
| Deborah Herrboldt | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jul 1, 2014 |
| Lori Hope | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Apr 1, 2008 |
| Ellen Johnson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2021 |
| Gregory Johnson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2017 |
| Heather Kroger | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Susan Kruse | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Debra Neiderhiser | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| John Paulson | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2021 |
| Lee Person | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| James Sanden | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2023 |
| Karen Zingmark | Individual | Corporate officer / director | CORPORATE OFFICER | not provided | Jan 1, 2024 |
| Compeer Financial | Organization | Mortgage / security interest | 5% OR GREATER MORTGAGE INTEREST | not provided | May 5, 2011 |
| Daniel Heinemann | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| Hunter Winklepleck | Individual | Additional disclosable party | ADP OF THE SNF | not provided | Mar 17, 2025 |
| 52 |
| Dec 18, 2025 |
13 |
| — |