Bethel Lutheran Nursing & Rehabilitation Center
1515 2nd Ave West · Williston, ND · 58801 · 7015726766
95 certified beds Non profit - Corporation
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- Staffing hours comfortably above national benchmarks.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
Cited under the freedom-from-abuse rule
Cited 1 time under F600 (freedom from abuse/neglect) below the actual-harm level — worth asking about on a tour.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.56 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.94 | 0.55–0.75 |
| Weekend hours / resident-day | 3.96 | ≈ weekday level |
| Nursing turnover / year | 60% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (25 in the current record)
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Actual harm · G April 16, 2026 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 18, 2026 · Quality of Life and Care
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Potential for harm · E April 16, 2026
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected May 18, 2026 · Resident Rights
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Potential for harm · D April 16, 2026
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Corrected May 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 16, 2026
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Corrected May 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 16, 2026
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected May 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 16, 2026
Respond appropriately to all alleged violations.
Corrected May 18, 2026 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D April 16, 2026
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Corrected May 18, 2026 · Resident Rights
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Potential for harm · D April 16, 2026
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 18, 2026 · Resident Assessment and Care Planning
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Potential for harm · D April 16, 2026
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected May 18, 2026 · Quality of Life and Care
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Potential for harm · D April 16, 2026
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Corrected May 18, 2026 · Quality of Life and Care
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Potential for harm · E April 16, 2026
Ensure medication error rates are not 5 percent or greater.
Corrected May 18, 2026 · Pharmacy Service
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Potential for harm · D April 16, 2026
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.
Corrected May 18, 2026 · Pharmacy Service
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Potential for harm · E April 16, 2026
Provide and implement an infection prevention and control program.
Corrected May 18, 2026 · Infection Control
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Potential for harm · D April 16, 2026 · found via complaint
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Corrected May 18, 2026 · Resident Rights
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Potential for harm · D February 5, 2025 · found via complaint
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.
Corrected February 24, 2025 · Resident Rights
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Potential for harm · E February 5, 2025 · found via complaint
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected February 24, 2025 · Resident Assessment and Care Planning
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Actual harm · G February 7, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected March 7, 2024 · Quality of Life and Care
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Potential for harm · D December 7, 2023
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.
Corrected January 8, 2024 · Resident Rights
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Potential for harm · D December 7, 2023
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Corrected January 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 7, 2023
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected January 8, 2024 · Resident Assessment and Care Planning
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Potential for harm · D December 7, 2023
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected January 8, 2024 · Quality of Life and Care
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Potential for harm · D December 7, 2023
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.
Corrected January 8, 2024 · Pharmacy Service
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Potential for harm · E December 7, 2023
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.
Corrected January 8, 2024 · Pharmacy Service
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Potential for harm · D December 7, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected January 8, 2024 · Administration
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Potential for harm · D December 7, 2023
Provide and implement an infection prevention and control program.
Corrected January 8, 2024 · Infection Control
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 355070 · certified since August 1, 1978. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.