Bethesda of Beresford

606 W Cedar · Beresford, SD · 57004 · 6057632050

39 certified beds Non profit - Corporation

  • Inspection results have improved across recent cycles.

The composite number cleared 74 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.

Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 53
Serious harm & abuse 20% 94
Staffing 20% 72
Federal penalties 15% 73
Trend 10% 91
Context 5% 100

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: 3 of 5 Quality measures: 4 of 5

Total nurse hours / resident-day3.583.48 min · 4.1 strong
RN hours / resident-day1.090.55–0.75
Weekend hours / resident-day3.10≈ weekday level
Nursing turnover / year56%median 45%
Fines (3-yr window)1 · $16,088

Inspection citations (25 in the current record)

  • Potential for harm · E August 13, 2025

    Provide safe and appropriate respiratory care for a resident when needed.

    Corrected September 27, 2025 · Quality of Life and Care

  • Potential for harm · E August 13, 2025

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected September 27, 2025 · Nutrition and Dietary

  • Potential for harm · D August 13, 2025

    Provide and implement an infection prevention and control program.

    Corrected September 27, 2025 · Infection Control

  • Potential for harm · D August 13, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected September 27, 2025 · Quality of Life and Care

  • Potential for harm · E August 8, 2024 · found via complaint

    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 August 30, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024

    Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.

    Corrected June 9, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024

    Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.

    Corrected June 9, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024

    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 June 9, 2024 · Resident Rights

  • Potential for harm · D April 25, 2024

    Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

    Corrected June 9, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D April 25, 2024

    Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

    Corrected June 9, 2024 · Quality of Life and Care

  • Potential for harm · E April 25, 2024

    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 June 9, 2024 · Pharmacy Service

  • Potential for harm · F April 25, 2024

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected June 9, 2024 · Nutrition and Dietary

  • Potential for harm · F April 25, 2024

    Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

    Corrected June 9, 2024 · Administration

  • Potential for harm · F April 25, 2024

    Provide and implement an infection prevention and control program.

    Corrected June 9, 2024 · Infection Control

  • Potential for harm · E April 25, 2024

    Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.

    Corrected June 9, 2024 · Environmental

  • Potential for harm · E April 25, 2024 · found via complaint

    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.

    Corrected June 9, 2024 · Resident Rights

  • Potential for harm · E April 25, 2024 · found via complaint

    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.

    Corrected June 9, 2024 · Resident Rights

  • Potential for harm · F April 25, 2024 · found via complaint

    Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

    Corrected June 9, 2024 · Nursing and Physician Services

  • Potential for harm · E April 25, 2024 · found via complaint

    Make sure that a working call system is available in each resident's bathroom and bathing area.

    Corrected June 9, 2024 · Environmental

  • Actual harm · G October 4, 2023 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected November 2, 2023 · Quality of Life and Care

  • Potential for harm · F October 4, 2023 · found via complaint

    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.

    Corrected November 2, 2023 · Resident Rights

  • Potential for harm · D April 5, 2023

    Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

    Corrected May 20, 2023 · Quality of Life and Care

  • Potential for harm · E April 5, 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 May 20, 2023 · Pharmacy Service

  • Potential for harm · F April 5, 2023

    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.

    Corrected May 20, 2023 · Nutrition and Dietary

  • Potential for harm · E April 5, 2023

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

    Corrected May 20, 2023 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
October 4, 2023Fine$16,088

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 435080 · certified since September 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.