Bethesda of Beresford
Nursing Home & Nursing Care · Sioux Falls, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Bethesda of Beresford

Nursing Home & Nursing Care · Sioux Falls, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Bethesda of Beresford accepts Medicare, Medicaid, and private pay.

Overview of Bethesda of Beresford

Bethesda of Beresford has earned a sterling reputation in nursing home care, consistently receiving glowing reviews from residents and their families. Since 1914, this esteemed facility has been a beacon of excellence in South Dakota, known for its commitment to providing top-quality care in a compassionate and nurturing environment. Residents and their loved ones praise the unwavering dedication of the staff, which includes highly skilled Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and nursing assistants.
With a team of experienced physical, occupational, and speech therapists, residents receive tailored rehabilitation programs that promote healing, recovery, and improved independence. The positive impact of these therapies is reflected in the testimonials of residents who have experienced remarkable progress during their stay. In addition to the superb medical and therapeutic care, Bethesda of Beresford excels in creating a warm and inviting atmosphere. The reviews frequently highlight the cleanliness and comfort of the facility, thanks to the meticulous housekeeping and laundry services. Residents also appreciate the in-house beauty shop, which adds a touch of pampering and enhances their overall well-being.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
▼ 26.4% Below SD avg. ▼ 26.4% Below SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Health Inspection Info Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
▼ 26.1% Below SD avg. ▼ 26.1% Below SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.
Staffing Info Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
▼ 9.5% Below SD avg. ▼ 9.5% Below SD avg.SD average: 3.3Click the badge to see the full State ranking.Click here to see the full State ranking.
Quality Measures Info Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
▲ 46.7% Above SD avg. ▲ 46.7% Above SD avg.SD average: 2.7Click the badge to see the full State ranking.Click here to see the full State ranking.

Staffing hours breakdown

Info Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.

Hours per resident per day — compared to South Dakota state averages

Total nursing care / resident Info This home is ranked 34th out of 65 homes in South Dakota for nurse hours. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
3h 40m per day
Rank #34 / 65Nurse hours — State benchmarkedThis home is ranked 34th out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
This facility South Dakota avg (4h 20m per day)
vs South Dakota avg
-15%

4 of 6 metrics below state avg

Standout metric Weekend RN is +86% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 1h 5m per day ▲ 33% State avg: 49m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 11m per day ▼ 60% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 2h 18m per day ▼ 11% State avg: 2h 34m per day · National avg: 2h 20m per day
Weekend Total Nursing Info Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours. 3h 6m per day ▼ 8% State avg: 3h 23m per day · National avg: 3h 27m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 2m per day ▼ 30% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 58m per day ▲ 86% State avg: 31m per day · National avg: 29m per day

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 39

This home usually has limited availability

Higher occupancy than the South Dakota average: 79.9%
Occupancy rate
85.1% Rank #29 / 62Occupancy rate — State benchmarkedThis home is ranked 29th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
329 days
Walk Score
Walk Score: 39 / 100 Rank #77 / 159Walk Score — State benchmarkedThis home is ranked 77th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Specific ProgramsTherapy Services

Contact Bethesda of Beresford

Penalties and fines

Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.

Source: CMS Penalties Database

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

Breakdown by payment type

Medicare

59% of new residents, usually for short-term rehab.

Typical stay 30 days

Private pay

28% of new residents, often for short stays.

Typical stay 1 - 2 years

Medicaid

13% of new residents, often for long-term daily care.

Typical stay 4 years

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

Governmental community
Operated by a subsidized facility district.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.4M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$328.3K
Governmental community Operated by a subsidized facility district.
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$3.4M Rank #52 / 63Revenue — State benchmarkedThis home is ranked 52nd out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$328.3K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$411.3K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #46 / 63Payroll — State benchmarkedThis home is ranked 46th out of 63 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.5M 44.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #8 / 63Payroll % — State benchmarkedThis home is ranked 8th out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$2.2M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.7M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (59% of admissions), and a typical Medicare stay runs around 30 days.

Admissions
39 total

Coverage residents most often arrive under.

Medicare 59%
Private pay 28%
Medicaid 13%
Discharges
39 total

Coverage residents most often leave under.

Medicare 36%
Private pay 44%
Medicaid 21%

Managed by J.j. Nygaard

Administrator

J.J. Nygaard served as the first administrator of Bethesda of Beresford, also overseeing the Children’s home. He played a foundational role in the early years of the community, guiding its initial operations and growth as it established itself as a caring home for residents.

Compare Nursing Homes around Sioux Falls

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

4 facilities compared · CMS & SD Dept. of Health data

Tuff Memorial Home
NH
Sioux Falls
48
Facility 48
SD AVG 69
Rank #76 / 117
78.0% -2%4.78 -24%0%$44.4k133.3-38-
8
Facility 8
SD AVG 39
Rank #139 / 159
Alex Dysthe$4.0M$2.7M67.9%245548
Bethany Home Sioux Falls/Bethany Home-Brandon
NH
AL
IL
MC
Sioux Falls
112
Facility 112
SD AVG 69
Rank #11 / 117
78.5%
Facility 78.5%
SD AVG 79.9%
Rank #39 / 62
-2%
5.47
Facility 5.47
SD AVG 4.34
Rank #5 / 65
-15%+26%
$0
Facility $0
SD AVG $38.5k
Rank #1 / 67
13
Facility 13
SD AVG 14.8
Rank #28 / 67
3.3
Facility 3.3
SD AVG 3.3
Rank #36 / 67
143-
65
Facility 65
SD AVG 39
Rank #25 / 159
Augustana Lutheran Church
$5.9M
Facility $5.9M
SD AVG $6.7M
Rank #39 / 63
$4.1M
Facility $4.1M
SD AVG $2.6M
Rank #22 / 63
68.6%
Facility 68.6%
SD AVG 40.8%
Rank #12 / 63
435096
Good Samaritan Society Sioux Falls Center
NH
Sioux Falls
98
Facility 98
SD AVG 69
Rank #23 / 117
73.2%
Facility 73.2%
SD AVG 79.9%
Rank #43 / 62
-8%
3.93
Facility 3.93
SD AVG 4.34
Rank #28 / 65
+21%-9%
$11.3k
Facility $11.3k
SD AVG $38.5k
Rank #26 / 67
14
Facility 14
SD AVG 14.8
Rank #30 / 67
4.7
Facility 4.7
SD AVG 3.3
Rank #53 / 67
180-
19
Facility 19
SD AVG 39
Rank #114 / 159
Luke Wanous
$8.1M
Facility $8.1M
SD AVG $6.7M
Rank #15 / 63
$4.5M
Facility $4.5M
SD AVG $2.6M
Rank #11 / 63
56%
Facility 56%
SD AVG 40.8%
Rank #18 / 63
435046
Avantara Norton
NH
HC
Sioux Falls
110
Facility 110
SD AVG 69
Rank #12 / 117
91.5%
Facility 91.5%
SD AVG 79.9%
Rank #15 / 62
+14%
3.53
Facility 3.53
SD AVG 4.34
Rank #41 / 65
+53%-19%
$153.6k
Facility $153.6k
SD AVG $38.5k
Rank #63 / 67
75
Facility 75
SD AVG 14.8
Rank #66 / 67
4.2
Facility 4.2
SD AVG 3.3
Rank #48 / 67
1899-
61
Facility 61
SD AVG 39
Rank #37 / 159
Jeremy Klinkhammer
$10.3M
Facility $10.3M
SD AVG $6.7M
Rank #9 / 63
$4.4M
Facility $4.4M
SD AVG $2.6M
Rank #9 / 63
42.4%
Facility 42.4%
SD AVG 40.8%
Rank #39 / 63
435039

Financial Assistance for
Nursing Home in South Dakota

Bethesda of Beresford is located in Sioux Falls, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.

Get Financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled
General South Dakota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
SD

Sparse population aids rural access; limited providers.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

South Dakota Elderly Services Program

SD ESP

Age 60+
General South Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $5,000 individual
SD

Limited funding; rural focus.

Benefits
In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled
General SD resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
SD

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized
General SD resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
SD

Covers gas, electric, propane; weatherization add-on available.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
SD

Rural emphasis; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General SD resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
SD

Supports rural veterans; high demand near Sioux Falls VA.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1
General SD resident entire prior year, homeowner/renter.
Income Limits (2025) ~$20,192/year (single), ~$24,679/year (multiple-member household).
Asset Limits Not assessed; income-focused.
SD

Refunds up to $575; ~10,000 seniors benefit annually.

Benefits
Tax refund (~$250-$575/year based on income)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+
General SD resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SD

Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled)
General SD resident 200+ days prior year, homeowner.
Income Limits (2025) ~$35,000/year (single), ~$45,000/year (multiple-member household).
Asset Limits Property value < $250,000 (single), $300,000 (multiple).
SD

Saves ~$300-$600/year avg.; applies to primary residence.

Benefits
Assessment freeze (~$300-$600/year savings)

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+
General SD resident (or spouse of any age); no income/asset limits.
Income Limits (2025) None; donations encouraged for some services.
Asset Limits Not assessed.
SD

6 AAAs; rural focus due to sparse population.

Benefits
Meals (home-delivered or congregate, ~$5-$7/meal value) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Frequently Asked Questions about Bethesda of Beresford

Is Bethesda of Beresford in a walkable area?

Bethesda of Beresford has a walk score of 39. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the occupancy rate at Bethesda of Beresford?

Bethesda of Beresford's occupancy is 85.1%.

Are there photos of Bethesda of Beresford?

Yes — there is 1 photo of Bethesda of Beresford in the photo gallery on this page.

What is the phone number of Bethesda of Beresford?

(605) 763-2050 will put you in contact with the team at Bethesda of Beresford.

Is Bethesda of Beresford Medicare or Medicaid certified?

Bethesda of Beresford is not currently listed as a CMS-certified provider of Medicare or Medicaid.

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