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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
In the heart of Oshkosh, Wisconsin, Bethel Home stands as a dedicated provider of skilled nursing services within the esteemed Miravida Living community. This compassionate senior living home provides 24-hour skilled nursing care, managing chronic diseases, lymphedema, orthopedic injuries, post-stroke or other neurological conditions, and post-operative rehabilitation. The community’s skilled team specializes in therapeutic exercises, total joint replacement, and post-surgical recovery, ensuring residents receive comprehensive medical support. Certified wound care nurses and services for complex patients, including IV therapy and cardiac recovery, are available, along with various modalities such as electrical stimulation and ultrasound therapy.
Bethel Home places a strong emphasis on rehabilitation, offering services through physical therapy, occupational therapy, and language pathology. The community provides respite care, restorative nursing services, and certified social services, fostering residents’ well-being and social engagement. Special diet accommodations are made, supported by the presence of a registered dietitian on site. Bethel Home excels in providing specialized memory care services, offering dedicated Alzheimer’s disease and dementia care within the serene Serenity Garden. Alongside exceptional healthcare services, Bethel Home ensures residents’ comfort with personal laundry and housekeeping services, allowing them to enjoy a supportive and nurturing environment.
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.
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.
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.
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.
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.
This home is ranked 87th out of 172 homes in Wisconsin. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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.
| 57m per day | ■ Avg State avg: 58m per day · National avg: 41m per day |
|
LPN / LVN
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.
| 39m per day | ▲ 3% State avg: 38m per day · National avg: 52m per day |
|
Nurse Aide
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 25m per day | ▼ 6% State avg: 2h 35m per day · National avg: 2h 21m per day |
|
Weekend Total Nursing
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 35m per day | ▼ 3% State avg: 3h 43m per day · National avg: 3h 26m per day |
|
Physical Therapist
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.
| 1m per day | ▼ 75% State avg: 4m per day · National avg: 4m per day |
|
Weekend RN
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.
| 30m per day | ▼ 23% State avg: 39m per day · National avg: 29m per day |
Similar to the Wisconsin average: 70%Bethel Home is legally operated by Bethel Home Inc, and administrated by Kelly Fitzpatrick.
In Wisconsin, the Department of Health Services, Division of Quality Assurance performs unannounced onsite surveys to ensure that long-term care facilities meet health and safety laws.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Wisconsin state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | WI Average | vs. WI Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 16 | 12 | This facility has 33% more total deficiencies than a typical Wisconsin nursing home (16 vs. WI avg 12).↑ 33% worse |
|
Deficiencies per year
Average deficiencies per year since 2022.
| 4 | 3 | This facility has 33% more deficiencies per year than a typical Wisconsin nursing home (4 vs. WI avg 3).↑ 33% worse |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
The most recent inspection on August 13, 2025, identified deficiencies related to the use of a mechanical lift without a safety latch, which led to a resident fall causing serious injury and death. Earlier inspections showed a pattern of issues including incomplete care plan updates, failure to provide proper transfer and bed hold notices, unsafe transfer practices, medication administration errors, and lapses in abuse investigations and resident monitoring. Complaint investigations substantiated concerns about unsafe transfers, incomplete care planning, and communication failures, but enforcement actions such as fines or license suspensions were not listed in the available reports. The facility corrected the immediate jeopardy found in the latest inspection by removing the lift from use and retraining staff. The inspection history indicates ongoing challenges with care planning, resident safety, and communication, with some corrective actions taken but recurring themes persisting over time.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsWisconsin average 6
Last Health inspection on Aug 2025
Wisconsin average 27.3
Wisconsin average 4.19
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
11 of 16 citations resulted from standard inspections; and 5 of 16 resulted from complaint investigations.
11% worse than Wisconsin averageWisconsin average: 0.9
100% better than Wisconsin averageWisconsin average: 1.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with Wisconsin average
0% compared with Wisconsin average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.9 hoursThis role is partially covered by contractors.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
3,715 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 35 | 71 | 11,535 | 92 | 100% | 7.9 |
| Licensed Practical Nurse | 7 | 26 | 33 | 3,517 | 92 | 100% | 7.9 |
| Registered Nurse | 7 | 12 | 19 | 2,915 | 92 | 100% | 8.9 |
| Clinical Nurse Specialist | 6 | 0 | 6 | 2,712 | 87 | 95% | 7.6 |
| Mental Health Service Worker | 2 | 0 | 2 | 904 | 65 | 71% | 8 |
| Dietitian | 2 | 0 | 2 | 894 | 92 | 100% | 7.7 |
| Administrator | 1 | 0 | 1 | 480 | 60 | 65% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 448 | 56 | 61% | 8 |
| Speech Language Pathologist | 0 | 2 | 2 | 358 | 65 | 71% | 5.5 |
| Physical Therapy Aide | 0 | 4 | 4 | 233 | 66 | 72% | 3.1 |
| Qualified Social Worker | 0 | 2 | 2 | 146 | 40 | 43% | 3.7 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 135 | 61 | 66% | 2.2 |
| Physical Therapy Assistant | 0 | 4 | 4 | 72 | 54 | 59% | 1.1 |
| Medical Director | 0 | 1 | 1 | 3 | 3 | 3% | 1 |
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.2
45% worse than Wisconsin averageWisconsin average: 10.5
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
33.6
52% worse than Wisconsin averageWisconsin average: 22.1
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
35.5%
101% worse than Wisconsin averageWisconsin average: 17.6%
Percent of long-stay residents whose ability to move independently worsened
27.5%
21% worse than Wisconsin averageWisconsin average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
37.7%
45% worse than Wisconsin averageWisconsin average: 26.0%
Percent of long-stay residents experiencing one or more falls with major injury
1.5%
53% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay high risk residents with pressure ulcers
5.1%
7% better than Wisconsin averageWisconsin average: 5.4%
Percent of long-stay residents with a urinary tract infection
1.9%
41% better than Wisconsin averageWisconsin average: 3.2%
Percent of long-stay residents who lose too much weight
6.5%
33% worse than Wisconsin averageWisconsin average: 4.9%
Percent of long-stay residents who have depressive symptoms
2.1%
59% better than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents who received an antipsychotic medication
25.0%
56% worse than Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
94.4%
In line with Wisconsin averageWisconsin average: 95.9%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
5% better than Wisconsin averageWisconsin average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.73
7% worse than Wisconsin averageWisconsin average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.24
43% better than Wisconsin averageWisconsin average: 2.19
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
13% better than Wisconsin averageWisconsin average: 87.3%
Percent of short-stay residents who newly received an antipsychotic medication
2.1%
72% worse than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
91.7%
12% better than Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
29.0%
28% worse than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
11.7%
22% better than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
40.0%
25% worse than Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
39.9%
21% worse than Wisconsin averageWisconsin average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
33% of new residents, usually for short-term rehab.
58% of new residents, often for short stays.
9% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
59Residents meet regularly to discuss policies, care quality, and activities
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Bethel Home based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #51 / 177Payroll — State benchmarkedThis home is ranked 51st out of 177 homes in Wisconsin. Shows total annual staff payroll benchmarked to the Wisconsin average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
2.1 miles from city center
Estimated distance in miles from Oshkosh's city center to Bethel Home's address, calculated via Google Maps.
— 1.14 miles to nearest hospital (Aurora Medical Center Oshkosh)
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Bethel Home is located in Oshkosh, Wisconsin.
Here are the financial assistance programs available to residents in Wisconsin.
The information below is reported by the Wisconsin Department of Health Services, Division of Quality Assurance.
| Bethel Home |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk.
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Oshkosh | - | 100 | 47 | - |
| Parkview Health Center |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Oshkosh | - | 168 | 9 | - |
| Evergreen Oshkosh |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Oshkosh (Evergreen Retirement Community) | $921 - $921 | 80 | 23 | - |
| Edenbrook of Oshkosh |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care). | Oshkosh (Woodland Park) | - | 110 | 50 | - |
| Eden Meadows |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Oshkosh | - | 50 | 9 | - |
Bethel Home has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Bethel Home's occupancy is 72%.
Bethel Home is registered as a non-profit in WI.
Kelly Fitzpatrick is the administrator of Bethel Home.
Bethel Home has 100 beds.
Yes — there are 5 photos of Bethel Home in the photo gallery on this page.
(920) 235-3454 will put you in contact with the team at Bethel Home.
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