ALM's inspection grade is 89 / 100, a B+ — 7 points above the Wisconsin average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
4/5
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.
ALM's inspection grade is 89 / 100, a B+ — 7 points above the Wisconsin average for CMS-certified facilities (82/100) · A proprietary Assisted Living Magazine grade.A 0–100 score of a facility's regulatory inspection record, shown as a letter and compared with other facilities of the same kind in the same state. It is not a government rating.
4/5
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.
Bethany St Joseph Care Center provides nursing home, skilled nursing, assisted living, independent living, adult day care and residential care in La Crosse, WI. Skilled nursing provides licensed nursing care on site around the clock, while assisted living supports daily tasks such as bathing, dressing and medication management.
Independent living offers private living without daily care, and adult day care provides daytime support for someone who lives elsewhere. Having multiple care levels in one community may make Bethany St Joseph Care Center a good fit for a resident whose needs may grow over time.
The home has 100 beds, giving families a clear measure of the community’s residential capacity without indicating how care is delivered to any individual resident. Bethany St Joseph Care Center opened in 1977 and accepts Medicare, Medicaid and private pay, giving families several listed ways to cover care.
Total nurse staffing is 4h 57m per resident/day, representing the daily nursing time allocated per resident. Rehabilitation services are available for residents who need therapy as part of recovery or ongoing care.
Pets are allowed. Kristine Blexrud serves as administrator, and Bethany-St Joseph operates the community.
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.
Data period: Q4 2025 (October 1 – December 31, 2025).
This nursing home is ranked 44th out of 164 nursing homes we track in Wisconsin 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.
4h 57mStandout metric: Registered nurse (RN) is +91% above Wisconsin average
2 of 6 metrics below Wisconsin average
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. 18 total: 17 of the facility's own employees and 1 agency contractor.
18 staff · 8-hour shifts
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. 6 total: 4 of the facility's own employees and 2 agency contractors.
6 staff · 7.6-hour shifts
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. 57 total: 56 of the facility's own employees and 1 agency contractor.
57 staff · 7.4-hour shifts
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.
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.
RN + LPN + aide · Sat–Sun
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.
Sat–Sun
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
116
97 employees · 19 contractors · 47 on an average day
116 total staff / 68 residents. Residents: CMS Long-Term Care Facility Characteristics (data as of Jun 2026); staff: CMS Payroll-Based Journal (Q4 2025).Residents and staff come from two different CMS releases, so the two counts can be a few months apart.
1.71 : 1
↓ 30% · WI 2.42This facility: 1.71 staff per resident, 30% below the Wisconsin average of 2.42 (among Wisconsin facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
116 staff ÷ 68 residents
See full Wisconsin ranking →
Average hours one staff member works on a day they are on shift, across every role.
7.4 h
↑ 1% · WI 7.3 hThis facility: 7.4 h, 1% above the Wisconsin average of 7.3 h (among Wisconsin facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
32,025 staff hours this quarter
See full Wisconsin ranking →88.6% of staff hours were worked by the facility's own employees
Wisconsin average: 88.1% · Contractors this quarter: Speech Language Pathologist (6), Physical Therapy Aide (4), Licensed Practical Nurse (2), Qualified Social Worker (2), Physical Therapy Assistant (2), Certified Nursing Assistant (1), Registered Nurse (1), Respiratory Therapy Technician (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
A mid-sized community that may balance personal attention with shared amenities and social activities.
100
Rank #51 / 197Bed count — State benchmarked This nursing home is ranked 51st out of 197 nursing homes we track in Wisconsin for bed count. Shows this facility's certified or reported bed count compared to other Wisconsin facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Medium-capacity home · Offers a balance of services and community atmosphere.
Occupancy lower than 85% suggests more openings may be available.
Rank #88 / 163Occupancy rate — State benchmarked This nursing home is ranked 88th out of 163 nursing homes we track in Wisconsin for occupancy. Shows this facility's occupancy rate versus the Wisconsin average, with its Statewide rank out of 163. Higher occupancy signals strong local demand and financial stability. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Based on 71.3 residents and 100 beds. Source: CMS Provider Information, average daily residents (data as of Aug 2026)
Similar to the Wisconsin average: 71.5%
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Bethany St Joseph Care Center is administered by Kristine Blexrud.
7 points above the Wisconsin average for CMS-certified facilities (82/100)
Category breakdown
54 severity-weighted points (13 deficiencies) · 31% lower than the typical CMS-certified WI facility (median: 78)
No fines on record · 0 enforcement actions
29 days to fix issues · slower than the typical CMS-certified WI facility (median: 27)
State avg 28 (54% better than State average)State avg 4.24 (In line with State average)
100% corrected
13 of 13 citations corrected State avg 0.9 (100% better than State average)State avg 1.1 (9% better than State average)State avg 25.5 (57% better than State average)
State avg 0.5 (100% worse than State average)
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Corrected
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 13 citations resulted from standard inspections.
Includes all CMS health inspection records for this property, which could include management/ownership changes.
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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.
11.4
22% worse than Wisconsin averageWisconsin average: 9.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.2
12% worse than Wisconsin averageWisconsin average: 19.8
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
15.9%
In line with Wisconsin averageWisconsin average: 16.1%
Percent of long-stay residents whose ability to move independently worsened
22.1%
20% worse than Wisconsin averageWisconsin average: 18.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.6%
16% worse than Wisconsin averageWisconsin average: 24.6%
Percent of long-stay residents experiencing one or more falls with major injury
4.1%
26% worse than Wisconsin averageWisconsin average: 3.3%
Percent of long-stay high risk residents with pressure ulcers
9.1%
82% worse than Wisconsin averageWisconsin average: 5.0%
Percent of long-stay residents with a urinary tract infection
4.2%
59% worse than Wisconsin averageWisconsin average: 2.7%
Percent of long-stay residents who lose too much weight
5.8%
15% worse than Wisconsin averageWisconsin average: 5.1%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Wisconsin averageWisconsin average: 5.7%
Percent of long-stay residents who received an antipsychotic medication
11.3%
29% better than Wisconsin averageWisconsin average: 15.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.2%
In line with Wisconsin averageWisconsin average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
98.5%
In line with Wisconsin averageWisconsin average: 95.0%
Number of hospitalizations per 1,000 long-stay resident days.
1.13
30% better than Wisconsin averageWisconsin average: 1.61
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.46
12% worse 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
94.1%
9% better than Wisconsin averageWisconsin average: 86.5%
Percent of short-stay residents who newly received an antipsychotic medication
3.3%
175% worse than Wisconsin averageWisconsin average: 1.2%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
85.4%
In line with Wisconsin averageWisconsin average: 82.2%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
2.9%
87% better than Wisconsin averageWisconsin average: 22.7%
Percentage of short-stay residents who had an outpatient emergency department visit.
5.8%
61% better than Wisconsin averageWisconsin average: 15.0%
Percentage of SNF residents who experience falls with major injury during their stay.
1.3%
73% worse than Wisconsin averageWisconsin average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
37.5%
30% worse than Wisconsin averageWisconsin average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
45.8%
9% 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.
37% of new residents, usually for short-term rehab.
61% of new residents, often for short stays.
2% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jun 2026)
Total residents
68Residents 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 Bethany St Joseph Care Center from 2011–2024, based on CMS SNF Cost Reports. Includes all financial data for this property, which could include management/ownership changes.
Key figures below are for fiscal year ending in 12/2024.
Based on CMS SNF Cost Report for fiscal year ending in 12/2024.
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."
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."
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."
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."
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.
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 #40 / 161Payroll costs — State benchmarked This nursing home is ranked 40th out of 161 nursing homes we track in Wisconsin. Shows total staff payroll — salaries plus wage-related benefits — benchmarked to the Wisconsin average, among facilities reporting a recent fiscal year. Higher payroll relative to peers often signals better staffing and less reliance on contract labor. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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 #13 / 161Payroll % of net patient revenue — State benchmarked This nursing home is ranked 13th out of 161 nursing homes we track in Wisconsin. Shows payroll as a percentage of net patient revenue versus the Wisconsin average, among facilities reporting a recent fiscal year. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in Wisconsin that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
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).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Residents typically stay for brief periods, with frequent admissions and discharges throughout the year.
Most new residents arrive under private pay (61% of admissions), and a typical private pay stay runs around 4 - 5 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
4.9 miles from city center
Estimated distance in miles from La Crosse's city center to Bethany St Joseph Care Center's address, calculated via Google Maps.
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Bethany St Joseph Care Center is legally operated by Bethany-St Joseph Corporation, and administered by Kristine Blexrud.
Bethany St Joseph Care Center's occupancy is 71.3%.
Yes, Bethany St Joseph Care Center allows residents to bring their pets.
The team at Bethany St Joseph Care Center can be reached at info@bsjcorp.com.
Bethany St Joseph Care Center is registered as a non-profit in WI.
Kristine Blexrud is the administrator of Bethany St Joseph Care Center.
Bethany St Joseph Care Center received a 4-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
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