2/5
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.
2/5
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.
Bethel Lutheran Home owns Bethel Senior Living, a small 33-bed nursing community on Dockery Avenue in Selma, California, operated by Bethel Assisted Living LLC and Bayshire Central Valley LLC. The building houses 23 residents, running at a 71 percent occupancy rate under administrator Benjamin Carter. Stays average 385 days, meaning the daily workload centers mostly on permanent residential care rather than temporary post-hospital therapy.
The surrounding neighborhood provides good pedestrian access, earning a walk score of 83 out of 100, so visitors can easily take care of errands on foot. Inside, the floor crew logs an average of 4 hours and 36 minutes of direct care per resident each day, with nurse aides handling 3 hours and 46 minutes of that total.
This round-the-clock staff runs physical rehabilitation programs, provides adult day health treatments, and coordinates on-site home care services for the residents. Government health inspectors monitor the property through routine compliance audits to ensure medical records and staffing ratios meet local health codes.
Families can contact the intake desk to verify current room openings or ask how the admission process works. The office staff can also arrange a convenient weekday morning to walk through the grounds and view the communal spaces.
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 66th out of 293 homes in California 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
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 46m per day | ▼ 8% State avg: 4h 5m per day · National avg: 3h 27m per day |
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.
Bethel Senior Living is legally operated by Bethel Asst Living LLC and Bayshire Central Valley LLC, and administered by Benjamin Carter.
State average 12.5
Last Health inspection on Aug 2025
State average 50.2
State average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
40 of 45 citations resulted from standard inspections; and 5 of 45 resulted from complaint investigations.
100% better than State averageState average: 0.4
100% better than State averageState average: 1
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
21% fewer staff per resident than California average
10% worse than California average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
All 4 RN Staff are full-time employees. No contractors work on this role.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.2 hoursAssists with medical care and medications.
All 14 LPN Staff are full-time employees. No contractors work on this role.
14
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursHelps with daily care and mobility.
All 36 CNA Staff are full-time employees. No contractors work on this role.
36
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
233 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 36 | 0 | 36 | 12,465 | 92 | 100% | 7.1 |
| Licensed Practical Nurse | 14 | 0 | 14 | 4,249 | 92 | 100% | 7.5 |
| RN Director of Nursing | 4 | 0 | 4 | 1,148 | 67 | 73% | 7.5 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,032 | 92 | 100% | 7.5 |
| Nurse Practitioner | 1 | 0 | 1 | 680 | 85 | 92% | 8 |
| Speech Language Pathologist | 3 | 2 | 5 | 612 | 75 | 82% | 3.6 |
| Administrator | 1 | 1 | 2 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 500 | 62 | 67% | 8.1 |
| Mental Health Service Worker | 1 | 0 | 1 | 457 | 57 | 62% | 8 |
| Qualified Activities Professional | 1 | 0 | 1 | 419 | 61 | 66% | 6.9 |
| Physical Therapy Aide | 1 | 1 | 2 | 355 | 64 | 70% | 5.5 |
| Registered Nurse | 4 | 0 | 4 | 247 | 20 | 22% | 6.2 |
| Physical Therapy Assistant | 2 | 1 | 3 | 168 | 41 | 45% | 2.8 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 54 | 7 | 8% | 7.6 |
| Qualified Social Worker | 1 | 0 | 1 | 47 | 15 | 16% | 3.1 |
| 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.
10.3
56% worse than California averageCalifornia average: 6.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
98% worse than California averageCalifornia average: 11.3
Percent of long-stay residents whose need for help with daily activities has increased
16.8%
52% worse than California averageCalifornia average: 11.1%
Percent of long-stay residents whose ability to move independently worsened
25.2%
110% worse than California averageCalifornia average: 12.0%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
123% worse than California averageCalifornia average: 11.3%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
219% worse than California averageCalifornia average: 1.7%
Percent of long-stay high risk residents with pressure ulcers
0.9%
81% better than California averageCalifornia average: 5.0%
Percent of long-stay residents with a urinary tract infection
2.0%
60% worse than California averageCalifornia average: 1.2%
Percent of long-stay residents who lose too much weight
3.5%
18% better than California averageCalifornia average: 4.2%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Percent of long-stay residents who received an antipsychotic medication
8.6%
15% better than California averageCalifornia average: 10.1%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.4%
5% worse than California averageCalifornia average: 94.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
In line with California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
38% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
25% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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 Senior Living from 2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
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 #258 / 295Payroll — State benchmarkedThis home is ranked 258th out of 295 homes in California for payroll. Shows total annual staff payroll benchmarked to the California average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California 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.
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 #80 / 295Payroll % — State benchmarkedThis home is ranked 80th out of 295 homes in California for payroll %. Shows payroll as a percentage of revenue versus the California average. Well-run California facilities typically land around 56–67% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Facilities with the same value for a metric share the same rank. Rankings are based only on facilities in California 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.
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).
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
New residents most often arrive under Medicare (38% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Selma's city center to Bethel Senior Living's address, calculated via Google Maps.
Add your location
Info below is compiled from CMS reports & the CA Dept. of Social Services (CDSS), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest to lowest based on our ranking methodology.
| Harrison Villa of Mt. San Antonio Gardens | NH AL IL MC SNF | Pomona | 520
Facility
520
CA AVG
104
Rank
#16 / 1644 |
84.0%
Facility
84.0%
CA AVG
73.9
Rank
#483 / 1492 | +14% | 6.62
Facility
6.62
CA AVG
4.22
Rank
#5 / 293 | +3% | +57% | $0
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$0
CA AVG
$56.5k
Rank
#1 / 298 | 94
Facility
94
CA AVG
81
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#185 / 1400 | 16
Facility
16
CA AVG
50.2
Rank
#21 / 293 | 5.3
Facility
5.3
CA AVG
4.6
Rank
#218 / 293 | - | 437 | - |
45
Facility
45
CA AVG
57
Rank
#1470 / 2087 | Congregational Homes | $5.9MFiscal year ending 09/2023
Facility
$5.9MFiscal year ending 09/2023
CA AVG
$17.0M
Rank
#20 / 295 | $18.0MFiscal year ending 09/2023
Facility
$18.0MFiscal year ending 09/2023
CA AVG
$7.0M
Rank
#13 / 295 | 306%Fiscal year ending 09/2023
Facility
306%Fiscal year ending 09/2023
CA AVG
45.2%
Rank
#202 / 295 | 55016 | ||||
| Vi at Palo Alto | NH AL IL MC SNF | Palo Alto | 876
Facility
876
CA AVG
104
Rank
#1 / 1644 |
73.1%
Facility
73.1%
CA AVG
73.9
Rank
#851 / 1492 | -1% | 5.11
Facility
5.11
CA AVG
4.22
Rank
#32 / 293 | +28% | +21% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 298 | 90
Facility
90
CA AVG
81
Rank
#398 / 1400 | 18
Facility
18
CA AVG
50.2
Rank
#28 / 293 | 3.0
Facility
3.0
CA AVG
4.6
Rank
#55 / 293 | 1 | 640 | - |
80
Facility
80
CA AVG
57
Rank
#416 / 2087 | Cary Maslow | $15.0MFiscal year ending 12/2023
Facility
$15.0MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#2 / 295 | $10.6MFiscal year ending 12/2023
Facility
$10.6MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#63 / 295 | 70.6%Fiscal year ending 12/2023
Facility
70.6%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#295 / 295 | 555835 | ||||
| Canterbury Woods | NH AL IL SNF | Pacific Grove | 190
Facility
190
CA AVG
104
Rank
#180 / 1644 |
72.6%
Facility
72.6%
CA AVG
73.9
Rank
#865 / 1492 | -2% | 6.30
Facility
6.30
CA AVG
4.22
Rank
#8 / 293 | +10% | +49% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 298 | 91
Facility
91
CA AVG
81
Rank
#355 / 1400 | 26
Facility
26
CA AVG
50.2
Rank
#73 / 293 | 8.7
Facility
8.7
CA AVG
4.6
Rank
#284 / 293 | - | 138 | A+ |
81
Facility
81
CA AVG
57
Rank
#383 / 2087 | Shaida Behnam | $3.2MFiscal year ending 03/2024
Facility
$3.2MFiscal year ending 03/2024
CA AVG
$17.0M
Rank
#155 / 295 | $5.7MFiscal year ending 03/2024
Facility
$5.7MFiscal year ending 03/2024
CA AVG
$7.0M
Rank
#229 / 295 | 176.7%Fiscal year ending 03/2024
Facility
176.7%Fiscal year ending 03/2024
CA AVG
45.2%
Rank
#257 / 295 | 55303 | ||||
| Webster House | NH AL IL SNF | Palo Alto (Crescent Park) | 54
Facility
54
CA AVG
104
Rank
#1114 / 1644 |
90.7%
Facility
90.7%
CA AVG
73.9
Rank
#324 / 1492 | +23% | 4.93
Facility
4.93
CA AVG
4.22
Rank
#44 / 293 | +21% | +17% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 298 | 94
Facility
94
CA AVG
81
Rank
#185 / 1400 | 23
Facility
23
CA AVG
50.2
Rank
#54 / 293 | 5.8
Facility
5.8
CA AVG
4.6
Rank
#240 / 293 | - | 49 | - |
90
Facility
90
CA AVG
57
Rank
#171 / 2087 | Elvyra Abare | $10.2MFiscal year ending 03/2024
Facility
$10.2MFiscal year ending 03/2024
CA AVG
$17.0M
Rank
#139 / 295 | $7.8MFiscal year ending 03/2024
Facility
$7.8MFiscal year ending 03/2024
CA AVG
$7.0M
Rank
#144 / 295 | 76.2%Fiscal year ending 03/2024
Facility
76.2%Fiscal year ending 03/2024
CA AVG
45.2%
Rank
#155 / 295 | 555156 | ||||
| Bethel Senior Living | NH ADC AL HC HOS IL RC SNF | Selma | 33
Facility
33
CA AVG
104
Rank
#1240 / 1644 | - | - | 4.61
Facility
4.61
CA AVG
4.22
Rank
#66 / 293 | -44% | +9% | $0
Facility
$0
CA AVG
$56.5k
Rank
#1 / 298 | - | 45
Facility
45
CA AVG
50.2
Rank
#164 / 293 | 9.0
Facility
9.0
CA AVG
4.6
Rank
#285 / 293 | - | 51 | - |
83
Facility
83
CA AVG
57
Rank
#337 / 2087 | Bethel Lutheran Home | $7.0MFiscal year ending 12/2023
Facility
$7.0MFiscal year ending 12/2023
CA AVG
$17.0M
Rank
#254 / 295 | $4.9MFiscal year ending 12/2023
Facility
$4.9MFiscal year ending 12/2023
CA AVG
$7.0M
Rank
#258 / 295 | 70.3%Fiscal year ending 12/2023
Facility
70.3%Fiscal year ending 12/2023
CA AVG
45.2%
Rank
#80 / 295 | 555924 |
Bethel Senior Living is legally operated by Bethel Asst Living LLC and Bayshire Central Valley LLC, and administered by Benjamin Carter.
Bethel Senior Living has a walk score of 83. Very walkable. Most errands can be accomplished on foot, and many essentials are within a short walk.
Bethel Senior Living's occupancy is 71.0%.
No, Bethel Senior Living has a no-pet policy.
Bethel Senior Living is registered as a non-profit in CA.
Benjamin Carter is the administrator of Bethel Senior Living.
Bethel Senior Living has 33 beds.
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