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Bethesda of Beresford
Nursing Home & Skilled Nursing · Beresford, 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

Bethesda of Beresford

Nursing Home & Skilled Nursing · Beresford, 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.
606 W Cedar, Beresford, SD 57004 View map Calculator: See prices in your area
Bethesda of Beresford accepts Medicare, Medicaid, and private pay.
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Bethesda of Beresford accepts Medicare, Medicaid, and private pay.

Overview of Bethesda of Beresford

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Bethesda of Beresford is a nonprofit nursing home in Beresford, South Dakota, founded in 1914 and administered by Britney Senger. The 39-bed facility offers skilled nursing, rehabilitation, therapy services, and independent living options and accepts Medicare, Medicaid, and private pay.

The facility holds a 2-star overall CMS rating, driven by a 1-star Health Inspection score, which is 21.6% below the South Dakota average. Across 5 inspections since 2023, the facility recorded 25 citations, averaging 5 per inspection, compared with a state mean of 3.34. A $16,000 civil money penalty was issued in October 2023. No critical citations appear in that window, and the single serious citation is 44% better than the state average.

The Quality Measures rating, however, is a genuine counterweight: 5 stars, 46.5% above the South Dakota average. Antipsychotic use is 15.1%, compared with a state average of 24.4%, and the UTI rate of 0.8% is 77% better than peers, both meaningful signals for long-stay residents.

The facility provides on-site rehabilitation and therapy services, with contracted physical, occupational, and speech therapy staff present most days of the week. A Resident Council meets regularly, and a state-approved Nurse Aide Training program operates on-site.

The facility’s occupancy rate is 85%, above the South Dakota average of 79.9%, with 33 of 39 beds filled. Its payer mix and average length of stay of 329 days reflect a predominantly long-term population: Medicaid covers 47% of current residents, and private-pay residents account for 50% of the census.

Bethesda of Beresford suits long-stay residents in Lincoln County seeking nonprofit, community-rooted skilled nursing care, particularly those for whom quality-of-care outcomes and low antipsychotic use carry weight alongside the inspection record.

Facility Direct Line (605) 763-4652
Facility Direct Line (605) 763-4652 help@bethesdasd.com
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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.
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.
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.
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.

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 state averages

Total nursing care / resident Info 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 for Nurse Hours. 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.
vs 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
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
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
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
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
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

Capacity and availability

Avg. Length of Stay Info 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.
329 days
Bed community size
39-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 48 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
85%
Rank #19 / 34Occupancy rate — State benchmarkedThis home is ranked 19th out of 34 homes in South Dakota for Occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 34. 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.
Higher than the South Dakota average: 79.9%
Occupied beds
33 / 39
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyLincoln
License Number10595
CMS Certification Number435080

Ownership & Operating Entity

Bethesda of Beresford is administered by Britney Senger.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Specific ProgramsTherapy Services

Contact Bethesda of Beresford

Health Inspection History

Inspections since 2023
Total health inspections 5

State average N/A

Last Health inspection on Aug 2025

Total health citations
25 Rank #51 / 65Health citations — State benchmarkedThis home is ranked 51st out of 65 homes in South Dakota for Health Citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 65 SD facilities. Lower citation counts earn a better rank.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.

State average N/A

Citations per inspection
5 Rank #55 / 65Citations per inspection — State benchmarkedThis home is ranked 55th out of 65 homes in South Dakota for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 65 facilities with citation data. Lower is better.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.

State average N/A

Health citations are formal notices following inspections when they fail to comply with safety and care standards.

17 of 25 citations resulted from standard inspections; 3 of 25 resulted from complaint investigations; and 5 of 25 came from combined inspections (standard and complaint).

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A

Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A
1 serious citation State average: N/A
24 moderate citations State average: N/A
0 minor citations State average: N/A
Citations history (last 3 years)
Infection Control moderate citation Aug 13, 2025
Corrected
Nutrition moderate citation Aug 13, 2025
Corrected
Quality of Care moderate citation Aug 13, 2025
Corrected
Quality of Care moderate citation Aug 13, 2025
Corrected

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 98
Employees 34
Contractors 64
Staff to resident ratio 2.88 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 21
Average shift 7.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,329

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 17 total: 7 full-time employees and 10 contractors. 17
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 6 total: 1 full-time employee and 5 contractors. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 9.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 50 total: 18 full-time employees and 32 contractors. 50
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

24.3%

3,481 contractor hours this quarter

Certified Nursing Assistant: 32 Registered Nurse: 10 Licensed Practical Nurse: 5 Respiratory Therapy Technician: 3 Speech Language Pathologist: 2 Physical Therapy Assistant: 2 Other Physician: 2 Occupational Therapy Aide: 1 Medication Aide/Technician: 1 Qualified Social Worker: 1 Occupational Therapy Assistant: 1 Medical Director: 1 Physical Therapy Aide: 1 Feeding Assistant: 1 Physician Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant1832506,82792100%8
Registered Nurse710172,79892100%9.5
Administrator2021,0786672%8.4
Dietitian2027216470%8.1
Licensed Practical Nurse1565834751%9.5
Nurse Practitioner1015286672%8
Occupational Therapy Aide1125216571%6.3
Dental Services Staff1014746166%7.8
Medication Aide/Technician1121975964%3.3
Qualified Social Worker0111554246%3.7
Speech Language Pathologist0221395257%2.5
Physical Therapy Assistant0221185358%2
Respiratory Therapy Technician0331103942%2.8
Occupational Therapy Assistant01144910%4.9
Other Physician0221233%4
Feeding Assistant011822%4
Physical Therapy Aide011878%1.1
Medical Director011411%4
Physician Assistant011411%4
50 Certified Nursing Assistant
% of Days 100%
17 Registered Nurse
% of Days 100%
2 Administrator
% of Days 72%
2 Dietitian
% of Days 70%
6 Licensed Practical Nurse
% of Days 51%
1 Nurse Practitioner
% of Days 72%
2 Occupational Therapy Aide
% of Days 71%
1 Dental Services Staff
% of Days 66%
2 Medication Aide/Technician
% of Days 64%
1 Qualified Social Worker
% of Days 46%
2 Speech Language Pathologist
% of Days 57%
2 Physical Therapy Assistant
% of Days 58%
3 Respiratory Therapy Technician
% of Days 42%
1 Occupational Therapy Assistant
% of Days 10%
2 Other Physician
% of Days 3%
1 Feeding Assistant
% of Days 2%
1 Physical Therapy Aide
% of Days 8%
1 Medical Director
% of Days 1%
1 Physician Assistant
% of Days 1%
View All Staffing Data

Penalties and fines

Includes penalties issued in 2023

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 (Data as of Jan 2026)

Total fines amount $16K Rank #32 / 67Federal fines — State benchmarkedThis home is ranked 32nd out of 67 homes in South Dakota for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.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.
60% lower than State average

State average: $40K

Number of fines 1
51% fewer fines than State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $16K
State average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

1 penalty in the past 3 years

Oct 4, 2023 · $16K

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Oct 4, 2023
$16K

Last updated: Jan 2026

Quality of care over time

These measures show how residents usually do over time at this home, based on health outcomes and preventive care.

High-risk clinical events score Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 11.7
In line with State average

State average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.0
In line with State average

State average: 23.9

Long-stay resident measures
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 17.1%
23% better than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 32.5%
42% worse than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 22.3%
17% better than State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.2%
37% better than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.7%
39% better than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 0.8%
77% better than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 2.7%
51% better than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 2.0%
52% better than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 15.1%
38% better than State average

State average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than State average

State average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 72.7%
14% worse than State average

State average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 34
Medicare
1
2.9% of residents
Medicaid
16
47.1% of residents
Private pay or other
17
50% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Nurse Aide Training

State-approved Nurse Aide Training and Competency Evaluation Program on-site

Active Resident Council

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.

Finances and operations

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

Nonprofit
Nonprofit Corporation
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
Nonprofit Nonprofit Corporation
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 #54 / 63Revenue — State benchmarkedThis home is ranked 54th out of 63 homes in South Dakota for Revenue. 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 #48 / 63Payroll — State benchmarkedThis home is ranked 48th out of 63 homes in South Dakota for Payroll. 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 for Payroll %. 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
How we calculate these figures

This home is administered by Britney Senger.

This home is owned by Bethesda Of Beresford

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435080

Show certification details

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%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

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Address 0.0 miles from city center Info Estimated distance in miles from Beresford's city center to Bethesda of Beresford's address, calculated via Google Maps.

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Frequently Asked Questions about Bethesda of Beresford

What neighborhood is Bethesda of Beresford in?

Bethesda of Beresford is in the Prairie Township neighborhood of Beresford.

Is Bethesda of Beresford in a walkable area?

Bethesda of Beresford has a walk score of 48. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Bethesda of Beresford?

According to SD state health department records, Bethesda of Beresford's license number is 10595.

What is the occupancy rate at Bethesda of Beresford?

Bethesda of Beresford's occupancy is 85%.

Does Bethesda of Beresford operate as a for-profit or non-profit?

Bethesda of Beresford is registered as a non-profit in SD.

Who is the administrator of Bethesda of Beresford?

Britney Senger is the administrator of Bethesda of Beresford.

How many beds does Bethesda of Beresford have?

Bethesda of Beresford has 39 beds.

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