Senior Home Review
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Nursing homeFAID #11691

Bethesda of Beresford

606 W CEDAR, BERESFORD, SD, 57004
(605) 763-2050
39 licensed beds
★★★★★2/5CMS Five-Star overall2/5 health inspections4/5 staffing4/5 quality measuresSource: CMS Care Compare

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What we can show you for free.
Bed capacity
39
CMS facility ID
435080
Care type
Nursing home
County
Union
Facility name
Bethesda of Beresford
Street address
606 W CEDAR
City / state / ZIP
Beresford, SD 57004
Phone
(605) 763-2050

Bethesda of Beresford is a Medicare/Medicaid-certified skilled nursing facility in Beresford, South Dakota. It is licensed for 39 beds — below the median for skilled nursing facilities in South Dakota (52 beds).

It is one of 1 senior care facility in Beresford and 96 skilled nursing facilities across South Dakota. Families comparing options should weigh inspection history, ownership record, and litigation — not just the tour — before deciding.

Federal inspectors have cited Bethesda of Beresford 30 times across 11 inspections in the last three years, including 4 food-safety citations, and CMS has imposed $16,088 in fines. Every citation is listed, dated, and graded in the inspection record below.

This listing draws on federal CMS Nursing Home Compare records, and was last updated on August 31, 2026. Background reports are compiled from primary sources — state inspection files, federal CMS data, corporate registrations, and court records — at the time of order.

What the public record shows.

Ownership & operator

Operator / owner
Tanya Lambert
Ownership type
Non profit - Corporation

Registered owners & officers

Bethesda of Beresford
Direct owner · Additional disclosable party — 100% stake — since 2009
Caring Professionals Inc
Operational control · Additional disclosable party — since 2021
Chadwell, Dean
Director — since 2023
Hansen, Chris
Governing body · Operational control · Additional disclosable party — since 2021
Rohlfs, Karsten
Operational control · Additional disclosable party — since 2024
Savey, Amelia
Director — since 2023
Senger, Britney
Operational control · Additional disclosable party — since 2021

Regulatory standing

Licensed / certified since
1994-09-01
CMS overall rating
2 of 5 stars
Health deficiencies
6 at the last standard inspection
Federal fines
$16,088 total
Last standard inspection
2025-08-13
Nurse staffing
3.7 hours per resident per day

Cost & payer profile (FY2023 cost report)

Average billed charges
$265 per day (≈ $8,060/month). Private-pay prices typically track billed charges; Medicare and Medicaid pay set rates.
Payer mix (resident days)
56% Medicaid · 5% Medicare · 39% private/other
Occupancy
85% (fiscal year 2023)
Vs. state median
36% below the SD median of $412/day — full state cost breakdown

Services & coverage

Licensed beds
39
Medicare
Accepted
Medicaid
Accepted
Compiled from CMS Nursing Home Compare; owners/officers from the CMS Ownership dataset; cost & occupancy from the facility's own CMS cost report · last verified 2026-08-31. Facilities can submit a correction.
Every citation, dated and graded.

Kitchen & food safety

Federal surveyors inspect the kitchen at every standard visit. This facility has 4 food-safety citations on its three-year record — flagged below among the inspections.
2026-06-11Health inspectionComplaint-triggered2 citations
F-0684
E · No harm foundFrom a complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected 2026-07-26
F-0695
D · No harm foundFrom a complaint
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2026-07-26
2025-08-13Health inspectionComplaint-triggered4 citations
F-0689
D · No harm foundFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2025-09-27
F-0695
E · No harm found
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2025-09-27
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2025-09-27
F-0880
D · No harm found
Provide and implement an infection prevention and control program.
Corrected 2025-09-27
6 earlier / fire-safety inspections (24 citations)
2024-08-08Health inspectionComplaint-triggered1 citation
F-0625
E · No harm foundFrom a complaint
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Corrected 2024-08-30
2024-04-25Health inspectionComplaint-triggered14 citations
F-0575
D · No harm found
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency.
Corrected 2024-06-09
F-0577
D · No harm found
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies.
Corrected 2024-06-09
F-0578
D · No harm found
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Corrected 2024-06-09
F-0584
E · No harm foundFrom a complaint
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.
Corrected 2024-06-09
F-0585
E · No harm foundFrom a complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2024-06-09
F-0656
D · No harm found
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-06-09
F-0688
D · No harm found
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected 2024-06-09
F-0725
F · No harm foundFrom a complaint
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-06-09
F-0761
E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2024-06-09
F-0812
F · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2024-06-09
F-0851
F · No harm found
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Corrected 2024-06-09
F-0880
F · No harm found
Provide and implement an infection prevention and control program.
Corrected 2024-06-09
F-0909
E · No harm found
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame.
Corrected 2024-06-09
F-0919
E · No harm foundFrom a complaint
Make sure that a working call system is available in each resident's bathroom and bathing area.
Corrected 2024-06-09
2023-10-04Health inspectionComplaint-triggered2 citations
F-0585
F · No harm foundFrom a complaint
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.
Corrected 2023-11-02
F-0689
G · Actual harmFrom a complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected 2023-11-02
2023-04-05Health inspection4 citations
F-0700
D · No harm found
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Corrected 2023-05-20
F-0761
E · No harm found
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2023-05-20
F-0801
F · No harm foundFood safety
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician.
Corrected 2023-05-20
F-0812
E · No harm foundFood safety
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected 2023-05-20
2025-08-13Fire-safety inspection2 citations
K-0293
D · No harm found
Have properly located and lighted "Exit" signs.
Corrected 2025-09-27
K-0321
E · No harm found
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
Corrected 2025-09-27
2023-04-05Fire-safety inspection1 citation
K-0712
E · No harm found
Have simulated fire drills held at unexpected times.
Corrected 2023-05-20

Federal penalties

2023-10-04Fine$16,088
Citations and penalties from the CMS Provider Data Catalog (three-year survey window, refreshed monthly). Severity codes follow the federal scope/severity grid; “Immediate jeopardy” is the most serious grade CMS issues. CCN 435080.
What unlocks when you order.

Ownership & corporate history

Primary tier
Prior operators & transfers
Corporate network & affiliates
,
Owners' other facilities
· · 2 more

Inspection citations — last 5 years

Locked
The 30 citations above are shown free. The report takes each one and explains it in plain English — what the tag requires, how serious the scope/severity grade really is, whether it recurred across surveys — plus the five-year pattern a single inspection can't show.

Civil & criminal lawsuits

Advanced tier only
Active civil suits
#
Federal dockets
CDC infection data
Unlock the full file
Citations, owner history, lawsuits — decoded into one PDF.
Sources we pull for this facility.
Source
CMS Nursing Home Compare
data.cms.gov Provider Data Catalog
Last verified 2026-08-31
Source
Federal NPI Registry (NPPES)
NPI 1306964838
Monthly federal file
Source
Secretary of State filings
Entity & officer search
Pulled when a report is ordered
Source
PACER federal dockets
pacer.uscourts.gov
Pulled when a report is ordered