Bethany Lutheran Home
Bethany Lutheran Home is a 112-bed nursing home in Council Bluffs, Iowa. CMS has certified it for Medicare and Medicaid since 2003-11-01. It averages 94.6 residents a day.
What harm was found in the violations cited at Bethany Lutheran Home?
CMS lists 43 health-inspection deficiencies for Bethany Lutheran Home, all of them in the three years to 2026-08-01: the highest scope-and-severity letter on record is J; the most recent health inspection was 2026-05-21.
| Survey date | Tag | Deficiency | Severity |
|---|---|---|---|
| 2026-05-21 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D |
| 2025-10-02 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J |
| 2025-10-02 | F0880 | Provide and implement an infection prevention and control program. | F |
| 2025-10-02 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2025-10-02 | F0637, F0644, F0656, F0658, F0760 | Assess the resident when there is a significant change in condition / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Ensure that residents are free from significant medication errors. | D |
| 2025-05-30 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | G |
| 2025-05-30 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2025-03-13 | F0550, F0609, F0657, F0658 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. / Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. / Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2024-10-31 | F0725, F0727, F0812 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. / Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. / Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E |
| 2024-10-31 | F0623, F0625, F0644, F0744, F0880 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. / 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. / Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. / Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. / Provide and implement an infection prevention and control program. | D |
| 2024-08-12 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G |
| 2024-08-12 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D |
| 2024-05-14 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E |
| 2024-05-14 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D |
| 2023-11-02 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J |
| 2023-11-02 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D |
| 2023-08-21 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | G |
| 2023-08-21 | F0725 | Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | E |
| 2023-08-21 | F0550, F0585, F0625, F0656, F0658, F0684, F0686, F0689, F0690, F0698, F0760, F0880 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. / 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. / 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. / Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. / Ensure services provided by the nursing facility meet professional standards of quality. / Provide appropriate treatment and care according to orders, resident’s preferences and goals. / Provide appropriate pressure ulcer care and prevent new ulcers from developing. / Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. / Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. / Provide safe, appropriate dialysis care/services for a resident who requires such services. / Ensure that residents are free from significant medication errors. / Provide and implement an infection prevention and control program. | D |
Why was Bethany Lutheran Home fined 3 times?
| Date | Type | Amount |
|---|---|---|
| 2025-10-02 | Fine | $16,588 |
| 2023-11-02 | Fine | $11,183 |
| 2023-08-21 | Fine | $19,143 |
How is Bethany Lutheran Home staffed?
| Measure | This facility | IA average |
|---|---|---|
| Total nurse staffing hours per resident per day | 3.98778 | 3.81506 |
| Total nursing staff turnover (%) | 30.4 | 44.0 |
| Average number of residents per day | 94.6 | 52.4 |
Who owns Bethany Lutheran Home?
Bethany Lutheran Home is registered with CMS as Non profit - Other, operates under the legal business name BETHANY LUTHERAN HOME.
| Role | Owner | Association date |
|---|---|---|
| CORPORATE DIRECTOR | CARLON, DIANE, EILTS, SUSANNE, GOODELL, ALICE, KRAUL-HENKEL, BECKY, STEENSLAND, GREG, SWALWELL, JOHN, WORTHINGTON, SHARON | since 01/01/2024 |
| CORPORATE OFFICER | CARLON, DIANE, STEENSLAND, GREG, SWALWELL, JOHN, WORTHINGTON, SHARON | since 01/12/2025 |
| OPERATIONAL/MANAGERIAL CONTROL | BISHOP, ANDREW, GUSTAFSON, CHANDRA, PFITZER, GENEVIEVE | since 06/21/2025 |
| ADP OF THE SNF | BISHOP, ANDREW, GUSTAFSON, CHANDRA, PFITZER, GENEVIEVE | since 06/21/2025 |
Were you or a family member harmed at Bethany Lutheran Home?