Bethel Lutheran Nursing & Rehabilitation Center
1515 2nd Ave West, Williston, ND 58801
Bethel Lutheran Nursing & Rehabilitation Center, a 95-bed non profit - corporation nursing facility in Williston, ND, holds a 4-star CMS overall rating - well above the 3.0-star national average, with nurse staffing above the national norm. 2 inspection findings reached the actual-harm or immediate-jeopardy level.
CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.
Phone: 7015726766
Build a private shortlist as you compare, saved on this device, no account needed.
- 4 / 5
- Above average · CMS overall · nat'l 3.0
- 4.14
- Above average · nurse hrs/day · nat'l 3.89
- 21
- Inspection findings · 2 serious
- $0
- Federal penalties (0)
Health Inspection
Staffing
Quality Measures
Long-Stay Quality
Facility Information
- Provider Number
- 355070
- Ownership
- Non profit - Corporation
- Provider Type
- Medicare and Medicaid
- Beds
- 95
- Residents
- 79
- In Hospital
- No
- County
- Williams
- Last Inspection
- Feb 5, 2025
Staffing Data
How the 4.14 total nursing hours per resident-day are staffed:
- RN Hours
- 0.98 (nat'l avg: 0.68)
- LPN Hours
- 0.40
- CNA Hours
- 2.76
- Total Nursing Hours
- 4.14 (nat'l avg: 3.89)
- PT Hours
- 0.00
- Nursing Turnover
- 58.8%
- RN Turnover
- 23.5%
What the CMS Record Reveals About Bethel Lutheran Nursing & Rehabilitation Center
Bethel Lutheran Nursing & Rehabilitation Center operates 95 certified beds in Williston, ND with approximately 79 residents currently in care, and carries a CMS overall rating of 4 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (4★), staffing levels (4★), and quality measures (3★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.
The inspection file contains 21 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. No fines or payment denials have been assessed against this provider, suggesting issues, if any, did not rise to the enforcement threshold. Staffing is reported at 4.14 total nursing hours per resident day (national average 3.89), with RN coverage at 0.98 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.
Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Bethel Lutheran Nursing & Rehabilitation Center falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 58.8%, above the level where continuity of care typically begins to suffer. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.
Deficiency History (21 most recent)
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Feb 24, 2025
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.
Category: Resident Rights Deficiencies
Corrected: Feb 24, 2025
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Category: Quality of Life and Care Deficiencies
Corrected: Mar 7, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Jan 8, 2024
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Category: Administration Deficiencies
Corrected: Jan 8, 2024
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.
Category: Pharmacy Service Deficiencies
Corrected: Jan 8, 2024
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Category: Pharmacy Service Deficiencies
Corrected: Jan 8, 2024
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Category: Quality of Life and Care Deficiencies
Corrected: Jan 8, 2024
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 8, 2024
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Category: Resident Assessment and Care Planning Deficiencies
Corrected: Jan 8, 2024
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.
Category: Resident Rights Deficiencies
Corrected: Jan 8, 2024
Provide and implement an infection prevention and control program.
Category: Infection Control Deficiencies
Corrected: Dec 23, 2022
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Category: Nutrition and Dietary Deficiencies
Corrected: Dec 27, 2022
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.
Category: Pharmacy Service Deficiencies
Corrected: Dec 23, 2022
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Category: Pharmacy Service Deficiencies
Corrected: Dec 23, 2022
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Category: Pharmacy Service Deficiencies
Corrected: Dec 23, 2022
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.
Category: Nursing and Physician Services Deficiencies
Corrected: Dec 23, 2022
Provide safe and appropriate respiratory care for a resident when needed.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 27, 2022
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 27, 2022
Provide care and assistance to perform activities of daily living for any resident who is unable.
Category: Quality of Life and Care Deficiencies
Corrected: Dec 23, 2022
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.
Category: Resident Rights Deficiencies
Corrected: Dec 23, 2022
Quality Measures
| Measure | Type | Score | Used in Rating |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 24.1% | Yes |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.0% | Yes |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 3.1% | Yes |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.9% | Yes |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.2% | Yes |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 12.5% | Yes |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 16.1% | Yes |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | Yes |
| Percentage of long-stay residents who lose too much weight | Long Stay | 8.1% | No |
| Percentage of long-stay residents who have depressive symptoms | Long Stay | 2.9% | No |
| Percentage of long-stay residents who were physically restrained | Long Stay | 0.0% | No |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | Long Stay | 97.2% | No |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | Long Stay | 11.6% | No |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | Long Stay | 98.8% | No |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | Long Stay | 30.8% | No |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | Short Stay | 92.0% | No |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | Short Stay | 82.8% | No |
Penalty History
No penalties on record.
Nearby Nursing Homes in ND
Aneta Parkview Health Ctr
Aneta, ND
Ashley Medical Center Nursing Home
Ashley, ND
Baptist Health & Rehab
Bismarck, ND
Benedictine Living Center of Garrison
Garrison, ND
Bethany on 42nd
Fargo, ND
Bethany on University
Fargo, ND
Understanding Nursing Home Data
Frequently Asked Questions
What is the overall CMS rating for Bethel Lutheran Nursing & Rehabilitation Center?
What are the staffing levels at Bethel Lutheran Nursing & Rehabilitation Center?
How many beds does Bethel Lutheran Nursing & Rehabilitation Center have?
Does Bethel Lutheran Nursing & Rehabilitation Center have any deficiencies on record?
Has Bethel Lutheran Nursing & Rehabilitation Center received any fines or penalties?
Who owns Bethel Lutheran Nursing & Rehabilitation Center?
When was Bethel Lutheran Nursing & Rehabilitation Center last inspected?
What quality measures are tracked for Bethel Lutheran Nursing & Rehabilitation Center?
Data Sources
Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.
Read our methodology - how this data is sourced, computed, and verified.
Related
Found this useful? Share Bethel Lutheran Nursing & Rehabilitation Center's record.