Elder Care Record

Kansas › Gray County › Montezuma

Bethel Home

300 S Aztec St, Montezuma, KS 67867

CCN 175528 · Non-profit, church related · 56 certified beds

Continuing care retirement community
Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.

Certified for 56 beds, Bethel Home serves Montezuma in Gray County, Kansas and has taken Medicare and Medicaid residents since 2012.

CMS gives it 5 of 5 stars overall, above the Kansas median of 3; the health inspection rating is 4, staffing 5 and quality measures 4.

Inspectors recorded 15 health deficiencies across the three most recent survey cycles (7, 6, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 26.8 per 100 beds, fewer than the state median of 44.4.

CMS lists no fines or payment denials against the facility in the period covered.

Reported nurse staffing is 4.6 hours per resident per day (0.5 RN), close to the Kansas median of 3.9; nursing staff turnover is 28.6%.

15health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.6nurse hours per resident per daystate median 3.9
96%occupancy (residents ÷ beds)54 residents a day

Compared with county, state and nation

MeasureThis facilityGray Co. medianKansas medianUS average
Overall star rating5533.0
Health citations, 3 cycles15262428.7
Citations per 100 beds26.892.944.426.8
Total nurse hours per resident day4.64.63.93.9
RN hours per resident day0.51.10.60.7
Nursing staff turnover28.6%58.1%47.4%45.8%
Fines listed$0$13,627$7,960—

County and state figures are medians across facilities (2 in the county, 296 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)7
Cycle 26
Cycle 32

Dark bar: this facility. Grey bar: Kansas average per facility for the same cycle, as published by CMS. Standard health survey dates: 16 Jan 2025, 1 Feb 2023.

Severity mix: G ×1 D ×10 E ×2 F ×2

Health deficiencies

Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.

Scope and severity letters (A–L)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
16 Jan 2025F0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.EStandard survey28 Feb 2025
16 Jan 2025F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.EStandard survey28 Feb 2025
16 Jan 2025F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey28 Feb 2025
16 Jan 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.DStandard survey28 Feb 2025
16 Jan 2025F0758Implement 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.DStandard survey28 Feb 2025
16 Jan 2025F0880Provide and implement an infection prevention and control program.DStandard survey28 Feb 2025
16 Jan 2025F0881Implement a program that monitors antibiotic use.DStandard survey28 Feb 2025
16 Aug 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation1 Sep 2023
1 Feb 2023F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey4 Mar 2023
1 Feb 2023F0726Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.FStandard survey4 Mar 2023
1 Feb 2023F0867Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.FStandard survey4 Mar 2023
1 Feb 2023F0610Respond appropriately to all alleged violations.DStandard survey4 Mar 2023
1 Feb 2023F0655Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admittedDStandard survey4 Mar 2023
1 Feb 2023F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey4 Mar 2023
24 Mar 2021F0757Ensure each resident’s drug regimen must be free from unnecessary drugs.DStandard survey9 Apr 2021

Penalties

CMS lists no fines or payment denials for this facility in the period covered.

Staffing

Total nursing4.58 h
Nurse aides3.35 h
LPN0.68 h
RN0.55 h
Weekend total4 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Kansas average. Turnover: nursing staff 28.6%, RNs 16.7%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityKansas medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay15.4%17.3%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay3.3%0.8%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%2.0%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay8.2%3.7%2.8%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay11.0%15.5%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay4.0%4.3%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay10.5%15.4%13.4%

Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.

Ownership

Ownership type: non-profit, church related. Legal business name: Bethel Home Inc.

No organisations are listed in the CMS ownership record for this facility.

Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.

Other nursing homes in Gray County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
The Shepherd'S CenterSFF CandidateCimarron282152692.9$14K17 Nov 2025

All 2 facilities in Gray County

Questions and answers

How many deficiencies has Bethel Home been cited for?

15 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Kansas median is 24 per facility.

Has Bethel Home been fined?

CMS lists no fines against the facility in the period covered.

How does staffing at Bethel Home compare?

Reported total nurse staffing is 4.6 hours per resident per day against a Kansas median of 3.9 and a national average of 3.9.

Who operates Bethel Home?

Ownership type is non-profit, church related. Individual owners and managers are not listed on this site.

When was Bethel Home last inspected?

The most recent survey or investigation in the CMS record is dated 16 Jan 2025; the most recent standard health survey was 16 Jan 2025.

Where does this data come from?

All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.

Provenance

Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.