Wisconsin › Winnebago County › Oshkosh
Bethel Home
225 N Eagle St, Oshkosh, WI 54902
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.
Bethel Home, in Oshkosh, Wisconsin, is certified for 100 beds under non-profit, corporation ownership.
CMS gives it 5 of 5 stars overall, above the Wisconsin median of 3; the health inspection rating is 4, staffing 5 and quality measures 2.
Inspectors recorded 11 health deficiencies across the three most recent survey cycles (4, 4, 3 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 11.0 per 100 beds, fewer than the state median of 31.8.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 4.1 hours per resident per day (1.2 RN), close to the Wisconsin median of 4.0; nursing staff turnover is 43.6%.
Compared with county, state and nation
| Measure | This facility | Winnebago Co. median | Wisconsin median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 4 | 3 | 3.0 |
| Health citations, 3 cycles | 11 | 17 | 21 | 28.7 |
| Citations per 100 beds | 11.0 | 27.3 | 31.8 | 26.8 |
| Total nurse hours per resident day | 4.1 | 4.8 | 4.0 | 3.9 |
| RN hours per resident day | 1.2 | 1.3 | 0.9 | 0.7 |
| Nursing staff turnover | 43.6% | 50.9% | 46.2% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (8 in the county, 323 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: Wisconsin average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Sep 2025, 7 Aug 2024.
Severity mix: J ×1 D ×8 E ×1 B ×1
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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 10 Sep 2025 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 6 Oct 2025 |
| 10 Sep 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 6 Oct 2025 |
| 10 Sep 2025 | F0883 | Develop and implement policies and procedures for flu and pneumonia vaccinations. | D | Standard survey | 6 Oct 2025 |
| 13 Aug 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | J | Complaint investigation | 31 Jul 2025 |
| 23 Oct 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 22 Nov 2024 |
| 23 Oct 2024 | F0777 | Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | D | Complaint investigation | 22 Nov 2024 |
| 7 Aug 2024 | F0623 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | D | Standard survey | 5 Sep 2024 |
| 7 Aug 2024 | F0625 | 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. | D | Standard survey | 5 Sep 2024 |
| 7 Jun 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 7 Jul 2023 |
| 7 Jun 2023 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | D | Standard survey | 7 Jul 2023 |
| 7 Jun 2023 | F0640 | Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment. | B | Standard survey | 7 Jul 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Wisconsin average. Turnover: nursing staff 43.6%, RNs 7.7%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | Wisconsin median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 29.4% | 15.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.4% | 1.5% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.7% | 2.3% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 2.5% | 3.0% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.1% | 0.9% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 24.7% | 16.8% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 6.3% | 4.4% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 20.8% | 14.4% | 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, corporation. Legal business name: Bethel Home, Inc..
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Miravida Living | 5% or greater direct ownership interest | 100% | 01/01/1965 |
| Miravida Living | Operational/managerial control | NOT APPLICABLE | 01/01/1965 |
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 Winnebago County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Park View Health Center | Oshkosh | 168 | 5 | 5 | 5 | 7 | 4.2 | — | 16 Apr 2025 |
| Edenbrook Omro | Omro | 50 | 4 | 4 | 2 | 17 | 34.0 | — | 1 Apr 2026 |
| Evergreen Health Center | Oshkosh | 80 | 4 | 4 | 4 | 7 | 8.8 | — | 27 May 2026 |
| Peabody Manor | Appleton | 58 | 4 | 3 | 5 | 23 | 39.7 | — | 19 Mar 2026 |
| Edenbrook of Oshkosh | Oshkosh | 110 | 3 | 3 | 2 | 30 | 27.3 | — | 5 May 2026 |
| Oakridge Gardens Nur Ctr, Inc | Menasha | 106 | 3 | 3 | 4 | 21 | 19.8 | — | 14 May 2025 |
| Eden Rehab Suites and Green House Homes | Oshkosh | 50 | 2 | 2 | 4 | 16 | 32.0 | $14K | 5 Feb 2026 |
All 8 facilities in Winnebago County
Questions and answers
How many deficiencies has Bethel Home been cited for?
11 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Wisconsin median is 21 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 4.1 hours per resident per day against a Wisconsin median of 4.0 and a national average of 3.9.
Who operates Bethel Home?
Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Miravida Living and Miravida Living. 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 10 Sep 2025; the most recent standard health survey was 10 Sep 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.