California › Fresno County › Selma
Bethel Lutheran Home
2280 Dockery Avenue, Selma, CA 93662
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 Lutheran Home is a Non-profit, corporation nursing home in Selma, California, certified for 59 beds and caring for about 57 residents a day.
CMS gives it 3 of 5 stars overall, equal to the California median; the health inspection rating is 3, staffing 2 and quality measures 2.
Inspectors recorded 41 health deficiencies across the three most recent survey cycles (12, 16, 13 by cycle, most recent first), none at the actual-harm level. That is 69.5 per 100 beds, more than the state median of 51.1.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 3.8 hours per resident per day (0.2 RN), close to the California median of 4.2; nursing staff turnover is 52.5%.
Compared with county, state and nation
| Measure | This facility | Fresno Co. median | California median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 41 | 41 | 44 | 28.7 |
| Citations per 100 beds | 69.5 | 53.5 | 51.1 | 26.8 |
| Total nurse hours per resident day | 3.8 | 4.1 | 4.2 | 3.9 |
| RN hours per resident day | 0.2 | 0.4 | 0.5 | 0.7 |
| Nursing staff turnover | 52.5% | 45.7% | 36.4% | 45.8% |
| Fines listed | $0 | $0 | $0 | — |
County and state figures are medians across facilities (31 in the county, 1165 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: California average per facility for the same cycle, as published by CMS. Standard health survey dates: 5 Dec 2025, 28 Oct 2024.
Severity mix: D ×25 E ×11 F ×2 B ×1 C ×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)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 5 Dec 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0761 | 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. | E | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | E | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0947 | Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | D | Standard survey | 26 Dec 2025 |
| 5 Dec 2025 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | B | Standard survey | 26 Dec 2025 |
| 22 Aug 2025 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 15 Sep 2025 |
| 22 Aug 2025 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 15 Sep 2025 |
| 15 Nov 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Complaint investigation | 6 Dec 2024 |
| 15 Nov 2024 | F0940 | Develop, implement, and/or maintain an effective training program for all new and existing staff members. | D | Complaint investigation | 6 Dec 2024 |
| 15 Nov 2024 | F0942 | Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | D | Complaint investigation | 6 Dec 2024 |
| 28 Oct 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0583 | Keep residents' personal and medical records private and confidential. | E | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0761 | 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. | E | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0804 | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | E | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0908 | Keep all essential equipment working safely. | E | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0803 | Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | D | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | D | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 22 Nov 2024 |
| 28 Oct 2024 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Standard survey | 22 Nov 2024 |
| 1 Dec 2023 | F0759 | Ensure medication error rates are not 5 percent or greater. | E | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0842 | Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | E | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0567 | Honor the resident's right to manage his or her financial affairs. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0585 | 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. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0758 | 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. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0761 | 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. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0814 | Dispose of garbage and refuse properly. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 21 Jan 2024 |
| 1 Dec 2023 | F0912 | Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | C | Standard survey | 21 Jan 2024 |
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 California average. Turnover: nursing staff 52.5%, RNs 80.0%; 2 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | California median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 13.8% | 8.9% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.3% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.1% | 0.7% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 5.7% | 1.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 2.4% | 0.8% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 17.3% | 8.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.3% | 3.6% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.6% | 9.1% | 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 Lutheran 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 Fresno County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| California Home For the Aged | Fresno | 120 | 5 | 5 | 5 | 35 | 29.2 | — | 19 Aug 2025 |
| Community Subacute and Transitional Care Center | Fresno | 106 | 5 | 5 | 5 | 13 | 12.3 | — | 19 Dec 2025 |
| Manning Gardens Care Center, Inc | Fresno | 59 | 5 | 4 | 5 | 40 | 67.8 | $12K | 27 Mar 2026 |
| North Point Healthcare & Wellness Centre LP | Fresno | 99 | 5 | 5 | 3 | 20 | 20.2 | — | 27 Mar 2025 |
| Oakwood Gardens Care Center | Fresno | 103 | 5 | 4 | 3 | 28 | 27.2 | — | 9 Jan 2026 |
| The Terraces At San Joaquin Gardens Village | Fresno | 54 | 5 | 3 | 5 | 31 | 57.4 | — | 23 Apr 2025 |
| Veterans Home of California - Fresno | Fresno | 120 | 5 | 4 | 5 | 29 | 24.2 | — | 9 Apr 2026 |
| Vineyard Care Center | Reedley | 56 | 4 | 3 | 2 | 40 | 71.4 | — | 1 Apr 2026 |
All 31 facilities in Fresno County
Questions and answers
How many deficiencies has Bethel Lutheran Home been cited for?
41 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The California median is 44 per facility.
Has Bethel Lutheran Home been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Bethel Lutheran Home compare?
Reported total nurse staffing is 3.8 hours per resident per day against a California median of 4.2 and a national average of 3.9.
Who operates Bethel Lutheran Home?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Bethel Lutheran Home last inspected?
The most recent survey or investigation in the CMS record is dated 5 Dec 2025; the most recent standard health survey was 5 Dec 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.