Elder Care Record

Minnesota › Kandiyohi County › Willmar

Bethesda

901 Southeast Willmar Avenue, Willmar, MN 56201

CCN 245427 · Non-profit, church related · 248 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 248 beds, Bethesda serves Willmar in Kandiyohi County, Minnesota and has taken Medicare and Medicaid residents since 1987.

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

Inspectors recorded 19 health deficiencies across the three most recent survey cycles (5, 9, 5 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 7.7 per 100 beds, fewer than the state median of 30.0.

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

Reported nurse staffing is 4.7 hours per resident per day (0.8 RN), close to the Minnesota median of 4.2; nursing staff turnover is 36.3%.

19health deficiencies, 3 survey cycles1 at actual harm or worse
$0fines listed by CMS0 penalties in period
4.7nurse hours per resident per daystate median 4.2
91%occupancy (residents ÷ beds)226 residents a day

Compared with county, state and nation

MeasureThis facilityKandiyohi Co. medianMinnesota medianUS average
Overall star rating4233.0
Health citations, 3 cycles19212028.7
Citations per 100 beds7.726.930.026.8
Total nurse hours per resident day4.74.74.23.9
RN hours per resident day0.80.81.00.7
Nursing staff turnover36.3%80.5%40.0%45.8%
Fines listed$0$0$0—

County and state figures are medians across facilities (3 in the county, 338 in the state); the US column is the CMS national average where CMS publishes one.

Citations by survey cycle

Cycle 1 (latest)5
Cycle 29
Cycle 35

Dark bar: this facility. Grey bar: Minnesota average per facility for the same cycle, as published by CMS. Standard health survey dates: 10 Dec 2025, 25 Oct 2024.

Severity mix: G ×1 D ×14 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
10 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey23 Jan 2026
10 Dec 2025F0880Provide and implement an infection prevention and control program.EStandard survey23 Jan 2026
10 Dec 2025F0554Allow residents to self-administer drugs if determined clinically appropriate.DStandard survey23 Jan 2026
10 Dec 2025F0557Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.DStandard survey23 Jan 2026
10 Dec 2025F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DComplaint investigation23 Jan 2026
5 Nov 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation12 Dec 2024
5 Nov 2024F0580Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.DComplaint investigation12 Dec 2024
5 Nov 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DComplaint investigation12 Dec 2024
25 Oct 2024F0584Honor 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.DStandard survey6 Dec 2024
25 Oct 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.DStandard survey6 Dec 2024
25 Oct 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.DStandard survey6 Dec 2024
25 Oct 2024F0698Provide safe, appropriate dialysis care/services for a resident who requires such services.DStandard survey6 Dec 2024
25 Oct 2024F0758Implement 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 survey6 Dec 2024
25 Oct 2024F0883Develop and implement policies and procedures for flu and pneumonia vaccinations.DStandard survey6 Dec 2024
3 May 2024F0760Ensure that residents are free from significant medication errors.DComplaint investigation19 Jun 2024
24 Jan 2024F0851Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.FStandard survey23 Feb 2024
24 Jan 2024F0921Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.FStandard survey23 Feb 2024
24 Jan 2024F0677Provide care and assistance to perform activities of daily living for any resident who is unable.DStandard survey23 Feb 2024
24 Jan 2024F0761Ensure 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.DStandard survey23 Feb 2024

Penalties

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

Staffing

Total nursing4.75 h
Nurse aides3.28 h
LPN0.69 h
RN0.78 h
Weekend total4.26 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the Minnesota average. Turnover: nursing staff 36.3%, RNs 21.6%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilityMinnesota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay23.6%18.0%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.6%1.3%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay3.4%2.1%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay6.2%3.7%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay1.3%1.4%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay21.6%20.2%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay5.9%4.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay12.0%15.9%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.

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 Kandiyohi County

FacilityCityBedsOverallHealthStaffingCitationsPer 100 bedsFinesLast survey
Cura of Willmarabuse iconWillmar782242126.9—15 Jul 2026
Glenoaks Senior Living CampusNew London521134688.5$30K10 Jun 2026

All 3 facilities in Kandiyohi County

Questions and answers

How many deficiencies has Bethesda been cited for?

19 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The Minnesota median is 20 per facility.

Has Bethesda been fined?

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

How does staffing at Bethesda compare?

Reported total nurse staffing is 4.7 hours per resident per day against a Minnesota median of 4.2 and a national average of 3.9.

Who operates Bethesda?

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

When was Bethesda last inspected?

The most recent survey or investigation in the CMS record is dated 10 Dec 2025; the most recent standard health survey was 10 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.