Bethel Home

225 N Eagle St · Oshkosh, WI · 54902 · 9202354653

100 certified beds Non profit - Corporation

Why this verdict

  • Inspectors found immediate jeopardy — danger of serious harm or death — in the most recent cycle (1 citation).
  • Inspection results are getting worse cycle over cycle, not better.
  • No federal fines or payment denials in CMS’s 3-year window.

The composite number cleared 73 points, but Recommended is gated: immediate-jeopardy citation in the current inspection cycle. That rule is part of the published method.

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Red flags

1 immediate-jeopardy citation in the most recent inspection cycle

Immediate jeopardy is the most serious finding an inspector can make: a situation likely to cause serious injury, harm, or death.

Score breakdown

Inspection record 30% of score 70
Serious harm & abuse 20% 70
Staffing 20% 71
Federal penalties 15% 100
Trend 10% 39
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 2 of 5

Total nurse hours / resident-day3.433.48 min · 4.1 strong
RN hours / resident-day0.990.55–0.75
Weekend hours / resident-day3.18≈ weekday level
Nursing turnover / year51%median 45%
Fines (3-yr window)none

Inspection citations (14 in the current record)

  • Immediate jeopardy · J August 13, 2025 · found via complaint

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 31, 2025 · Quality of Life and Care

  • Potential for harm · D October 23, 2024 · found via complaint

    Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

    Corrected November 22, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D October 23, 2024 · found via complaint

    Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.

    Corrected November 22, 2024 · Administration

  • Potential for harm · D August 7, 2024

    Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

    Corrected September 5, 2024 · Resident Rights

  • Potential for harm · D August 7, 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.

    Corrected September 5, 2024 · Resident Rights

  • Potential for harm · D June 7, 2023

    Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

    Corrected July 7, 2023 · Quality of Life and Care

  • Potential for harm · D June 7, 2023

    Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

    Corrected July 7, 2023 · Pharmacy Service

  • No harm found · B June 7, 2023

    Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

    Corrected July 7, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D July 20, 2022

    Allow resident to participate in the development and implementation of his or her person-centered plan of care.

    Corrected July 21, 2022 · Resident Rights

  • Potential for harm · D July 20, 2022

    Respond appropriately to all alleged violations.

    Corrected July 21, 2022 · Freedom from Abuse, Neglect, and Exploitation

  • Potential for harm · D July 20, 2022

    PASARR screening for Mental disorders or Intellectual Disabilities

    Corrected July 21, 2022 · Resident Assessment and Care Planning

  • Potential for harm · D July 20, 2022

    Provide appropriate pressure ulcer care and prevent new ulcers from developing.

    Corrected July 21, 2022 · Quality of Life and Care

  • Potential for harm · D July 20, 2022

    Provide safe, appropriate dialysis care/services for a resident who requires such services.

    Corrected July 21, 2022 · Quality of Life and Care

  • Potential for harm · D July 20, 2022

    Perform COVID19 testing on residents and staff.

    Corrected July 21, 2022 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 525554 · certified since December 1, 1994. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.