BETHEL LUTHERAN NURSING & REHABILITATION CENTER
1515 2ND AVE WEST, WILLISTON, ND 58801 · CCN 355070
Ratings
- Overall
- ★★★★☆ 4
- Health inspection
- ★★★★☆ 4
- Quality measures
- ★★★☆☆ 3
- Staffing
- ★★★★☆ 4
Facility
- Ownership type
- Non profit - Corporation
- Certified beds
- 95
- Avg residents/day
- 79.0
- Phone
- 7015726766
Inspection history vs North Dakota & national averages
Cycle 1 is the most recent standard health inspection. Lower total deficiency counts are better.
| Cycle | Inspection date | This facility | North Dakota avg | National avg | vs state |
|---|---|---|---|---|---|
| 1 | 2025-02-05 | 2 | 5.4 | 9.5 | -3.4 better |
| 2 | 2023-12-07 | 8 | 6.3 | 9.8 | +1.7 worse |
| 3 | 2022-11-17 | 11 | 5.1 | 9.3 | +5.9 worse |
Cycle 1 deficiencies by category
| Category | Deficiencies |
|---|---|
| Resident assessment and care planning | 1 |
| Resident rights | 1 |
Staffing (hours per resident per day)
| Metric | This facility | Turnover |
|---|---|---|
| Total nurse staffing (reported) | 4.14 | 58.8% |
| RN staffing (reported) | 0.98 | 23.5% |
| Total nurse staffing (adjusted) | 4.44 | — |
Fines & penalties
- Total fines
- $0
- Number of fines
- 0
- Number of penalties
- 0
- Payment denials
- 0
Inspection citations (21)1 immediate jeopardy1 actual harm
- DF0578Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.2025-02-05 · Health · corrected 2025-02-24
Potential for more than minimal harm
- EF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2025-02-05 · Health · corrected 2025-02-24
Potential for more than minimal harm
- GF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.2024-02-07 · Health · corrected 2024-03-07
Actual harm
- DF0625Notify 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.2023-12-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0644Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.2023-12-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0657Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.2023-12-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.2023-12-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0758Implement 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.2023-12-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- EF0761Ensure 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.2023-12-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0849Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.2023-12-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- DF0880Provide and implement an infection prevention and control program.2023-12-07 · Health · corrected 2024-01-08
Potential for more than minimal harm
- EF0584Honor 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.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
- EF0677Provide care and assistance to perform activities of daily living for any resident who is unable.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
- DF0690Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.2022-11-17 · Health · corrected 2022-12-27
Potential for more than minimal harm
- DF0695Provide safe and appropriate respiratory care for a resident when needed.2022-11-17 · Health · corrected 2022-12-27
Potential for more than minimal harm
- DF0729Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
- DF0755Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
- DF0757Ensure each resident’s drug regimen must be free from unnecessary drugs.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
- DF0761Ensure 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.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
- LF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.2022-11-17 · Health · corrected 2022-12-27
Immediate jeopardy
- EF0880Provide and implement an infection prevention and control program.2022-11-17 · Health · corrected 2022-12-23
Potential for more than minimal harm
Ownership
| Owner | Type | Role | Percent | Since |
|---|---|---|---|---|
| FURUSETH, PETER | Individual | CORPORATE DIRECTOR | — | 2013-09-30 |
| HAHN, LORI | Individual | CORPORATE DIRECTOR | — | 2017-09-27 |
| HAUG, ARLIS | Individual | CORPORATE DIRECTOR | — | 2018-09-26 |
| KJOS, KENNETH | Individual | CORPORATE DIRECTOR | — | 2013-09-30 |
| KUESTER, LYLE | Individual | CORPORATE DIRECTOR | — | 2018-09-26 |
| SCHMIT, AARON | Individual | CORPORATE DIRECTOR | — | 2016-09-14 |
| SKOGEN, ALVINA | Individual | CORPORATE DIRECTOR | — | 2017-09-27 |
| SUNDET, MARGARET | Individual | CORPORATE DIRECTOR | — | 2017-09-27 |
| WILT, JOEL | Individual | CORPORATE DIRECTOR | — | 2015-09-30 |
| KJOS, KENNETH | Individual | CORPORATE OFFICER | — | 2015-09-30 |
| SCHMIT, AARON | Individual | CORPORATE OFFICER | — | 2018-09-26 |
| SUNDET, MARGARET | Individual | CORPORATE OFFICER | — | 2017-09-27 |
| PETERSON, TAMMRA | Individual | W-2 MANAGING EMPLOYEE | — | 2015-08-10 |
| SORENSON, CINDY | Individual | W-2 MANAGING EMPLOYEE | — | 2004-09-08 |
Other facilities in WILLISTON
| Name | Overall | Beds |
|---|
Source: CMS Provider Data Catalog, Nursing Home Care Compare files (processed 2026-03-01). Citations show the 3 most recent inspection cycles.