Federal nursing home survey record · CMS-certified nursing home· Not a state assisted-living licensing record

Bethel Home

Oshkosh, WI · 100 certified beds · Last Life Safety survey September 10, 2025

CMS Certification Number 525554 · first certified December 1994

Ownership

Independently operated (no chain recorded by CMS) · Non profit - Corporation

No change of ownership on CMS record since January 1, 2016, when the records begin.

31
Citations on file
Rolling three-year window
3
Life Safety surveys
In the same window
3
Tags cited more than once
Across separate surveys
12
Inspection & testing records
Of the citations on file

Position within WI

31 citations — more than 87% of the 323 certified nursing homes in WI. Compared within WI rather than nationally because which state a facility is in explains about 30% of the variation in citation counts between facilities, while bed count explains under 1%. State survey agencies differ far more than the buildings do. How this is calculated

Holding steadyabout the same at the latest survey as at its earlier surveys in the window.

The latest survey found 10 citations; the earlier surveys in the window averaged 10.5. With 3 surveys on file this is a direction of travel, not a conclusion.

When is the next survey likely?

The window opens October 2026 — about 1 month from now. This facility’s last Life Safety survey was September 2025. Facilities in WI are typically surveyed 13–15 months after the last one (median 14), measured over 516 consecutive surveys in the last two years of CMS records.

A range the record supports, not a prediction of a date. State agencies vary widely — from about 11 months in Pennsylvania to three years in Maryland. How the window is measured

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Which alerts

2 inspection-and-testing tags have been cited here at more than one survey. Nationally, that pattern is common: about three quarters of cited facilities have at least one repeated tag, and half of the facilities ever cited for sprinkler inspection and testing are cited for it again. A repeat is usually a recordkeeping gap rather than a new hazard.

Emergency preparedness

6 of the 31 citations on file are Emergency Preparedness E-tags. E-tags are cited under 42 CFR §483.73 and concern the emergency plan, training, drills, communications and supplies. Nationally about half of certified facilities have at least one. The Emergency Preparedness Index

Physical environment (health survey)

3 physical-environment citations on the health survey. Cited by the health surveyors under Appendix PP, not the Life Safety Code surveyor: equipment in safe operating condition, the call system, bed rails, pest control, hazards, the environment. Counted separately from the 31 Life Safety citations above. The Physical Environment Index

  • F-0880 Provide and implement an infection prevention and control program.
  • F-0689 Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

How that compares

Citations on file over three years

Compared with the median facility in WI, and nationally. Surveyors differ markedly between states, so the WI figure is the meaningful one.

This facility31WI median17National median11
Citations on file over three years, compared
MeasureCitations
This facility31
Median facility in WI17
Median facility nationally11

Survey history

Citations at each Life Safety survey
42023-06172024-08102025-09
Citations at each Life Safety survey
Survey dateCitations
June 7, 20234
August 7, 202417
September 10, 202510

Most-cited tags

Most-cited tags at this facility
K-03213K-03533K-05212E-00181K-03451K-07121E-00241K-02221
Most-cited tags at this facility
TagWhat the surveyor checksTimes citedLast cited
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.32025-09-10
K-0353Inspect, test, and maintain automatic sprinkler systems.32025-09-10
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.22024-08-07
E-0018Establish procedures for tracking staff and patients during an emergency.12024-08-07
K-0345Have approved installation, maintenance and testing program for fire alarm systems.12025-09-10
K-0712Have simulated fire drills held at unexpected times.12025-09-10
E-0024Establish policies and procedures for volunteers.12025-09-10
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.12024-08-07

What the citations cover

Citations by CMS category
  • Smoke Deficiencies 12
  • Emergency Preparedness Deficiencies 6
  • Gas, Vacuum, and Electrical Systems Deficiencies 5
  • Egress Deficiencies 3
  • Other 5
Citations by CMS category
CategoryCitations
Smoke Deficiencies12
Emergency Preparedness Deficiencies6
Gas, Vacuum, and Electrical Systems Deficiencies5
Egress Deficiencies3
Miscellaneous Deficiencies3
Services Deficiencies2

Every citation on file

As published by CMS, newest survey first. Descriptions are CMS’s own wording.

September 10, 2025 — 10 citations

Citations issued on September 10, 2025
TagWhat the surveyor checksStatus
E-0020Establish policies and procedures including evacuation.Deficient, Provider has date of correction (October 15, 2025)
E-0024Establish policies and procedures for volunteers.Deficient, Provider has date of correction (October 3, 2025)
E-0036Establish emergency prep training and testing.Deficient, Provider has date of correction (November 10, 2025)
E-0041Implement emergency and standby power systems.Deficient, Provider has date of correction (September 29, 2025)
K-0211Keep aisles, corridors, and exits free of obstruction in case of emergency.Deficient, Provider has date of correction (October 15, 2025)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 22, 2025)
K-0345Have approved installation, maintenance and testing program for fire alarm systems.Deficient, Provider has date of correction (September 26, 2025)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (October 15, 2025)
K-0712Have simulated fire drills held at unexpected times.Deficient, Provider has date of correction (October 30, 2025)
K-0923Have proper medical gas storage and administration areas.Deficient, Provider has date of correction (October 15, 2025)

August 7, 2024 — 17 citations

Citations issued on August 7, 2024
TagWhat the surveyor checksStatus
E-0018Establish procedures for tracking staff and patients during an emergency.Deficient, Provider has date of correction (September 24, 2024)
E-0039Conduct testing and exercise requirements.Deficient, Provider has date of correction (September 24, 2024)
K-0222Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.Deficient, Provider has date of correction (September 24, 2024)
K-0223Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector.Deficient, Provider has date of correction (September 24, 2024)
K-0311Have an enclosure around a vertical opening shaft.Deficient, Provider has date of correction (September 24, 2024)
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (September 24, 2024)
K-0324Provide properly protected cooking facilities.Deficient, Provider has date of correction (September 3, 2024)
K-0331Construct fire resistant interior walls.Waiver has been granted (November 1, 2024)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (September 24, 2024)
K-0355Properly select, install, inspect, or maintain portable fire extinguishes.Deficient, Provider has date of correction (September 24, 2024)
K-0363Install corridor and hallway doors that block smoke.Deficient, Provider has date of correction (September 24, 2024)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (September 24, 2024)
K-0751Have restrictions on the use of flammable curtains.Deficient, Provider has date of correction (September 24, 2024)
K-0753Have restrictions on the use of highly flammable decorations.Deficient, Provider has date of correction (September 24, 2024)
K-0912Have power receptacles that are properly grounded.Deficient, Provider has date of correction (September 24, 2024)
K-0918Have generator or other power source capable of supplying service within 10 seconds.Waiver has been granted (November 8, 2024)
K-0925Ensure that sources of ignition are removed from patients receiving respiratory therapy.Deficient, Provider has date of correction (September 24, 2024)

June 7, 2023 — 4 citations

Citations issued on June 7, 2023
TagWhat the surveyor checksStatus
K-0321Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.Deficient, Provider has date of correction (June 19, 2023)
K-0353Inspect, test, and maintain automatic sprinkler systems.Deficient, Provider has date of correction (June 19, 2023)
K-0521Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.Deficient, Provider has date of correction (June 13, 2023)
K-0911Meet requirements for the installation and maintenance of electrical systems.Deficient, Provider has date of correction (June 14, 2023)

Reflects the CMS posting of August 1, 2026. Surveys conducted in the last few months may not appear yet.