Skilled nursing facility · CMS certification number 555924

BETHEL LUTHERAN HOME

SELMA, California · Medicare and Medicaid

Certified beds, as filed in Care Compare: 59

A CSV file of this facility’s record: its name and location, its Medicare cost-report finances year by year, its ownership, its inspections, deficiencies and penalties, and the Care Compare provider information — each figure with the worksheet, line and column or file it came from.

In Care Compare’s provider information: Penalties: 0 · Fines: 0 · Fines, total amount: $0.00 · Payment denials: 0. Every penalty on file ↓

For this facility: the citable document with full history — $295 · an email when this record changes — $99/month

Finances, as filed

From this facility’s Medicare cost reports on form CMS-2540, each figure with the worksheet, line and column it was read from.

Cost report for January 1, 2024 to December 31, 2024 — a reporting period of 365 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2025.

Revenue and expenses, fiscal year 2024
Figure	As filed	Where it comes from
Total patient revenue	$7,310,914	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	$41,081	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$7,269,833	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$9,885,992	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$2,616,159	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$1,450,980	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	−$1,165,179	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: −$1,165,179 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2024
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Bed days available, all components	33,672	CMS-2540-10 worksheet S300001 line 800 column 200
Medicare (Title XVIII) patient days	1,120	CMS-2540-10 worksheet S300001 line 800 column 400
Medicaid (Title XIX) patient days	16,352	CMS-2540-10 worksheet S300001 line 800 column 500
Other-payer patient days	7,152	CMS-2540-10 worksheet S300001 line 800 column 600
Total patient days, all components	24,624	CMS-2540-10 worksheet S300001 line 800 column 700
Medicare discharges	15	CMS-2540-10 worksheet S300001 line 800 column 900
Medicaid discharges	30	CMS-2540-10 worksheet S300001 line 800 column 1000
Other-payer discharges	13	CMS-2540-10 worksheet S300001 line 800 column 1100
Total discharges, all components	58	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	74.67	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	545.07	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	424.55	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1438368, read from the public cost report file SNF10FY2024.zip.

Fiscal year 2023, ended December 31, 2023

Cost report for January 1, 2023 to December 31, 2023 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on August 29, 2024.

Revenue and expenses, fiscal year 2023
Figure	As filed	Where it comes from
Total patient revenue	$6,560,503	CMS-2540-10 worksheet G300000 line 100 column 100
Contractual allowances and discounts	−$404,919	CMS-2540-10 worksheet G300000 line 200 column 100
Net patient revenue	$6,965,422	CMS-2540-10 worksheet G300000 line 300 column 100
Total operating expenses	$8,611,341	CMS-2540-10 worksheet G300000 line 400 column 100
Net income from service to patients	−$1,645,919	CMS-2540-10 worksheet G300000 line 500 column 100
Total other income	$2,334,079	CMS-2540-10 worksheet G300000 line 2500 column 100
Net income after other income	$688,160	CMS-2540-10 worksheet G300000 line 2600 column 100

Net income: $688,160 (CMS-2540-10 worksheet G300000 line 3100 column 100). As filed, net income for the period equals net income from service to patients plus total other income, less total other expenses (Worksheet G-3 lines 26 less 27 through 30) on 204,018 of the 204,018 reports filed on Form CMS-2540-10 in publication years 2011-2025 that file every line it is computed from (100%).

Beds, days and discharges, fiscal year 2023
Figure	As filed	Where it comes from
Total facility beds, all components	92	CMS-2540-10 worksheet S300001 line 800 column 100
Total patient days, all components	23,833	CMS-2540-10 worksheet S300001 line 800 column 700
Total discharges, all components	62	CMS-2540-10 worksheet S300001 line 800 column 1200
Average length of stay, Medicare, in days	60	CMS-2540-10 worksheet S300001 line 800 column 1400
Average length of stay, Medicaid, in days	177.92	CMS-2540-10 worksheet S300001 line 800 column 1500
Average length of stay, all patients, in days	384.4	CMS-2540-10 worksheet S300001 line 800 column 1600

CMS report record 1393508, read from the public cost report file SNF10FY2023.zip.

Fiscal year 2022, ended December 31, 2022

Cost report for January 1, 2022 to December 31, 2022 — a reporting period of 364 days, on form CMS-2540-10, settled, processed by CMS on September 15, 2023.

None of these figures is carried on this report.

CMS report record 1364851, read from the public cost report file SNF10FY2022.zip.

Fiscal year 2021, ended December 31, 2021

Cost report for August 9, 2021 to December 31, 2021 — a reporting period of 144 days, not a full year, on form CMS-2540-10, settled, processed by CMS on September 23, 2022.

None of these figures is carried on this report.

CMS report record 1333934, read from the public cost report file SNF10FY2021.zip.

Nurse staffing

Nurse staffing hours from the Payroll-Based Journal, quarter by quarter, are on this facility’s staffing page, each quarter with the file it came from.

The staffing record →

Ownership, as filed with CMS

Care Compare

As filed in the CMS file dated September 1, 2026 (Care Compare ownership).

Owner or manager	Role	Type	Ownership percentage	Association
HERTZOG, BONNY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2016
JACOBSEN, LAUREL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2015
SAFRENO, DANIEL	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 07/19/2016
SCHAULAND, DONNA	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 10/01/2016
STECK, EDWARD	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 01/01/2017
WADEWITZ, BETTY	CORPORATE DIRECTOR	Individual	NOT APPLICABLE	since 06/20/2017
BENNER, PHILIP	CORPORATE OFFICER	Individual	NOT APPLICABLE	since 01/01/2015
PATTESON, SHIKHA	OPERATIONAL/MANAGERIAL CONTROL	Individual	NOT APPLICABLE	since 01/21/2021

Medicare enrollment

As filed in the CMS file dated August 1, 2026 (Medicare enrollment ownership), under the enrollment of BETHEL LUTHERAN HOME INC (enrollment ID O20190529000731).

CMS paused the expanded ownership disclosure on Form CMS-855A in guidance dated December 11, 2025; where the private equity, real estate investment trust or holding company field below has not been filed under the current cycle, it reads “Paused by CMS”.

Owner	Individual or organization	Role	Ownership percentage	Association date	Described in the filing as
BETTY WADEWITZ	Individual	CORPORATE DIRECTOR	0	6/20/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
BONNY HERTZOG	Individual	CORPORATE DIRECTOR	0	1/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DANIEL SAFRENO	Individual	CORPORATE DIRECTOR	0	7/19/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
DONNA SCHAULAND	Individual	CORPORATE DIRECTOR	0	10/1/2016	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
EDWARD STECK	Individual	CORPORATE DIRECTOR	0	1/1/2017	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
LAUREL JACOBSEN	Individual	CORPORATE DIRECTOR	0	1/1/2015	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
PHILIP BENNER	Individual	CORPORATE OFFICER	0	1/1/2015	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS
SHIKHA PATTESON	Individual	OPERATIONAL/MANAGERIAL CONTROL	Not stated in the filing	1/21/2021	Private equity company: Paused by CMS Real estate investment trust: Paused by CMS Holding company: Paused by CMS

Changes in ownership

No change in ownership appears in the CMS files on record since September 20, 2022.

Recent changes on this record

August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. SNF10FY2024.zip
August 29, 2024: A cost report was filed for fiscal year 2023, on form CMS-2540-10. SNF10FY2023.zip
September 15, 2023: A cost report was filed for fiscal year 2022, on form CMS-2540-10. SNF10FY2022.zip
September 23, 2022: A cost report was filed for fiscal year 2021, on form CMS-2540-10. SNF10FY2021.zip

Inspections

Inspection cycle	Health inspection	Fire safety inspection	Health deficiencies	Fire safety deficiencies
1	December 5, 2025	December 5, 2025	10	7
2	October 28, 2024	October 28, 2024	18	9
3	December 1, 2023	December 1, 2023	13	12

From the Care Compare inspection summary file NH_SurveySummary_Sep2026_2.csv, processed on September 1, 2026.

Deficiencies cited

41 deficiencies on file, newest inspection first

Inspection date	Inspection type	Tag	Category	What was cited	Scope and severity	Complaint	Corrected	Correction date
December 5, 2025	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0755	Pharmacy Service Deficiencies	Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.	E	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0803	Nutrition and Dietary Deficiencies	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	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	E	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	F	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	B	No	Deficient, Provider has date of correction	December 26, 2025
December 5, 2025	Health	F 0947	Nursing and Physician Services Deficiencies	Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention.	D	No	Deficient, Provider has date of correction	December 26, 2025
August 22, 2025	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	September 15, 2025
August 22, 2025	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	Yes	Deficient, Provider has date of correction	September 15, 2025
November 15, 2024	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	Yes	Deficient, Provider has date of correction	December 6, 2024
November 15, 2024	Health	F 0940	Administration Deficiencies	Develop, implement, and/or maintain an effective training program for all new and existing staff members.	D	Yes	Deficient, Provider has date of correction	December 6, 2024
November 15, 2024	Health	F 0942	Resident Rights Deficiencies	Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents.	D	Yes	Deficient, Provider has date of correction	December 6, 2024
October 28, 2024	Health	F 0583	Resident Rights Deficiencies	Keep residents' personal and medical records private and confidential.	E	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	E	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0697	Quality of Life and Care Deficiencies	Provide safe, appropriate pain management for a resident who requires such services.	D	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0803	Nutrition and Dietary Deficiencies	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	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0804	Nutrition and Dietary Deficiencies	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.	E	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0806	Nutrition and Dietary Deficiencies	Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.	D	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0812	Nutrition and Dietary Deficiencies	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.	F	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	D	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0908	Environmental Deficiencies	Keep all essential equipment working safely.	E	No	Deficient, Provider has date of correction	November 22, 2024
October 28, 2024	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	C	No	Waiver has been granted	November 22, 2024
December 1, 2023	Health	F 0550	Resident Rights Deficiencies	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.	D	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0567	Resident Rights Deficiencies	Honor the resident's right to manage his or her financial affairs.	D	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0585	Resident Rights Deficiencies	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	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0641	Resident Assessment and Care Planning Deficiencies	Ensure each resident receives an accurate assessment.	D	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0656	Resident Assessment and Care Planning Deficiencies	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.	D	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0658	Resident Assessment and Care Planning Deficiencies	Ensure services provided by the nursing facility meet professional standards of quality.	D	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0758	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0759	Pharmacy Service Deficiencies	Ensure medication error rates are not 5 percent or greater.	E	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0761	Pharmacy Service Deficiencies	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	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0814	Nutrition and Dietary Deficiencies	Dispose of garbage and refuse properly.	D	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0842	Resident Assessment and Care Planning Deficiencies	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.	E	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0880	Infection Control Deficiencies	Provide and implement an infection prevention and control program.	D	No	Deficient, Provider has date of correction	January 21, 2024
December 1, 2023	Health	F 0912	Environmental Deficiencies	Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms.	C	No	Waiver has been granted	January 21, 2024

From the Care Compare health citations file NH_HealthCitations_Sep2026_2.csv, processed on September 1, 2026.

Penalties

No penalty on file for this facility in CMS’s Care Compare penalties data.

Care Compare provider information

Field	As filed
Provider Type	Medicare and Medicaid
Ownership Type	Non profit - Corporation
Legal Business Name	BETHEL LUTHERAN HOME INC
Date First Approved to Provide Medicare and Medicaid Services	2021-08-09
Provider Resides in Hospital	N
Continuing Care Retirement Community	N
Urban	Y
County/Parish	Fresno
Telephone Number	5598964900
Provider Changed Ownership in Last 12 Months	N
With a Resident and Family Council	Resident
Automatic Sprinkler Systems in All Required Areas	Yes
Number of Certified Beds	59
Average Number of Residents per Day	56.8
Overall Rating	3
Health Inspection Rating	3
QM Rating	2
Long-Stay QM Rating	4
Short-Stay QM Rating	1
Processing Date	2026-09-01

From the Care Compare Provider Information file NH_ProviderInfo_Sep2026_3.csv, processed on September 1, 2026.

Get an email when this record changes

One email a day naming what moved on BETHEL LUTHERAN HOME: the field, the value before, the value after, and the date of the file that first showed it.

The facility alert follows this one record: a cost report filed or a figure on one changed, an inspection, a deficiency or a penalty recorded, an owner added or removed. The certification number arrives filled in.

On August 29, 2025: A cost report was filed for fiscal year 2024, on form CMS-2540-10. That is one line of the alert.

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The citable document for BETHEL LUTHERAN HOME

This page shows the record as it stands today. The report is the citable document: the same figures with the cell each came from, and beyond this page — five facilities of a similar size in California at the same fiscal year, listed by name; every change on the record rather than the recent ones below; the inspection and staffing history in blocks of their own; and a citation block naming every CMS file it was read from.

The citable document with full history — $295

Other public records in California

Every figure on this page is printed as it appears in the CMS file named beside it. A figure that does not match its file? Tell us on the corrections page, quoting certification number 555924.