Nursing HomeInspections

Bethel Home

Nursing home in Oshkosh, WI

Medicare & Medicaid certified5★ overall (CMS)

Call (920) 235-4653Send a messageMap ↗

Public-record details

Address
225 N Eagle St, Oshkosh, WI 54902
Phone
(920) 235-4653
Listed under
Nonprofit, 4–5 star overall rating, No fines in 3 years
Medicare CCN
525554
Overall star rating
5 of 5 ★★★★★
Health inspection rating
4 of 5
Staffing rating
5 of 5
Quality measures rating
2 of 5
Certified beds
100
Average residents per day
62
Ownership
Nonprofit, corporation
Legal business name
Bethel Home, INC.
Certified for
Medicare and Medicaid
First approved by Medicare/Medicaid
Dec 1, 1994
Changed ownership in last 12 months
No
Continuing care retirement community
No
Located inside a hospital
No
Resident or family council
Resident council
Sprinklers in all required areas
Yes

CMS certification number 525554. Source: CMS Nursing Home Provider Information, Health Deficiencies and Penalties (record). Data as of 2026-09-30.

Inspection record

Most recent standard health inspection: Sep 10, 2025. CMS lists 11 health citations for this facility across its last three standard inspection cycles and complaint inspections (Jun 7, 2023 to Sep 10, 2025): 3 from complaint inspections, 1 at the “actual harm” level or higher, including 1 at “immediate jeopardy”.

InspectionCitationSeverity
Sep 10, 2025Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated
Sep 10, 2025Develop and implement policies and procedures for flu and pneumonia vaccinations.
Infection Control
D
Potential for more than minimal harm, isolated
Sep 10, 2025Provide and implement an infection prevention and control program.
Infection Control
E
Potential for more than minimal harm, pattern
Aug 13, 2025Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care · complaint inspection
J
Immediate jeopardy, isolated
Oct 23, 2024Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning · complaint inspection
D
Potential for more than minimal harm, isolated
Oct 23, 2024Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results.
Administration · complaint inspection
D
Potential for more than minimal harm, isolated
Aug 7, 2024Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Resident Rights
D
Potential for more than minimal harm, isolated
Aug 7, 2024Notify 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.
Resident Rights
D
Potential for more than minimal harm, isolated
Jun 7, 2023Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Resident Assessment and Care Planning
B
Potential for minimal harm, pattern
Jun 7, 2023Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care
D
Potential for more than minimal harm, isolated
Jun 7, 2023Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Pharmacy Service
D
Potential for more than minimal harm, isolated

Severity letters follow CMS's scope-and-severity grid: A–C potential for minimal harm, D–F potential for more than minimal harm, G–I actual harm, J–L immediate jeopardy. Most citations are corrected; a citation is what inspectors found on that date. Source: CMS Health Deficiencies file, processed Aug 1, 2026.

Fines and payment denials

CMS records no fines or payment denials for this facility in the last three years.

Source: CMS Penalties file, processed Aug 1, 2026. Amounts are as CMS reports them and may reflect later reductions or appeals.

Staffing

Total nurse staffing per resident per day
4.12 hours
Registered nurse (RN) time per resident per day
1.21 hours
Nurse aide time per resident per day
2.41 hours
Total nurse staffing on weekends
3.69 hours
Nursing staff turnover (yearly)
44%
RN turnover (yearly)
8%
Administrators who left in the past year
0

From payroll-based staffing data the facility submits to CMS. Hours are per resident per day.

A citation is what inspectors found on one date; most are corrected within weeks. Look for patterns — the same problem cited in several inspections — and for anything at the G–L level (actual harm or immediate jeopardy). The full inspection narrative (Form CMS-2567) is linked from Medicare Care Compare, and your state long-term care ombudsman can tell you about complaints.

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