Total health inspections
5
California average 12.5
Last Health inspection on Aug 2025
Mix of rehab and long-term care
This home supports both short-term rehab and long-term care, with residents staying for a wide range of durations.
Bethel Senior Living
Nursing Home in California
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Bethel Senior Living
Nursing Home in California
CMS overall rating
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Bethel Senior Living accepts Medicare, Medicaid, and private pay.
Bethel Senior Living is a senior living community that offers a full continuum of care including independent living, assisted living, skilled nursing, rehabilitation, and adult day health services. It aims to provide a quality of life for seniors and their families. The organization has been serving the community for over 100 years.
Quality ratings
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Staffing hours breakdown
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
Total nursing care / resident
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 36m per day
vs California avg
+5%
| Staff type | Hours / day | vs state avg |
|---|---|---|
|
Total Nursing (Weekend)
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 46m per day |
Capacity and availability
This home usually has availability
Occupancy lower than 85% suggests more openings may be available.
Occupancy rate
71%
Avg. Length of Stay
385 days
Occupancy rate
71%
Avg. Length of Stay
385 days
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Breakdown by payment type
Medicare
38% of new residents, usually for short-term rehab.
Typical stay
1 - 2 months
Private pay
38% of new residents, often for short stays.
Typical stay
2 - 3 years
Medicaid
25% of new residents, often for long-term daily care.
Typical stay
10 - 11 months
Finances and operations
Privately-owned community
Operated by a business corporation.
Home revenue
$8.9M
Profit
$688.2K
Privately-owned community
Operated by a business corporation.
Home revenue
$8.9M
Profit
$688.2K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$4.2M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$4.0M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$8.2M
33-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
Facility TypeResidential Care Elderly
StatusPending
CountyFresno
CMS Certification Number555924
Owner NameBETHEL ASST LIVING LLC;BAYSHIRE CENTRAL VALLEY LLC
Rehabilitation Services
24-Hour Staffing
Adult Day Health Services
Home Care
Specific ProgramsBethel Community Management
Inspection History
In California, the Department of Social Services (for assisted living facilities) and the Department of Public Health (for nursing homes) conduct inspections to ensure resident safety and regulatory compliance.
Inspection Scorecard
This scorecard compares key inspection, citation, and complaint metrics at this facility against the California state average. Metrics worse than average are highlighted in red; those better than average are highlighted in green.
Overall vs. California average
0 Worse
No metrics in this bucket.
4 Better
Metrics better than California average:
• Total citations (100% below)
• Total visits (100% below)
• Complaint visits (100% below)
• Other visits (100% below)
• Total citations (100% below)
• Total visits (100% below)
• Complaint visits (100% below)
• Other visits (100% below)
Citations
Citations are formal regulatory violations recorded during state inspections. California uses Type A (serious) and Type B (moderate) severity levels.
| Metric | This Facility | California Average | vs. California Avg |
|---|---|---|---|
|
Total citations
Formal regulatory violations recorded by California Community Care Licensing Division (CCLD) inspectors across all inspection types.
| 0 | 10 | This facility has 100% fewer total citations than a typical California facility (0 vs. California avg 10).↓ 100% better |
Inspections & Visits
Regulatory visits include scheduled inspections, complaint investigations, and other on-site visits by state regulators.
| Metric | This Facility | California Average | vs. California Avg |
|---|---|---|---|
|
Total visits
Combined count of complaint visits, other regulatory visits, and official scheduled inspections.
| 0 | 16 | This facility has 100% fewer total visits than a typical California facility (0 vs. California avg 16).↓ 100% better |
|
Complaint visits
On-site visits triggered by formal complaints filed by residents, families, or staff. Fewer complaint visits generally indicate fewer reported concerns.
| 0 | 13 | This facility has 100% fewer complaint visits than a typical California facility (0 vs. California avg 13).↓ 100% better |
|
Other visits
Regulatory visits that are neither routine inspections nor complaint investigations — administrative check-ins, follow-up reviews, licensing-related visits.
| 0 | 7 | This facility has 100% fewer other visits than a typical California facility (0 vs. California avg 7).↓ 100% better |
Health Inspection History
Inspections
Total health citations
45
California average 50.2
Citations per inspection
9
California average 4.65
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
40 of 45 citations resulted from standard inspections; and 5 of 45 resulted from complaint investigations.
Breakdown of citation severity (last 3 years)
Critical Health citations
0
100% better than California averageCalifornia average: 0.4
Serious Health citations
0
0
100% better than California averageCalifornia average: 1
0 critical citations
0 serious citations
42 moderate citations
3 minor citations
Citations history (last 3 years)
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 22, 2025
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Aug 22, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 22, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Aug 22, 2025
Corrected
Administration moderate citation
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Nov 15, 2024
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
Nov 15, 2024
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 15, 2024
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
Nov 15, 2024
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
Financial Assistance for
Nursing Home in California
Bethel Senior Living is located in SELMA, California.
Here are the financial assistance programs available to residents in California.
Places of interest near Bethel Senior Living
0.0 miles from city center
Estimated distance in miles from SELMA's city center to Bethel Senior Living's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
85
Employees
68
Contractors
17
Staff to resident ratio
1.52:1
1517757% better than California averageCalifornia average ratio: 0.00:1
Avg staff/day
37
Average shift
7.3 hours
5% worse than California averageCalifornia average: 7.7 hours
Total staff hours (quarter)
24,495
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
11
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
40
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.6 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
6.6%
1,623 contractor hours this quarter
Speech Language Pathologist: 6
Physical Therapy Assistant: 3
Physical Therapy Aide: 3
Qualified Social Worker: 2
Administrator: 1
Respiratory Therapy Technician: 1
Medical Director: 1
Staff by category
| Certified Nursing Assistant | 40 | 0 | 40 | 13,625 | 91 | 100% | 7.6 |
| Licensed Practical Nurse | 11 | 0 | 11 | 3,896 | 91 | 100% | 7.6 |
| Other Dietary Services Staff | 3 | 0 | 3 | 1,007 | 78 | 86% | 7.7 |
| Registered Nurse | 3 | 0 | 3 | 920 | 83 | 91% | 7.6 |
| RN Director of Nursing | 3 | 0 | 3 | 838 | 71 | 78% | 7.5 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 816 | 65 | 71% | 7.9 |
| Speech Language Pathologist | 0 | 6 | 6 | 659 | 70 | 77% | 3.9 |
| Mental Health Service Worker | 2 | 0 | 2 | 520 | 62 | 68% | 7.8 |
| Administrator | 1 | 1 | 2 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 2 | 0 | 2 | 520 | 65 | 71% | 8 |
| Dietitian | 1 | 0 | 1 | 506 | 64 | 70% | 7.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 419 | 49 | 54% | 3.7 |
| Physical Therapy Aide | 0 | 3 | 3 | 222 | 26 | 29% | 3.9 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 17 | 4 | 4% | 4.1 |
| Qualified Social Worker | 0 | 2 | 2 | 10 | 5 | 5% | 1.9 |
| Medical Director | 0 | 1 | 1 | 2 | 2 | 2% | 1 |
40 Certified Nursing Assistant
% of Days
100%
11 Licensed Practical Nurse
% of Days
100%
3 Other Dietary Services Staff
% of Days
86%
3 Registered Nurse
% of Days
91%
3 RN Director of Nursing
% of Days
78%
2 Clinical Nurse Specialist
% of Days
71%
6 Speech Language Pathologist
% of Days
77%
2 Mental Health Service Worker
% of Days
68%
2 Administrator
% of Days
71%
2 Nurse Practitioner
% of Days
71%
1 Dietitian
% of Days
70%
3 Physical Therapy Assistant
% of Days
54%
3 Physical Therapy Aide
% of Days
29%
1 Respiratory Therapy Technician
% of Days
4%
2 Qualified Social Worker
% of Days
5%
1 Medical Director
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
56
Medicare
2
3.6% of residents
Medicaid
47
83.9% of residents
Private pay or other
7
12.5% of residents
Programs & Services
Residents Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Quality of care over time
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
High-risk clinical events score
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
10.3
56% worse than California averageCalifornia average: 6.6
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
22.4
98% worse than California averageCalifornia average: 11.3
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
16.8%
Percent of long-stay residents whose need for help with daily activities has increased
16.8%
52% worse than California averageCalifornia average: 11.1%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
25.2%
Percent of long-stay residents whose ability to move independently worsened
25.2%
110% worse than California averageCalifornia average: 12.0%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
25.1%
123% worse than California averageCalifornia average: 11.3%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
Percent of long-stay residents experiencing one or more falls with major injury
5.3%
219% worse than California averageCalifornia average: 1.7%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
0.9%
Percent of long-stay high risk residents with pressure ulcers
0.9%
81% better than California averageCalifornia average: 5.0%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.0%
Percent of long-stay residents with a urinary tract infection
2.0%
60% worse than California averageCalifornia average: 1.2%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
3.5%
Percent of long-stay residents who lose too much weight
3.5%
18% better than California averageCalifornia average: 4.2%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than California averageCalifornia average: 6.7%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
8.6%
Percent of long-stay residents who received an antipsychotic medication
8.6%
15% better than California averageCalifornia average: 10.1%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
In line with California averageCalifornia average: 98.5%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with California averageCalifornia average: 98.2%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.4%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
89.4%
5% worse than California averageCalifornia average: 94.0%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than California averageCalifornia average: 1.5%
Influenza Vaccine
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
Percent of short-stay residents assessed and appropriately given the seasonal influenza vaccine
96.3%
In line with California averageCalifornia average: 93.2%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Penalties and fines
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
Compare Nursing Home around California The information below is reported by the California Department of Social Services and Department of Public Health.
Filter by care type
| Bethel Senior Living |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Selma | 33 | 71.0% | -16% | 4.61 | -59% | +9% | 0 | 45 | 9.0 | 0 | 54 | - | Bethel Lutheran Home | $8.9M | $4.2M | 47.7% | 555924 | ||||
| A & J Assisted Living | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 53 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
| A1 Del Monte Stockton | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 158 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
| Aaa Kindness Care II | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 32 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
| Abbey Road Villa | - |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | - | 78 | - | - | - | - | - | - | - | - | 0 | 0 | 0.0 | 0 | - | - | - | - | - | - | - |
Financial Trends
Historical financial and operational data for Bethel Senior Living based on CMS SNF Cost Reports.
Occupancy Rate
71.0%
Net Income
$688.2K
Total Payroll
$5.1M
Profit Margin
10.5%
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