Bethany Home Society San Joaquin County
A nursing home in Ripon, California 95366
930 West Main Street, Ripon, California 95366. (209) 599-4221.
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The short answer
Record last released by CMS on Oct 28, 2026.
- 5of 5 CMS’s overall rating
- 14 health citations at the latest inspection cycle California average: 15.7
- 3.98 nurse hours per resident per day California average: 4.54
- 0 fines in the last three years
Each figure’s source sits beside it, in its section below.
What these words mean7
- Star ratings
- CMS rates some kinds of place from 1 to 5 stars, more stars meaning better on CMS’s own measures for that kind: for a nursing home, its health inspections, staffing and quality measures. A rating is CMS’s summary of those measures; it doesn’t promise good care. Source: CMS, Care Compare and the Five-Star Quality Rating System.
- Inspection (survey)
- A visit by state inspectors, often unannounced, who check a place against the rules it must meet. For nursing homes and other places Medicare pays, CMS calls these visits surveys: a standard survey of a nursing home comes at least every 15 months, and a complaint survey whenever a complaint calls for one. Source: CMS; 42 CFR 488.308.
- Deficiency, citation, violation
- What inspectors write up when a place didn’t meet a rule: the rule, what they saw, and when. CMS calls it a deficiency; states may say citation or violation. It is the inspectors’ finding, not a court’s, and the place is usually asked for a plan to correct it. Source: CMS, statement of deficiencies (Form CMS-2567); each state’s licensing agency.
- Scope and severity (A to L)
- CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7).
- Nurse staffing hours
- The hours registered nurses, licensed practical nurses and nurse aides worked, per resident per day, from the payroll records each home sends CMS. Source: CMS, Payroll-Based Journal.
- Fines and payment denials
- A fine (civil money penalty) is money CMS makes a nursing home pay when it falls short of federal rules. A payment denial means Medicare and Medicaid stop paying for new admissions until the home meets the rules again. Source: CMS; 42 CFR 488.430 and 488.417.
- Capacity
- The most people the licence or certification lets the place care for at once: residents, children, beds or apartments, as the state counts them. It isn’t how many are there now. Source: Each state’s licensing agency.
What did inspectors find?
14 health citations at the latest inspection cycle
The California average is 15.7.
Last standard inspection Jul 17, 2026.
Most serious in three years: D: no actual harm, potential for more than minimal harm.
CMS, Provider Information, State and US Averages and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
When those citations happened
22 citations in 5 months of the last 36. Last cited Jul 2026. Most serious: no actual harm, potential for more than minimal harm (D). The last 3 years, to Nov 5, 2026.
| Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2023 | Dec | |||||||||||
| 2024 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2025 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov | Dec |
| 2026 | Jan | Feb | Mar | Apr | May | Jun | Jul | Aug | Sep | Oct | Nov |
Hover or focus a month to read it.
Hearth Record drew this from the dates and levels in the source’s own records.
All 22 citations in the last three years
Grouped by inspection, newest first. Each carries CMS grades each nursing home deficiency with a letter. A to C: no actual harm, with potential for minimal harm. D to F: no actual harm, but potential for more. G to I: actual harm. J to L: immediate jeopardy. Within each band, the letter rises as more residents were affected or could be: one or a few, a pattern, or widespread. Source: CMS, nursing home scope and severity grid (State Operations Manual, chapter 7)., from A, the least serious, to L, the most. 11 came from complaint inspections.
CMS, Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Jul 17, 2026: standard inspection8 citations
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Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident’s ability to function.
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Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
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PASARR screening for Mental disorders or Intellectual Disabilities
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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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.
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Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
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Provide and implement an infection prevention and control program.
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Implement a program that monitors antibiotic use.
Jul 17, 2026: standard and complaint inspection3 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Provide care or services that was trauma informed and/or culturally competent.
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Ensure that residents are free from significant medication errors.
Apr 15, 2026: complaint inspection3 citations
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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Ensure each resident’s drug regimen must be free from unnecessary drugs.
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Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Sep 8, 2025: complaint inspection2 citations
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Ensure services provided by the nursing facility meet professional standards of quality.
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Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Jul 18, 2025: complaint inspection2 citations
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
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Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Mar 21, 2025: standard inspection3 citations
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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.
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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.
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Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law.
Mar 21, 2025: standard and complaint inspection1 citation
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Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Is it certified, and in good standing?
- Certified for Medicare and Medicaid since Feb 25, 1967.
- Not on CMS’s special focus list.
- No abuse icon from CMS.
- No change of ownership in the last 12 months.
- CMS lists its ownership as non profit, corporation.
- 92 certified beds.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
Has it been fined or penalized?
- No fines in the last three years.
- No Medicare payment denials in the last three years.
- 11 citations in the last three years came from complaint inspections.
CMS, Penalties and Health Deficiencies. Released Oct 28, 2026. Updated monthly.
Who does the caring?
3.98 nurse hours per resident per day
The California average is 4.54.
CMS publishes staffing about four months after the fact.
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | This home | California average |
|---|---|---|
| Nurse hours per resident per day | 3.98 | 4.54 |
| Of which registered nurses | 0.39 | 0.68 |
| At weekends | 3.56 | 4.10 |
| Nursing staff turnover | 39% | 36.6% |
| Registered nurse turnover | 37.5% | 37.8% |
| Administrators who left | 2 | Not given |
Who owns it?
- 21 owners or officers are people: Jeff Miller (on the governing body (managing control)); Jeff Miller (trustee); Jeffrey James Veilleux (on the governing body (managing control)); Carol Slager (on the governing body (managing control)); William John Mulder (on the governing body (managing control)); Steve Marcus (runs it (operational or managerial control)); Steve Marcus (additional disclosable party (controls, leases property to, or provides services to the home)); Elisabeth Fien (on the governing body (managing control)); Judith Grace Vander Plaats (on the governing body (managing control)); Daryl R Dutter (runs it (operational or managerial control)); Daryl R Dutter (additional disclosable party (controls, leases property to, or provides services to the home)); Raeann Alger (on the governing body (managing control)); John Marvin Van Till (on the governing body (managing control)); Jeffrey Ross Van Groningen (on the governing body (managing control)); Cindy Scheublein (runs it (operational or managerial control)); Cindy Scheublein (additional disclosable party (controls, leases property to, or provides services to the home)); Claire Osborn (on the governing body (managing control)); Tom Vermeulen (on the governing body (managing control)); Ronald Van Essen (on the governing body (managing control)); Vijay Sharma (runs it (operational or managerial control)); Vijay Sharma (additional disclosable party (controls, leases property to, or provides services to the home)).
- No private-equity firm among the owners CMS lists.
- No real-estate investment trust among the owners CMS lists.
CMS, All Owners. Checked Nov 5, 2026. Updated monthly.
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
How do residents fare?
- CMS rates its quality measures 5 of 5 (California average 4.2).
CMS, Provider Information and State and US Averages. Released Oct 28, 2026. Updated monthly.
| Measure | Rating |
|---|---|
| Overall rating | 5 of 5 |
| Health inspections | 4 of 5 |
| Staffing | 3 of 5 |
| Quality measures | 5 of 5 |
How does it compare nearby?
- Among the 12 nearest homes, within 9.9 miles, this one had the 8th most health citations at the latest inspection cycle (14; the middle value was 15.5).
CMS, Provider Information. Released Oct 28, 2026. Updated monthly.
| Place | Miles away | Citations, latest cycle |
|---|---|---|
| Bethany Home Society San Joaquin County This nursing home | 14 | |
| Vintage Faire Nursing & Rehabilitation Center | 5.5 | 26 |
| Harvest Crossing Post Acute | 6.1 | 18 |
| English Oaks Convalescent & Rehabilitation Hospita | 6.3 | 15 |
| Guardian Care and Rehabilitation Center | 7.3 | 26 |
| Almond Vista Healthcare | 7.4 | 19 |
| Garden City Healthcare Center | 8.2 | 16 |
| Modesto Post Acute Center | 9.3 | 11 |
| Valley Skilled Nursing Center | 9.3 | 10 |
| Golden Modesto Care Center | 9.5 | 11 |
| Riverbank Post-Acute | 9.8 | 16 |
| Crestwood Manor | 9.9 | 3 |
What the record doesn’t say
- Complaints that didn’t lead to a citation aren’t published.
- Inspections reach CMS’s data about six weeks after they happen, and staffing about four months after.
- CMS publishes the inspectors’ full written findings in a separate monthly file, which isn’t loaded yet.
- Fines and Medicare payment denials are the only enforcement CMS publishes; state licence actions aren’t included.
Sources
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Centers for Medicare & Medicaid Services, Provider Information (4pq5-n9py).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Health Deficiencies (r5ix-sfxw).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, Penalties (g6vv-u9sr).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, All Owners (afe44b85-cc6d-40d7-b5df-00ae8910d1d2).
Checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
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Centers for Medicare & Medicaid Services, State and US Averages (xcdc-v8bm).
Released Oct 28, 2026 and checked Nov 5, 2026. Updated monthly. Public domain (U.S. Government work).
If you believe something here is wrong, a correction starts with the agency whose record this copies: CMS. CMS’s own record is on Care Compare. If Hearth Record copied something wrongly, it will fix it and log the correction publicly, with its date: how corrections work.
This copy of the record was made on Nov 5, 2026.
From the home
The public record above comes first. Anything the home adds will appear here, below it, and say who wrote it.
Replies
None. Replies aren’t open yet. When they open, the home will be able to answer any finding for free, and the reply will show beside that finding, unedited and dated.
Paid listing
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