March 8, 2017

Meet the Leadership Team

We have a compassionate and talented management staff to assist your loved one achieve their highest possible quality of life.

Britney Senger, Administrator

Hi! I joined Bethesda in May of 2021, and took over as Administrator in September of 2021. I have loved working here and getting to know the residents and families. I have been in long term care since 2016, primarily as a Certified Nursing Assistant. I graduated from the University of South Dakota in December of 2021. I enjoy going to the lake with my family during the summer and ice skating in the winter.

Contact Britney at 605-763-4652 or

Mary Jo Johnson, Director of Nursing 

Hello!! My name is Mary Jo Johnson. I joined the Bethesda team in May of 2023 as Director of Nursing. I have over 25 years of experience in long term care. I grew up around healthcare and knew that helping others was something I wanted to do. I started out as C.N.A. and fell in love with caring for the elderly.

I am originally from Maine, but currently live in Freeman SD. I graduated from the University of South Dakota.  I have 4 children ages 23, 22, 13 and 11. We have 2 cats and 1 dog.  I enjoy spending time with my family, traveling, fishing, and just being outdoors.

Contact Mary Jo at 605-763-4664 or

Tiffany Nankivel , Business Office Coordinator

Contact Tiffany at 605-763-4651or

Hi! My name is Tiffany Nankivel I am the Business Office Coordinator here at Bethesda. I started here in June 2022 in Social Services, and then in September 2022 I accepted the position of Business Office Coordinator. I have a background in accounting and have worked previously in Sioux Falls as Accounting Manager. And I am very thankful that I am able to do what I enjoy while being closer to family and home.

I am married with 2 Huskies, that we like to go hiking, camping, and boating with. I also enjoy spending as much time as possible with my family.

Aegis therapies, Physical Therapy, Occupational Therapy and Speech Therapy

If you would like therapy service please call the following number: 605-763-4654 leave a message will call you back.

Leanna Hedeen, RN, MDS Coordinator

A little about me-I joined the Bethesda team in February of 2017 as an MDS coordinator. I worked in the dietary department here for a short time when I was in High School which started my interest in healthcare and love of the field. I have been working as a RN since 2010. I grew up in Beresford and after a short time away moved back with my family. My husband Keith and our 3 children-Easton, Mckenzie and Mathew live on an acreage outside of Beresford. We have 1 dog and 3 chickens.

Contact Leanna at

Thomas Hartwick, Maintenance Director

I am a retired Army Veteran of twenty six years, a husband of thirty four years to my wife Karen, a father of five children, and also ten grandchildren.

I am now is head of Maintenance for Bethesda of Beresford, I believe in working hard, and doing the job right the first time, because my work is a reflection of me. There is nothing better than looking back on a finished project, in which you are proud to display. My goal is to keep the facility running smoothly, and looking well maintained.

During my off time I enjoy traveling, working around home, helping other with projects, spending time with my family.

Contact Thomas at 605-763-4665 or

Dietary Manager

Contact Bethesda at 605-763-4652

Beth Kainrath, Social Services/Admissions

Contact Beth Social Services at 605-763-4653 @

Hello! I joined the team in October of 2022. I have really enjoyed getting to know the team members and residents in the facility as well as the families and community members in Beresford. My prior social services history was working with children in Child Protection Services. I live in Vermillion with my two sons, Rory and Dean, and our two cats, Rocky and Chester. We love family movie nights and visits to grandma’s house to see her chickens and dogs. I also enjoy drawing and singing.  

Activities Director

Contact Bethesda at 605-763-2050

Dr. Shah, Medical Director

If you would like to get in contact with Dr. Shah or to be notified when he will be at the facility, please contact the facility at 605-763-2050 and we would be happy to assist you.