Total Health inspections
5
11% above South Dakota average
South Dakota average:
4.5
Last Health inspection on Jun 2024
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Alcester Care and Rehab Center
Alcester Care and Rehab Center is a Nursing Home in South Dakota
Alcester Care and Rehab… is a Nursing Home in South Dakota
Alcester Care and Rehab Center
Alcester Care and Rehab Center is a Nursing Home in South Dakota
Alcester Care and Rehab… is a Nursing Home in South Dakota
Alcester Care and Rehab Center offers long term care for individuals who can no longer live independently. Services include skilled nursing, rehabilitation, meals, and medical services, with a focus on compassionate care. The facility provides a homey atmosphere and ongoing staff training to ensure quality care.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
41
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
94.9%
Residents per day (avg)
37
Occupancy rate
94.9%
Residents per day (avg)
37
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
55% 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
1 years
Medicaid
7% of new residents, often for long-term daily care.
Typical stay
11 years
Finances and operations
Voluntary non-profit home
Other
Home revenue
$3.0M
Operating deficit
-$197.3K
Voluntary non-profit home
Other
Home revenue
$2,982,792.00
Operating deficit
$-197,262.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.5M
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.
$1.7M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.2M
41-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
July 1, 2025
Additional licensing details
License number:
10591
CMS Certification Number:
435062
County:
Union
Ownership & operating entity
Alcester Care and Rehab Center is administrated by Miller, Tiffany.
Care Services
Nursing Services
Rehabilitation Services
Skilled Nursing
Licensed Nurses/CNAs
24-Hour Staffing
Amenities & Lifestyle
Programs & Activities
Specific Programs
Skilled Care, Assisted Living, Employment, Activities
Compare Nursing Homes around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Alcester Care and Rehab Center
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57001
39
No
-
STROSCHEIN PROPERTIES III LLC
94.9%
$2,913,737.00
$1,508,672.00
51.8%
37.10
4/5
3.7156
5/5
3/5
1/5
2
Avantara Clark City
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
38
No
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
30.60
3/5
3.1510
4/5
3/5
1/5
1
Aurora Brule Nursing Home Inc.
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57383
44
No
-
AURORA-BRULE NURSING HOME
61.7%
$2,847,378.00
$1,491,258.00
52.4%
39.60
3/5
3.4495
3/5
2/5
3/5
2
Avantara Groton
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57445
49
No
32
PETE, JOSHUA
65.4%
$6,213,854.00
$1,712,751.00
27.6%
35.50
3/5
3.1645
3/5
2/5
2/5
5
Avantara Arrowhead
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
74
No
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
60.50
1/5
2.7955
1/5
1/5
3/5
5
Places of interest near Alcester Care and Rehab Center
0.0 miles from city center
Alcester, SD 57001
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
106
Total Staff
39
Employees
67
Contractors
12,587
Total Hours (Quarter)
20
Avg Staff/Day
6.9
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 15 | 7.5 | Yes |
| Licensed Practical Nurse | 12 | 9.2 | Yes |
| Certified Nursing Assistant | 59 | 7 | Yes |
Staff by Category
Administration ⓘ
2 staff
7.8hs shift avg
Nursing Staff ⓘ
91 staff
7.3hs shift avg
Physicians & Practitioners ⓘ
1 staff
7.7hs shift avg
Therapy Services ⓘ
7 staff
2.9hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
2 staff
2.8hs shift avg
Dietary Services ⓘ
1 staff
7.6hs shift avg
Other Services ⓘ
2 staff
7.9hs shift avg
Contractor Analysis
19.8%
of total hours from contractors
2,488 contractor hours this quarter
Licensed Practical Nurse: 9
Registered Nurse: 9
Certified Nursing Assistant: 33
Physical Therapy Assistant: 2
Qualified Social Worker: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Medical Director: 1
Occupational Therapy Aide: 1
Medication Aide/Technician: 5
Mental Health Service Worker: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 26 | 33 | 59 | 7,113 | 91 | 100% | 7 |
| Registered Nurse | 6 | 9 | 15 | 1,591 | 90 | 99% | 7.5 |
| Licensed Practical Nurse | 3 | 9 | 12 | 1,354 | 87 | 96% | 9.2 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Dental Services Staff | 1 | 0 | 1 | 517 | 65 | 71% | 7.9 |
| Dietitian | 1 | 0 | 1 | 474 | 62 | 68% | 7.6 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 348 | 45 | 49% | 7.7 |
| Speech Language Pathologist | 0 | 2 | 2 | 200 | 53 | 58% | 3.5 |
| Physical Therapy Assistant | 0 | 2 | 2 | 162 | 61 | 67% | 2.5 |
| Qualified Social Worker | 0 | 2 | 2 | 121 | 43 | 47% | 2.8 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 107 | 30 | 33% | 3.6 |
| Occupational Therapy Aide | 0 | 1 | 1 | 36 | 21 | 23% | 1.7 |
| Medication Aide/Technician | 0 | 5 | 5 | 35 | 8 | 9% | 4.4 |
| Medical Director | 0 | 1 | 1 | 9 | 3 | 3% | 2.8 |
| Mental Health Service Worker | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
Health Inspection History
Total Health citations
11
26% below South Dakota average
South Dakota average:
14.8
2.2 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
6 citations
Complaint investigations
5 citations
Breakdown of citations
Critical Health citations
0
100% below South Dakota average
South Dakota average:
0.3
Serious Health citations
1
44% below South Dakota average
South Dakota average:
1.8
Moderate Health citations
10
Minor Health citations
0
Citations history (last 3 years)
Quality of Care moderate citation
Jun 11, 2024
Corrected
Care Planning moderate citation
Apr 30, 2024
Corrected
Quality of Care moderate citation
Sep 26, 2023
Corrected
Care Planning moderate citation
Sep 26, 2023
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: For-Profit Corporation
Resident Census by Payment Source
39
Total Residents
Medicare
2
(5.1%)
ⓘ
Medicaid
24
(61.5%)
ⓘ
Private Pay/Other
13
(33.3%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
13.9
15% worse than South Dakota average
South Dakota average:
12.0
Functional decline score
30.4
27% worse than South Dakota average
South Dakota average:
23.9
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
28.6%
28% above South Dakota average.
Walking Ability Worsened
28.6%
25% above South Dakota average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
33.9%
27% above South Dakota average.
Safety & clinical stability
Falls with Major Injury
3.7%
27% below South Dakota average.
High Risk Residents with Pressure Ulcers
3.6%
20% below South Dakota average.
Urinary Tract Infection
2.3%
34% below South Dakota average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.8%
80% below South Dakota average.
Antipsychotic Use
25.9%
6% above South Dakota average.
Preventive care
Pneumococcal Vaccine
97.8%
2% above South Dakota average.
Influenza Vaccine
100.0%
3% above South Dakota average.
Nutrition & physical health
Lost Too Much Weight
5.0%
8% below South Dakota average.Short-stay resident measures
Pneumococcal Vaccine
90.8%
8% better than South Dakota average
Antipsychotic medication increase
0.0%
100% better than South Dakota average 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 (Data as of Jan 2026)
Total fines amount
$19K
This home paid 53% less in fines than the state average.
South Dakota average:
$40K
Number of Fines
2
This home is near the state average.
South Dakota average:
2.0
Payment Denials
0
This home is near the state average.
South Dakota average:
0.0
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Jun 6, 2023
$9K
Civil Money Penalty
Mar 9, 2023
$10K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Alcester Care and Rehab Center based on CMS SNF Cost Reports.
Occupancy Rate
94.9%
↑ 7.7pp vs 2022
Net Income
-$197,262
↓ ~$361K vs 2022
Total Payroll
$2,327,034
↑ ~$281K vs 2022
Profit Margin
-6.8%
↓ 12.2pp vs 2022
Loading trend charts...
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