Alcester Care and Rehab Center
Nursing Home, Assisted Living & Nursing Care · Alcester, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.

Alcester Care and Rehab Center

Nursing Home, Assisted Living & Nursing Care · Alcester, SD
CMS overall rating Info CMS (the Centers for Medicare & Medicaid Services) is the federal agency that rates nursing home quality. Its Overall Rating runs from 1 to 5 stars, combining health inspections, staffing, and quality measures, with inspections weighted most heavily.
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Alcester Care and Rehab Center accepts Medicare, Medicaid, and private pay.

Overview of Alcester Care and Rehab Center

Owned by Stroschein Properties III LLC, Alcester Care and Rehab Center is a skilled nursing and rehabilitation facility in Alcester, South Dakota. The 41-bed home is located at 101 Church Street and serves residents who need ongoing nursing care and support during recovery after an illness or hospital stay. Medicare, Medicaid, and private pay are accepted, giving families several options for covering care costs.

The facility has an occupancy rate of 95%, where residents stay an average of about 523 days. The population is a mix of people receiving rehabilitation services and those needing longer-term nursing care.

Nurse staffing averages 3 hours and 43 minutes of nursing care each day. Registered nurses, nurse aides, and licensed practical or vocational nurses make up the care team. This level of support helps residents during recovery and assists those who need ongoing skilled nursing care and daily medical oversight.

The facility is located in a rural part of South Dakota. Alcester has a Walk Score of 14, making the area car-dependent. Most errands and visits require transportation. Families who prefer a smaller community setting may appreciate the town’s quieter environment.

Daily life is supported by practical amenities throughout the facility. Residents are served meals in a large dining room. Other features include a chapel, sun room, beauty shop, laundry services, and outdoor spaces such as a backyard area and gazebo, and residents and visitors can spend time together here.

Families looking for skilled nursing and rehabilitation care in a small-town setting should consider Alcester Care and Rehab Center for its nursing support, rehabilitation services, and on-site amenities that support short-term recovery and ongoing care needs.

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 43m per day
Rank #34 / 65Nurse hours — State benchmarkedThis home is ranked 34th out of 65 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs avg

5 of 6 metrics below state avg

Standout metric LPN / LVN is +6% above state avg
Staff typeHours / Day / Residentvs state avg
Registered Nurse (RN) Info RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes. 30m per day ▼ 38% State avg: 48m per day · National avg: 41m per day
LPN / LVN Info Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care. 31m per day ▲ 6% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life. 1h 49m per day ▼ 30% State avg: 2h 37m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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. 2h 23m per day ▼ 28% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info Hours per resident per day provided by licensed Physical Therapists (PTs) or PT Assistants. PT services help residents recover mobility after injury or illness and are especially important for post-acute (short-stay) rehabilitation. 1m per day ▼ 52% State avg: 3m per day · National avg: 4m per day
Weekend RN Info Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent. 18m per day ▼ 40% State avg: 31m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay
523 days
Bed community size
41-bed community Rank #94 / 117Bed count — State benchmarkedThis home is ranked 94th out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 14 / 100 Rank #122 / 159Walk Score — State benchmarkedThis home is ranked 122nd out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota facilities. Higher scores benefit residents, families, and staff.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
95%
Rank #6 / 62Occupancy rate — State benchmarkedThis home is ranked 6th out of 62 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 62. Higher occupancy signals strong local demand and financial stability.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Higher than the South Dakota average: 79.9%
Occupied beds
39 / 41
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyUnion
License Number10591
CMS Certification Number435062

Ownership & Operating Entity

Alcester Care and Rehab Center is administered by Tiffany Miller.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

Meals
Medical Services
Chapel
Sun Room
Beauty Shop
Laundry
Large Dining Room
Backyard Area
Gazebo
Specific ProgramsSkilled Care

Contact Alcester Care and Rehab Center

Health Inspection History

Inspections since 2023
Total health inspections 5

State average N/A


Last Health inspection on Jun 2024

Total health citations
11 Rank #21 / 67Health citations — State benchmarkedThis home is ranked 21st out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A

Citations per inspection
2.2 Rank #19 / 67Citations per inspection — State benchmarkedThis home is ranked 19th out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.

State average N/A


Health citations are formal notices following inspections when they fail to comply with safety and care standards.

6 of 11 citations resulted from standard inspections; and 5 of 11 resulted from complaint investigations.

Breakdown of citation severity (last 3 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
1
In line with State average

State average: N/A

0 critical citations State average: N/A

1 serious citation State average: N/A

10 moderate citations State average: N/A

0 minor citations State average: N/A
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

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 91
Employees 40
Contractors 51
Staff to resident ratio 2.33 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 19
Average shift 6.7 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 11,750

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse

Manages medical care and health needs.

RN Staff Info 10 total: 4 full-time employees and 6 contractors. 10
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.5 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 15 total: 4 full-time employees and 11 contractors. 15
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.5 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 47 total: 27 full-time employees and 20 contractors. 47
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 7 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

13.8%

1,616 contractor hours this quarter

Certified Nursing Assistant: 20 Licensed Practical Nurse: 11 Registered Nurse: 6 Medication Aide/Technician: 3 Respiratory Therapy Technician: 2 Speech Language Pathologist: 2 Physical Therapy Assistant: 1 Qualified Social Worker: 1 Occupational Therapy Aide: 1 Medical Director: 1 Physical Therapy Aide: 1 Other Physician: 1 Feeding Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant2720476,32992100%7
Licensed Practical Nurse411151,78592100%8.5
Registered Nurse46101,21692100%6.5
Administrator1015286672%8
Clinical Nurse Specialist2025096368%8.1
Dietitian1014575964%7.8
Dental Services Staff1014365863%7.5
Speech Language Pathologist0221685459%3
Respiratory Therapy Technician022842729%3.1
Physical Therapy Assistant011824448%1.9
Qualified Social Worker011684043%1.7
Occupational Therapy Aide011281415%2
Medication Aide/Technician0332767%4.5
Other Physician0112044%5
Medical Director011711%6.5
Feeding Assistant011522%2.7
Physical Therapy Aide011111%1.1
47 Certified Nursing Assistant
% of Days 100%
15 Licensed Practical Nurse
% of Days 100%
10 Registered Nurse
% of Days 100%
1 Administrator
% of Days 72%
2 Clinical Nurse Specialist
% of Days 68%
1 Dietitian
% of Days 64%
1 Dental Services Staff
% of Days 63%
2 Speech Language Pathologist
% of Days 59%
2 Respiratory Therapy Technician
% of Days 29%
1 Physical Therapy Assistant
% of Days 48%
1 Qualified Social Worker
% of Days 43%
1 Occupational Therapy Aide
% of Days 15%
3 Medication Aide/Technician
% of Days 7%
1 Other Physician
% of Days 4%
1 Medical Director
% of Days 1%
1 Feeding Assistant
% of Days 2%
1 Physical Therapy Aide
% of Days 1%

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 Rank #19 / 67Federal fines — State benchmarkedThis home is ranked 19th out of 67 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
53% lower than State average

State average: $40K

Number of fines 2
In line with State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $19K
State average $40K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline. 13.9
15% worse than State average

State average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 30.4
27% worse than State average

State average: 23.9

Long-stay resident measures
Significantly below average State avg: 2.6 Info CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased Info Percent of long-stay residents whose need for help with daily activities has increased 28.6%
28% worse than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 28.6%
25% worse than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 33.9%
27% worse than State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 3.7%
27% better than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 3.6%
20% better than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.3%
34% better than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 5.0%
8% better than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.8%
80% better than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 25.9%
6% worse than State average

State average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 97.8%
In line with State average

State average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 2.41
60% worse than State average

State average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 3.95
114% worse than State average

State average: 1.85

Short-stay resident measures
Average State avg: 2.6 Info CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 90.8%
8% better than State average

State average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.8%

Re-hospitalized after SNF stay Info Percentage of short-stay residents who were re-hospitalized after their nursing home admission. 22.6%
5% worse than State average

State average: 21.5%

Emergency department visits Info Percentage of short-stay residents who had an outpatient emergency department visit. 10.1%
14% better than State average

State average: 11.7%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Ability to care for self at discharge Info Percentage of residents at or above expected ability to care for themselves at discharge. 52.2%
In line with State average

State average: 53.7%

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 39
Medicare
2
5.1% of residents
Medicaid
24
61.5% of residents
Private pay or other
13
33.3% 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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 12/2023.

For-profit
Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$2.9M
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$266.3K
For-profit Corporation
Net patient revenue Info Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
$2.9M Rank #57 / 63Revenue — State benchmarkedThis home is ranked 57th out of 63 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Net patient income Info Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
-$266.3K
Other income Info Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
$69.1K
Payroll costs Info Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs. Rank #55 / 63Payroll — State benchmarkedThis home is ranked 55th out of 63 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$1.7M 59.3% of net patient revenue Info Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay. Rank #4 / 63Payroll % — State benchmarkedThis home is ranked 4th out of 63 homes in South Dakota. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs Info Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
$1.5M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.2M

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
29 total

Coverage residents most often arrive under.

Medicare 55%
Private pay 38%
Medicaid 7%
Discharges
26 total

Coverage residents most often leave under.

Medicare 31%
Private pay 31%
Medicaid 38%

Places of interest near Alcester Care and Rehab Center

Address 0.0 miles from city center Info Estimated distance in miles from Alcester's city center to Alcester Care and Rehab Center's address, calculated via Google Maps.

Calculate Travel Distance to Alcester Care and Rehab Center

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Address

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The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

Alcester Care and Rehab Center
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Frequently Asked Questions about Alcester Care and Rehab Center

What neighborhood is Alcester Care and Rehab Center in?

Alcester Care and Rehab Center is in the Alcester Township neighborhood of Alcester.

Is Alcester Care and Rehab Center in a walkable area?

Alcester Care and Rehab Center has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Alcester Care and Rehab Center?

According to SD state health department records, Alcester Care and Rehab Center's license number is 10591.

What is the occupancy rate at Alcester Care and Rehab Center?

Alcester Care and Rehab Center's occupancy is 95%.

Does Alcester Care and Rehab Center operate as a for-profit or non-profit?

Alcester Care and Rehab Center is registered as a for-profit in SD.

Who is the administrator of Alcester Care and Rehab Center?

Tiffany Miller is the administrator of Alcester Care and Rehab Center.

How many beds does Alcester Care and Rehab Center have?

Alcester Care and Rehab Center has 41 beds.

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