We arrange tours, appointments, and even moving support so you don’t have to
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.
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.
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.
This home is ranked 33rd out of 64 homes in South Dakota.| 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.
| 2h 43m per day |
Most residents typically stay for a few weeks or months before returning home or moving on.
53% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
16% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #49 / 61Payroll — state benchmarkedThis home is ranked 49th out of 61 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Higher than the South Dakota average: 79.9%Highmore Health is administrated by Knox, Kim.
South Dakota average 4.5
Last Health inspection on May 2025
South Dakota average 14.8
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 23 citations resulted from standard inspections.
233% worse than South Dakota averageSouth Dakota average: 0.3
3
67% worse than South Dakota averageSouth Dakota average: 1.8
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 08, 2025
Corrected
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Corrected
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
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.
| Alcester Care and Rehab Center |
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. | Alcester (Alcester Township) | 41 | 94.9% | +19% | 3.72 | +30% | -14% | 2 | 11 | 2.2 | 1 | 37 | - | - | Stroschein Properties Iii Llc | $3.0M | $1.5M | 50.6% | 435062 | ||||
| Avantara Clark City |
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. | Clark | 35 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | - | 31 | Schlomer, Tiffany | $6.0M | $1.5M | 25.5% | 435058 | ||||
| Highmore Health |
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. | Highmore (Highmore Township) | 39 | 90.2% | +13% | 3.58 | -27% | -17% | 1 | 23 | 7.7 | 4 | 34 | - | - | Caring Professionals | $4.5M | $1.6M | 35.1% | 435092 | ||||
| Aurora Brule Nursing Home Inc. |
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. | White Lake (White Lake Township) | 50 | 61.7% | -23% | 3.45 | +29% | -20% | 2 | 16 | 3.2 | 1 | 40 | - | - | Aurora-Brule Nursing Home | $2.9M | $1.5M | 51.8% | 435132 | ||||
| Avantara Arrowhead |
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. | Rapid City (Broadmoor Subdivision) | 68 | 75.2% | -6% | 2.80 | +52% | -36% | 5 | 34 | 3.8 | 9 | 61 | - | 12 | Preston, Philip | $10.7M | $2.9M | 27.3% | 435051 |
0.0 miles from city center
Estimated distance in miles from Highmore's city center to Highmore Health's address, calculated via Google Maps.
Add your location
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
15% better than South Dakota averageSouth Dakota average ratio: 1.91:1
0% compared with South Dakota averageSouth Dakota average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.7 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Total hours from contractors
351 contractor hours this quarter
| Certified Nursing Assistant | 25 | 0 | 25 | 5,801 | 91 | 100% | 8.2 |
| Physical Therapist | 9 | 0 | 9 | 2,460 | 91 | 100% | 6.5 |
| Registered Nurse | 6 | 0 | 6 | 1,513 | 89 | 98% | 11.7 |
| Licensed Practical Nurse | 3 | 0 | 3 | 780 | 68 | 75% | 11.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 732 | 83 | 91% | 3.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 568 | 64 | 70% | 5 |
| Medication Aide/Technician | 5 | 0 | 5 | 522 | 70 | 77% | 7 |
| Administrator | 1 | 1 | 2 | 498 | 61 | 67% | 7.8 |
| Nurse Aide in Training | 6 | 0 | 6 | 484 | 49 | 54% | 7 |
| Speech Language Pathologist | 1 | 0 | 1 | 452 | 57 | 63% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 371 | 49 | 54% | 7.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 295 | 33 | 36% | 9 |
| Physical Therapy Assistant | 1 | 0 | 1 | 126 | 23 | 25% | 5.5 |
| Dental Services Staff | 3 | 0 | 3 | 112 | 23 | 25% | 4.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 18 | 3 | 3% | 6.1 |
| Qualified Social Worker | 0 | 1 | 1 | 7 | 4 | 4% | 1.7 |
| Occupational Therapist | 0 | 1 | 1 | 1 | 2 | 2% | 0.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
34Residents meet regularly to discuss policies, care quality, and activities
State-approved Nurse Aide Training and Competency Evaluation Program on-site
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.
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
In line with South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
13% better than South Dakota averageSouth Dakota average: 23.9
Percent of long-stay residents whose need for help with daily activities has increased
20.8%
7% better than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
15.4%
33% better than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
In line with South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
8.1%
62% worse than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
5.0%
12% worse than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
11.0%
218% worse than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
11.6%
112% worse than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
20.8%
14% better than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than South Dakota averageSouth Dakota average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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)
67% lower than South Dakota averageSouth Dakota average: $40K
51% fewer fines than South Dakota averageSouth Dakota average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 2, 2023Last updated: Jan 2026
Historical financial and operational data for Highmore Health based on CMS SNF Cost Reports.
Loading trend charts...
Care Cost Calculator: See Prices in Your Area
Nursing Home Data Explorer
Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now
The True Cost of Assisted Living in 2025 – And How Families Are Paying For It
Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
Touring a community? Use this expert-backed checklist to stay organized, ask the right questions, and find the perfect fit.
We'll send you a PDF version of the touring checklist.
Thank you for your interest!
Our team will be in touch shortly to help with next steps.
