Facility type
Nursing Home
Status
Active
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Nursing Home
Alcester Care and Rehab Center
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.
Nursing care per resident
Average daily nursing hours per resident (adjusted for acuity). Higher values indicate more nursing time per resident.
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 community
Home revenue
$3.0M
Operating deficit
-$197.3K
Voluntary non-profit community
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 details
Issuance
July 1, 2025
County:
Union
Additional licensing details
License number:
10591
CMS Certification Number:
435062
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
Health Inspection History
Inspections
Total health inspections
5
South Dakota average 4.5
Last Health inspection on Jun 2024
Total health citations
11
Citations per inspection
2.2
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
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
1
1
44% better than South Dakota averageSouth Dakota average: 1.8
0 critical citations
1 serious citation
10 moderate citations
0 minor citations
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
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.
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
+30%
-14%
+19%
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
-
STROSCHEIN PROPERTIES III LLC
94.9%
$2,913,737.00
$1,508,672.00
51.8%
37.10
3.7156
2
11
1
+30%-14%+19%
Avantara Clark City
-22%
-27%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
38
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
31
3.1510
1
5
1
-22%-27%-1%
Avantara Clark City
-22%
-27%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57225
38
-
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
31
3.1510
1
5
1
-22%-27%-1%
Aurora Brule Nursing Home Inc.
+29%
-20%
-23%
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
-
AURORA-BRULE NURSING HOME
61.7%
$2,847,378.00
$1,491,258.00
52.4%
39.60
3.4495
2
16
1
+29%-20%-23%
Avantara Arrowhead
+52%
-36%
-6%
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
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
61
2.7955
5
34
9
+52%-36%-6%
Alcester Care and Rehab Center
Type of care:
SNF
AL
Community:
SD 57001
Bed Count:
39
Operator:
STROSCHEIN PROPERTIES III LLC
CCN:
435062
Occupancy:
94.9%
Home Revenue:
$2,913,737.00
Payroll Costs:
$1,508,672.00
Payroll %:
51.8%
Avg Residents/Day:
37.10
Overall Rating:
Adj Nurse Hours:
3.7156
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
1
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+19%
+19%
Avantara Clark City
Type of care:
SNF
AL
Community:
Clark
Bed Count:
38
Operator:
SCHLOMER, TIFFANY
CCN:
435058
Occupancy:
79.4%
Home Revenue:
$5,951,228.00
Payroll Costs:
$1,518,009.00
Payroll %:
25.5%
Avg Residents/Day:
31
Overall Rating:
Adj Nurse Hours:
3.1510
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-1%
-1%
Avantara Clark City
Type of care:
SNF
AL
Community:
SD 57225
Bed Count:
38
Operator:
SCHLOMER, TIFFANY
CCN:
435058
Occupancy:
79.4%
Home Revenue:
$5,951,228.00
Payroll Costs:
$1,518,009.00
Payroll %:
25.5%
Avg Residents/Day:
31
Overall Rating:
Adj Nurse Hours:
3.1510
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-1%
-1%
Aurora Brule Nursing Home Inc.
Type of care:
SNF
AL
Community:
SD 57383
Bed Count:
44
Operator:
AURORA-BRULE NURSING HOME
CCN:
435132
Occupancy:
61.7%
Home Revenue:
$2,847,378.00
Payroll Costs:
$1,491,258.00
Payroll %:
52.4%
Avg Residents/Day:
39.60
Overall Rating:
Adj Nurse Hours:
3.4495
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
16
Severe Citations:
1
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-23%
-23%
Avantara Arrowhead
Type of care:
SNF
AL
Community:
SD 57702
Bed Count:
74
Operator:
PRESTON, PHILIP
CCN:
435051
Occupancy:
75.2%
Home Revenue:
$10,728,053.00
Payroll Costs:
$2,930,677.00
Payroll %:
27.3%
Avg Residents/Day:
61
Overall Rating:
Adj Nurse Hours:
2.7955
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
34
Severe Citations:
9
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-6%
-6%Places of interest near Alcester Care and Rehab Center
0.0 miles from city center
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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 |
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
39 residents
Residents by payment source
Medicare
2 residents (5.1%)
Medicaid
24 residents (61.5%)
Private pay or other
13 residents (33.3%)
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.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
13.9
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 South Dakota averageSouth Dakota average: 12.0
Functional decline score
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.4
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
30.4
27% worse than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
28.6%
Percent of long-stay residents whose need for help with daily activities has increased
28.6%
28% worse than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
28.6%
Percent of long-stay residents whose ability to move independently worsened
28.6%
25% worse than South Dakota averageSouth Dakota average: 22.8%
Low Risk Residents with Bowel/Bladder Incontinence
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.9%
Percent of low risk long-stay residents who lose control of their bowels or bladder
33.9%
27% worse than South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
Percent of long-stay residents experiencing one or more falls with major injury
3.7%
27% better than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
3.6%
Percent of long-stay high risk residents with pressure ulcers
3.6%
20% better than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
2.3%
Percent of long-stay residents with a urinary tract infection
2.3%
34% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
5.0%
Percent of long-stay residents who lose too much weight
5.0%
8% better than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.8%
Percent of long-stay residents who have depressive symptoms
0.8%
80% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
25.9%
Percent of long-stay residents who received an antipsychotic medication
25.9%
6% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
In line with South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
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%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.8%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.8%
8% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
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.
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
53% lower than South Dakota averageSouth Dakota average: $40K
Number of fines
2
In line with South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
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
Fines amount comparison
Fines amount comparison
This facility
$19K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 6, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jun 6, 2023
$9K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 9, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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
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