Total health inspections
5
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.
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Nursing Home in South Dakota
CMS overall rating
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.
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.
Alcester Care and Rehab Center
Nursing Home in South Dakota
CMS overall rating
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.
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.
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
$3.0M
Operating deficit
-$197.3K
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
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyUnion
License Number10591
CMS Certification Number435062
Alcester Care and Rehab Center is administrated by Miller, Tiffany.
Rehabilitation Services
Skilled Nursing
24-Hour Staffing
Skilled Nursing
Rehabilitation
Meals
Medical Services
Chapel
Sun Room
Beauty Shop
Laundry
Large Dining Room
Backyard Area
Gazebo
Specific ProgramsSkilled Care, Assisted Living, Employment, Activities
Health Inspection History
Inspections
Total health citations
11
South Dakota average 14.8
Citations per inspection
2.2
South Dakota average 3.34
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
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 11, 2024
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Jun 11, 2024
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 30, 2024
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Apr 30, 2024
Corrected
Quality of Care moderate citation
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 26, 2023
Issues related to how well residents receive appropriate treatment and support for their medical and daily care needs.
Sep 26, 2023
Corrected
Care Planning moderate citation
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
Sep 26, 2023
Issues related to creating and updating personalized care plans for residents based on their needs and conditions.
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.
Filter by care type
| 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 | 39 | 94.9% | +19% | 3.72 | +30% | -14% | 2 | 11 | 2.2 | 1 | 37 | - | - | Stroschein Properties Iii Llc | $2.9M | $1.5M | 51.8% | 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 (Clark) | 38 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | - | 31 | Schlomer, Tiffany | $6.0M | $1.5M | 25.5% | 435058 | ||||
| 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 | 38 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | - | - | Schlomer, Tiffany | $6.0M | $1.5M | 25.5% | 435058 | ||||
| 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 | 44 | 61.7% | -23% | 3.45 | +29% | -20% | 2 | 16 | 3.2 | 1 | 40 | - | - | Aurora-Brule Nursing Home | $2.8M | $1.5M | 52.4% | 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) | 74 | 75.2% | -6% | 2.80 | +52% | -36% | 5 | 34 | 3.8 | 9 | 61 | - | 12 | Preston, Philip | $10.7M | $2.9M | 27.3% | 435051 |
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Estimated distance in miles from Alcester's city center to Alcester Care and Rehab Center's address, calculated via Google Maps.
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
106
Employees
39
Contractors
67
Staff to resident ratio
2.72:1
42% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
20
Average shift
6.9 hours
10% worse than South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
12,587
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
15
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7.5 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
12
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
59
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hoursThis role is partially covered by contractors.
Contractor staffing
Total hours from contractors
19.8%
2,488 contractor hours this quarter
Certified Nursing Assistant: 33
Licensed Practical Nurse: 9
Registered Nurse: 9
Medication Aide/Technician: 5
Physical Therapy Assistant: 2
Qualified Social Worker: 2
Speech Language Pathologist: 2
Respiratory Therapy Technician: 2
Medical Director: 1
Occupational Therapy Aide: 1
Mental Health Service Worker: 1
Staff by category
| 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 |
59 Certified Nursing Assistant
% of Days
100%
15 Registered Nurse
% of Days
99%
12 Licensed Practical Nurse
% of Days
96%
1 Administrator
% of Days
71%
1 Dental Services Staff
% of Days
71%
1 Dietitian
% of Days
68%
1 Clinical Nurse Specialist
% of Days
49%
2 Speech Language Pathologist
% of Days
58%
2 Physical Therapy Assistant
% of Days
67%
2 Qualified Social Worker
% of Days
47%
2 Respiratory Therapy Technician
% of Days
33%
1 Occupational Therapy Aide
% of Days
23%
5 Medication Aide/Technician
% of Days
9%
1 Medical Director
% of Days
3%
1 Mental Health Service Worker
% of Days
1%
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.
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
-$197.3K
↓ ~$360.8K vs 2022
Total Payroll
$2.3M
↑ ~$281.1K vs 2022
Profit Margin
-6.8%
↓ 12.2pp vs 2022
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