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5/5
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.
5/5
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.
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 28th out of 57 homes in South Dakota for nurse hours. 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.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
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
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
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
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
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
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 |
Higher than the South Dakota average: 79.9%Alcester Care and Rehab Center is administrated by Tiffany Miller.
South Dakota average 4.5
Last Health inspection on Jun 2024
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.
6 of 11 citations resulted from standard inspections; and 5 of 11 resulted from complaint investigations.
100% better than South Dakota averageSouth Dakota average: 0.3
44% better than South Dakota averageSouth Dakota average: 1.8
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
21% more staff per resident than South Dakota average
13% worse than South Dakota average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
10 total: 4 full-time employees and 6 contractors.
10
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.5 hoursAssists with medical care and medications.
15 total: 4 full-time employees and 11 contractors.
15
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.5 hoursHelps with daily care and mobility.
47 total: 27 full-time employees and 20 contractors.
47
Average shift length. Calculated as total hours divided by days worked and average staff per day.
7 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
1,616 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 27 | 20 | 47 | 6,329 | 92 | 100% | 7 |
| Licensed Practical Nurse | 4 | 11 | 15 | 1,785 | 92 | 100% | 8.5 |
| Registered Nurse | 4 | 6 | 10 | 1,216 | 92 | 100% | 6.5 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 509 | 63 | 68% | 8.1 |
| Dietitian | 1 | 0 | 1 | 457 | 59 | 64% | 7.8 |
| Dental Services Staff | 1 | 0 | 1 | 436 | 58 | 63% | 7.5 |
| Speech Language Pathologist | 0 | 2 | 2 | 168 | 54 | 59% | 3 |
| Respiratory Therapy Technician | 0 | 2 | 2 | 84 | 27 | 29% | 3.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 82 | 44 | 48% | 1.9 |
| Qualified Social Worker | 0 | 1 | 1 | 68 | 40 | 43% | 1.7 |
| Occupational Therapy Aide | 0 | 1 | 1 | 28 | 14 | 15% | 2 |
| Medication Aide/Technician | 0 | 3 | 3 | 27 | 6 | 7% | 4.5 |
| Other Physician | 0 | 1 | 1 | 20 | 4 | 4% | 5 |
| Medical Director | 0 | 1 | 1 | 7 | 1 | 1% | 6.5 |
| Feeding Assistant | 0 | 1 | 1 | 5 | 2 | 2% | 2.7 |
| Physical Therapy Aide | 0 | 1 | 1 | 1 | 1 | 1% | 1.1 |
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)
53% lower than South Dakota averageSouth Dakota average: $40K
In line with 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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
13.9
15% worse than South Dakota averageSouth Dakota average: 12.0
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
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
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%
Percent of long-stay residents whose ability to move independently worsened
28.6%
25% worse than South Dakota averageSouth Dakota average: 22.8%
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%
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%
Percent of long-stay high risk residents with pressure ulcers
3.6%
20% better than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
2.3%
34% better than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
5.0%
8% better than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
0.8%
80% better than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
25.9%
6% worse than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
97.8%
In line with 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%
Number of hospitalizations per 1,000 long-stay resident days.
2.41
60% worse than South Dakota averageSouth Dakota average: 1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
3.95
114% worse than South Dakota averageSouth Dakota average: 1.85
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
90.8%
8% 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%
Percentage of short-stay residents who were re-hospitalized after their nursing home admission.
22.6%
5% worse than South Dakota averageSouth Dakota average: 21.5%
Percentage of short-stay residents who had an outpatient emergency department visit.
10.1%
14% better than South Dakota averageSouth Dakota average: 11.7%
Percentage of SNF residents who experience falls with major injury during their stay.
0.0%
100% better than South Dakota averageSouth Dakota average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
52.2%
In line with South Dakota averageSouth Dakota average: 53.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
55% of new residents, usually for short-term rehab.
38% of new residents, often for short stays.
7% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
39Residents 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.
Historical financial and operational data for Alcester Care and Rehab Center from 2016–2023, based on CMS SNF Cost Reports.
Based on the 2023 CMS SNF Cost Report.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #47 / 55Payroll — State benchmarkedThis home is ranked 47th out of 55 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.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
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.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 miles from city center
Estimated distance in miles from Alcester's city center to Alcester Care and Rehab Center's address, calculated via Google Maps.
Add your location
Alcester Care and Rehab Center is located in Alcester, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary. | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | - | - | 5.30
Facility
5.30
SD AVG
4.34
Rank
#5 / 57 | +18% | +22% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 59 | 9
Facility
9
SD AVG
14.8
Rank
#16 / 59 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#18 / 59 | - | 59 | - |
60
Facility
60
SD AVG
39
Rank
#39 / 159 | - | - | - | - | 435034 | ||||
| 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.
NC Nursing Care | Alcester (Alcester Township) | 41
Facility
41
SD AVG
69
Rank
#94 / 117 |
94.9%
Facility
94.9%
SD AVG
79.9%
Rank
#4 / 54 | +19% | 3.72
Facility
3.72
SD AVG
4.34
Rank
#28 / 57 | -1% | -14% | $9.1k
Facility
$9.1k
SD AVG
$38.5k
Rank
#33 / 59 | 11
Facility
11
SD AVG
14.8
Rank
#19 / 59 | 2.2
Facility
2.2
SD AVG
3.3
Rank
#17 / 59 | 1 | 38 | - |
14
Facility
14
SD AVG
39
Rank
#122 / 159 | Stroschein Properties III LLC | $3.0M
Facility
$3.0M
SD AVG
$6.7M
Rank
#49 / 55 | $2.3M
Facility
$2.3M
SD AVG
$2.6M
Rank
#47 / 55 | 78%
Facility
78%
SD AVG
40.8%
Rank
#4 / 55 | 435062 | ||||
| Bethesda Home of Aberdeen |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
NC Nursing Care
RC Respite Care Short-term temporary care — days to weeks — to give family caregivers a break. Full care provided during the stay. Often used after hospitalization or to trial a facility before a permanent placement decision. | Aberdeen (Melrose Addition) | 86
Facility
86
SD AVG
69
Rank
#27 / 117 |
92.8%
Facility
92.8%
SD AVG
79.9%
Rank
#8 / 54 | +16% | 4.38
Facility
4.38
SD AVG
4.34
Rank
#16 / 57 | -22% | +1% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 59 | 7
Facility
7
SD AVG
14.8
Rank
#8 / 59 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#18 / 59 | - | 85 | - |
12
Facility
12
SD AVG
39
Rank
#127 / 159 | Scott Eisenbeisz | $11.8M
Facility
$11.8M
SD AVG
$6.7M
Rank
#13 / 55 | $8.6M
Facility
$8.6M
SD AVG
$2.6M
Rank
#5 / 55 | 72.5%
Facility
72.5%
SD AVG
40.8%
Rank
#6 / 55 | 435073 | ||||
| Fountain Springs Healthcare 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.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Rapid City | 10
Facility
10
SD AVG
69
Rank
#116 / 117 |
87.3%
Facility
87.3%
SD AVG
79.9%
Rank
#21 / 54 | +9% | 3.82
Facility
3.82
SD AVG
4.34
Rank
#27 / 57 | -2% | -12% | $22.5k
Facility
$22.5k
SD AVG
$38.5k
Rank
#43 / 59 | 11
Facility
11
SD AVG
14.8
Rank
#19 / 59 | 1.6
Facility
1.6
SD AVG
3.3
Rank
#12 / 59 | 2 | 82 | - |
16
Facility
16
SD AVG
39
Rank
#120 / 159 | - | $8.8M
Facility
$8.8M
SD AVG
$6.7M
Rank
#21 / 55 | $4.4M
Facility
$4.4M
SD AVG
$2.6M
Rank
#21 / 55 | 50.3%
Facility
50.3%
SD AVG
40.8%
Rank
#27 / 55 | 435110 | ||||
| Avera Mother Joseph Manor Retirement Community |
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.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Aberdeen | 81
Facility
81
SD AVG
69
Rank
#32 / 117 | - | - | 4.62
Facility
4.62
SD AVG
4.34
Rank
#12 / 57 | -24% | +6% | $8.8k
Facility
$8.8k
SD AVG
$38.5k
Rank
#34 / 59 | 12
Facility
12
SD AVG
14.8
Rank
#24 / 59 | 1.7
Facility
1.7
SD AVG
3.3
Rank
#13 / 59 | 3 | 76 | - |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | - | - | - | - | 435042 |
Alcester Care and Rehab Center is in the Alcester Township neighborhood of Alcester.
Alcester Care and Rehab Center has a walk score of 14. Car-dependent. Most errands require a car, with limited nearby walkable options.
According to SD state health department records, Alcester Care and Rehab Center's license number is 10591.
Alcester Care and Rehab Center's occupancy is 95%.
Tiffany Miller is the administrator of Alcester Care and Rehab Center.
Alcester Care and Rehab Center has 41 beds.
Yes — there is 1 photo of Alcester Care and Rehab Center in the photo gallery on this page.
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