Custer Care and Rehab Center

Overview of Custer Care and Rehab Center

Custer Care and Rehab Center is a government-operated nursing home in Custer, South Dakota, providing skilled nursing care, rehabilitation therapy, and respite care. Operated through a subsidized community district and maintaining Medicare certification, this community is administered by Madison Barta. With a 35-bed capacity, its smaller size and rural location allow it to serve as one of the few local skilled nursing care options available within Custer County.

The community currently holds a 1-star overall CMS rating, with health inspection scores and quality measures both ranking below the state average. Staffing scores are roughly 65% lower than statewide benchmarks, representing the most significant area of concern among the available performance metrics. Families evaluating care options may want to review these indicators carefully alongside more detailed inspection findings and current staffing information.

Since 2025, the community has undergone two health inspections, with the most recent completed in August 2025. Across those inspections, 20 health citations have been recorded, exceeding the South Dakota average of 14.8. This places the community at the bottom statewide for citations per inspection, averaging 10 citations per visit compared with the state average of 3.34.

However, all identified deficiencies were classified as moderate in severity, with no critical or serious citations reported, meaning inspectors did not identify situations involving immediate jeopardy or findings associated with severe resident harm. Citation categories included administration, infection control, quality of care and quality of life, resident rights, pharmacy services, environmental concerns, and abuse prevention. All of which were documented as corrected.

Confirmed amenities and services include 24-hour nursing support, high-speed Wi-Fi, mounted televisions with cable service in resident rooms, a daily snack cart, and three meals per day with alternate menu selections available. Respite care services are also offered, providing temporary care options for caregivers and families who need short-term support placements. 24-hour staffing coverage is also confirmed.

Its location in Custer has a Walk Score of 49, suggesting moderate walkability with some nearby services available within walking distance, while transportation may still be needed for many daily errands and appointments.

Custer Care and Rehab Center is most appropriate for older adults in Custer and the surrounding Southern Black Hills area who require local access to skilled nursing or respite care, particularly in a region where alternative care communities may be limited.

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