Total health inspections
2
South Dakota average 4.5
Last Health inspection on Aug 2025
Custer Care and Rehab Center
Nursing Home · South Dakota, SD
CMS overall rating
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.
Custer Care and Rehab Center
Nursing Home · South Dakota, SD
CMS overall rating
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.
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.
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.
35-bed community Rank #103 / 117Bed count — State benchmarkedThis home is ranked 103rd out of 117 homes in South Dakota. Shows this facility's certified or reported bed count compared to other South Dakota SNFs. Larger communities may offer more amenities, programs, and on-site services for residents and families.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score: 49 / 100 Rank #60 / 159Walk Score — State benchmarkedThis home is ranked 60th out of 159 homes in South Dakota. Shows how walkable this facility's neighborhood is compared to the average Walk Score across South Dakota SNFs. Higher scores benefit residents, families, and staff.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026
CountyCuster
License Number80076
Custer Care and Rehab Center is administrated by Madison Barta.
Rehabilitation Services
Respite Care
24-Hour Staffing
24/7 Nursing Care
Daily Snack Cart
Hi-Speed Wifi
Mounted Tvs In Each Room With Cable Service
Food DescriptionThree meals provided daily with alternate choices available.
Health Inspection History
Inspections
Total health citations
20
Rank #35 / 59Health citations — State benchmarkedThis home is ranked 35th out of 59 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 59 SD SNFs. Lower citation counts earn a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota average 14.8
Citations per inspection
10
Rank #59 / 59Citations per inspection — State benchmarkedThis home is ranked 59th out of 59 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 59 SNFs with citation data. Lower is better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
17 of 20 citations resulted from standard inspections; and 3 of 20 resulted from complaint investigations.
Breakdown of citation severity (last 1 year)
Critical health citations
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious health citations
0
100% better than South Dakota averageSouth Dakota average: 1.8
Citations history (last 1 year)
Administration moderate citation
Aug 26, 2025
Corrected
Administration moderate citation
Aug 26, 2025
Corrected
Administration moderate citation
Aug 26, 2025
Corrected
Environmental moderate citation
Aug 26, 2025
Corrected
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
35
Employees
27
Contractors
8
Staff to resident ratio
1.13:1
41% worse than South Dakota average
Avg staff/day
14
Average shift
9.5 hours
23% better than South Dakota average
Total staff hours (quarter)
12,236
Nursing staff breakdown
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Registered Nurse
Manages medical care and health needs.
RN Staff
4
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursThis role is partially covered by contractors.
Certified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
13
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.2 hoursThis role is partially covered by contractors.
Contractor staffing
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
9.9%
1,214 contractor hours this quarter
Licensed Practical Nurse: 2
Certified Nursing Assistant: 2
Occupational Therapy Aide: 1
Mental Health Service Worker: 1
Medication Aide/Technician: 1
Occupational Therapy Assistant: 1
Staff by category
Q4 2025 · Oct 1 – Dec 31
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 11 | 2 | 13 | 6,304 | 92 | 100% | 10.2 |
| Licensed Practical Nurse | 4 | 2 | 6 | 1,704 | 91 | 99% | 10.5 |
| Medication Aide/Technician | 2 | 1 | 3 | 909 | 79 | 86% | 11.2 |
| Registered Nurse | 4 | 0 | 4 | 879 | 69 | 75% | 9.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 634 | 78 | 85% | 7.1 |
| Mental Health Service Worker | 1 | 1 | 2 | 546 | 66 | 72% | 8.1 |
| Administrator | 1 | 0 | 1 | 528 | 66 | 72% | 8 |
| Dietitian | 1 | 0 | 1 | 421 | 58 | 63% | 7.3 |
| Nurse Practitioner | 1 | 0 | 1 | 262 | 32 | 35% | 8.2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 27 | 14 | 15% | 1.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 23 | 3 | 3% | 7.7 |
13 Certified Nursing Assistant
% of Days
100%
6 Licensed Practical Nurse
% of Days
99%
3 Medication Aide/Technician
% of Days
86%
4 Registered Nurse
% of Days
75%
2 Other Dietary Services Staff
% of Days
85%
2 Mental Health Service Worker
% of Days
72%
1 Administrator
% of Days
72%
1 Dietitian
% of Days
63%
1 Nurse Practitioner
% of Days
35%
1 Occupational Therapy Aide
% of Days
15%
1 Occupational Therapy Assistant
% of Days
3%
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
No penalties in the past 3 years
No civil money penalties or payment denials were reported in the last 3 years.
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.
12.9
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.9
7% 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.
24.6
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
24.6
In line with South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
22.1%
Percent of long-stay residents whose need for help with daily activities has increased
22.1%
In line with South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
23.4%
Percent of long-stay residents whose ability to move independently worsened
23.4%
In line with 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
28.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
28.4%
6% 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
0.0%
Percent of long-stay residents experiencing one or more falls with major injury
0.0%
100% 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
5.0%
Percent of long-stay high risk residents with pressure ulcers
5.0%
10% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
4.9%
Percent of long-stay residents with a urinary tract infection
4.9%
42% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
13.9%
Percent of long-stay residents who lose too much weight
13.9%
155% worse than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
8.5%
Percent of long-stay residents who have depressive symptoms
8.5%
107% worse than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
32.9%
Percent of long-stay residents who received an antipsychotic medication
32.9%
35% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
73.2%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
73.2%
24% worse than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
95.7%
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
74.6%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
74.6%
12% worse than South Dakota averageSouth Dakota average: 84.4%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
31
Medicaid
19
61.3% of residents
Private pay or other
12
38.7% 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.
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Financial Assistance for
Nursing Home in South Dakota
Custer Care and Rehab Center is located in Custer, South Dakota.
Here are the financial assistance programs available to residents in South Dakota.
Compare Nursing Home around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
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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 | - | - | 4.62 | -24% | +6% | $20.6k | 12 | 1.7 | 3 | 77 | 31 | - | - | - | - | 435042 | ||||
| Custer 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. | Custer | 35 | - | - | - | +3% | - | $0 | 20 | 10.0 | - | 27 | 49 | - | - | - | - | 43A140 |
Frequently Asked Questions about Custer Care and Rehab Center
Is Custer Care and Rehab Center in a walkable area?
Custer Care and Rehab Center has a walk score of 49. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
What is the license number of Custer Care and Rehab Center?
According to SD state health department records, Custer Care and Rehab Center's license number is 80076.
When does Custer Care and Rehab Center's license expire?
According to SD state health department records, Custer Care and Rehab Center's license expires on June 30, 2026.
Who is the administrator of Custer Care and Rehab Center?
Madison Barta is the administrator of Custer Care and Rehab Center.
How many beds does Custer Care and Rehab Center have?
Custer Care and Rehab Center has 35 beds.
Are there photos of Custer Care and Rehab Center?
Yes — there are 3 photos of Custer Care and Rehab Center in the photo gallery on this page.
What is the address of Custer Care and Rehab Center?
Custer Care and Rehab Center is located at 1065 Montgomery St.
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