Total health inspections
2
South Dakota average 4.5
Last Health inspection on Aug 2025
Custer Care and Rehab Center
Nursing Home, Hospice Care & Respite Care · South Dakota, SD
CMS overall rating
1/5
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.
1/5
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.
Custer Care and Rehab Center
Nursing Home, Hospice Care & Respite Care · South Dakota, SD
CMS overall rating
1/5
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.
1/5
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.
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.
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.
Staffing hours breakdown
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.
| 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.
| 24m per day | ▼ 50% 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.
| 36m per day | ▲ 23% 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.
| 2h 31m per day | ▼ 4% 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.
| 3h 17m per day | ■ Avg 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.
| 0m per day | ▼ 100% 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.
| 25m per day | ▼ 19% State avg: 31m per day · National avg: 28m per day |
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 facilities. Larger communities may offer more amenities, programs, and on-site services for residents and families.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.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 facilities. Higher scores benefit residents, families, and staff.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.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 #41 / 67Health citations — State benchmarkedThis home is ranked 41st out of 67 homes in South Dakota. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 67 SD facilities. Lower citation counts earn a better rank.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.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 #67 / 67Citations per inspection — State benchmarkedThis home is ranked 67th out of 67 homes in South Dakota. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 67 facilities with citation data. Lower is better.Ranking totals vary by category as each rank only includes facilities that report data for that metric. Homes missing that data point aren't included in the ranking.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% fewer staff per resident 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
All 4 RN Staff are full-time employees. No contractors work on this role.
4
All 4 RN Staff are full-time employees. No contractors work on this role.
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 hoursLicensed Practical Nurse
Assists with medical care and medications.
LPN Staff
6 total: 4 full-time employees and 2 contractors.
6
6 total: 4 full-time employees and 2 contractors.
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 hoursCertified Nursing Assistant
Helps with daily care and mobility.
CNA Staff
13 total: 11 full-time employees and 2 contractors.
13
13 total: 11 full-time employees and 2 contractors.
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 hoursContractor 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.
Places of interest near Custer Care and Rehab Center
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Estimated distance in miles from Custer's city center to Custer Care and Rehab Center's address, calculated via Google Maps.
Calculate Travel Distance to Custer Care and Rehab Center
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Compare Nursing Home around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse | NH AL HC | Pierre | 67
Facility
67
SD AVG
69
Rank
#49 / 117 | - | - | 5.30
Facility
5.30
SD AVG
4.34
Rank
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Facility
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SD AVG
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Rank
#1 / 67 | 9
Facility
9
SD AVG
14.8
Rank
#17 / 67 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#20 / 67 | - | 59 | - |
60
Facility
60
SD AVG
39
Rank
#39 / 159 | - | - | - | - | 435034 | ||||
| Bethesda Home of Aberdeen | NH AL HC NC RC | Aberdeen (Melrose Addition) | 86
Facility
86
SD AVG
69
Rank
#27 / 117 |
92.8%
Facility
92.8%
SD AVG
79.9%
Rank
#10 / 62 | +16% | 4.38
Facility
4.38
SD AVG
4.34
Rank
#19 / 65 | -22% | +1% | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 7
Facility
7
SD AVG
14.8
Rank
#9 / 67 | 2.3
Facility
2.3
SD AVG
3.3
Rank
#20 / 67 | - | 85 | - |
12
Facility
12
SD AVG
39
Rank
#127 / 159 | Scott Eisenbeisz | $9.7M
Facility
$9.7M
SD AVG
$6.7M
Rank
#17 / 63 | $7.2M
Facility
$7.2M
SD AVG
$2.6M
Rank
#5 / 63 | 74.3%
Facility
74.3%
SD AVG
40.8%
Rank
#6 / 63 | 435073 | ||||
| Fountain Springs Healthcare Center | NH AL IL | Rapid City | 10
Facility
10
SD AVG
69
Rank
#116 / 117 |
87.3%
Facility
87.3%
SD AVG
79.9%
Rank
#24 / 62 | +9% | 3.82
Facility
3.82
SD AVG
4.34
Rank
#33 / 65 | -2% | -12% | $22.5k
Facility
$22.5k
SD AVG
$38.5k
Rank
#40 / 67 | 11
Facility
11
SD AVG
14.8
Rank
#21 / 67 | 1.6
Facility
1.6
SD AVG
3.3
Rank
#12 / 67 | 2 | 82 | - |
16
Facility
16
SD AVG
39
Rank
#120 / 159 | - | $6.8M
Facility
$6.8M
SD AVG
$6.7M
Rank
#26 / 63 | $3.1M
Facility
$3.1M
SD AVG
$2.6M
Rank
#27 / 63 | 45.6%
Facility
45.6%
SD AVG
40.8%
Rank
#31 / 63 | 435110 | ||||
| Avera Mother Joseph Manor Retirement Community | NH AL HC IL | Aberdeen | 81
Facility
81
SD AVG
69
Rank
#32 / 117 | - | - | 4.62
Facility
4.62
SD AVG
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Rank
#14 / 65 | -24% | +6% | $8.8k
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$8.8k
SD AVG
$38.5k
Rank
#18 / 67 | 12
Facility
12
SD AVG
14.8
Rank
#26 / 67 | 1.7
Facility
1.7
SD AVG
3.3
Rank
#13 / 67 | 3 | 76 | - |
31
Facility
31
SD AVG
39
Rank
#93 / 159 | - | - | - | - | 435042 | ||||
| Custer Care and Rehab Center | NH HC RC | Custer | 35
Facility
35
SD AVG
69
Rank
#103 / 117 | - | - | - | +3% | - | $0
Facility
$0
SD AVG
$38.5k
Rank
#1 / 67 | 20
Facility
20
SD AVG
14.8
Rank
#41 / 67 | 10.0
Facility
10.0
SD AVG
3.3
Rank
#67 / 67 | - | 31 | - |
49
Facility
49
SD AVG
39
Rank
#60 / 159 | - | - | - | - | 43A140 |
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.
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 2 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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