Custer Care and Rehab Center
Nursing Home · South Dakota, SD
CMS overall rating Info 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 Info 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.

Overview of Custer Care and Rehab Center

Custer Care and Rehab Center is a skilled nursing facility located in the heart of the Southern Black Hills – Custer, South Dakota. It is committed to providing compassionate care, quality services, and respect to its residents. The facility focuses on individualized care and enhancing the quality of life for its residents.
(605) 673-2115

Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
▼ 60.2% Below SD avg.
Health Inspection Info 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.
▼ 60.8% Below SD avg.
Staffing Info 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.
▼ 65.2% Below SD avg.
Quality Measures Info 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.
▼ 26.7% Below SD avg.
Bed community size
35-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 49 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

License Details

Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
ExpirationJune 30, 2026
CountyCuster
License Number80076

Ownership & Operating Entity

Custer Care and Rehab Center is administrated by Madison Barta.

Therapy & Rehabilitation

2 services
Rehabilitation Services
Respite Care

Staffing & Medical

1 service
24-Hour Staffing

Amenities & Lifestyle

24/7 Nursing Care
Daily Snack Cart
Hi-Speed Wifi
Mounted Tvs In Each Room With Cable Service

Dining & Nutrition

Food DescriptionThree meals provided daily with alternate choices available.

Contact Custer Care and Rehab Center

Health Inspection History

Inspections
Total health inspections 2

South Dakota average 4.5


Last Health inspection on Aug 2025

Total health citations
20 Rank #35 / 64Health citations — state benchmarkedThis home is ranked 35th out of 64 homes in South Dakota.Shows this facility's total health deficiency citations benchmarked to the South Dakota state average, with a ranking across all 64 SD SNFs. Lower citation counts earn a better rank.

South Dakota average 14.8

Citations per inspection
10 Rank #64 / 64Citations per inspection — state benchmarkedThis home is ranked 64th out of 64 homes in South Dakota.Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 64 SNFs with citation data. Lower is better.

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 More info
0
100% better than South Dakota average

South Dakota average: 0.3


Serious Health citations More info 0
100% better than South Dakota average

South Dakota average: 1.8

0 critical citations More info South Dakota average: 0.3

0 serious citations More info South Dakota average: 1.8

20 moderate citations More info South Dakota average: 12.6

0 minor citations More info South Dakota average: 0
Citations history (last 1 year)
Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Aug 26, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Aug 26, 2025
Corrected

Administration moderate citation Info Issues related to how the facility is managed, including policies, procedures, and compliance with regulations. Aug 26, 2025
Corrected

Environmental moderate citation Info Issues related to building safety, cleanliness, maintenance, and overall living conditions. Aug 26, 2025
Corrected

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.

Get Financial aid guidance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

Age 65+ or disabled
General South Dakota resident, Medicaid-eligible, nursing home-level care need.
Income Limits (2025) ~$2,829/month 300% FBR, individual
Asset Limits $2,000 (individual), $3,000 (couple).
SD

Sparse population aids rural access; limited providers.

Benefits
Personal care (5-7 hours/day) Respite (240 hours/year) Adult day care (~$60/day) Home aides

South Dakota Elderly Services Program

SD ESP

Age 60+
General South Dakota resident, at risk of decline.
Income Limits ~$1,732/month individual, varies
Asset Limits $5,000 individual
SD

Limited funding; rural focus.

Benefits
In-home care (2-4 hours/week) Respite (up to 5 days/year) Transportation (~5 trips/month)

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

Age 65+ or disabled
General SD resident, Medicare Part A/B.
Income Limits (2025) ~$2,510/month (QMB), ~$3,380/month (SLMB), ~$3,598/month (QI)—individual.
Asset Limits $9,430 (individual), $14,130 (couple).
SD

Three tiers; includes Extra Help for Part D; no waitlist.

Benefits
Covers Part B premiums ($174.70/month) Deductibles ($240/year) Copays (~20%)

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

Age 60+ prioritized
General SD resident, low-income household.
Income Limits (2025) ~$3,970/month individual, 185% FPL
Asset Limits Not assessed; income-focused.
SD

Covers gas, electric, propane; weatherization add-on available.

Benefits
Heating/cooling aid ($300-$1,000/season) Emergency aid ($500 max)

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

Age
General Caregivers of 60+ needing care or 55+ caregivers of others; SD resident; functional needs (2+ ADLs).
Income Limits (2025) No strict cap; prioritizes low-income ~$24,980/year
Asset Limits Not assessed; need-based.
SD

Rural emphasis; includes grandparent caregivers.

Benefits
Respite (4-6 hours/week or 5 days/year) Adult day care ($60/day) Training Supplies (~$500/year)

VA Aid and Attendance (A&A) and Housebound Benefits

South Dakota VA Aid and Attendance/Housebound

Age 65+ or disabled veteran/spouse
General SD resident, wartime service, need for ADL help (A&A) or homebound.
Income Limits (2025) Net income < ~$1,984/month (veteran with dependent, A&A); pension offsets income.
Asset Limits ~$155,356 net worth limit
SD

Supports rural veterans; high demand near Sioux Falls VA.

Benefits
Cash (~$1,433-$2,642/month veteran, ~$951-$1,318 spouse) for care costs (e.g., in-home, assisted living)

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

Age 65+ (or disabled) by Jan 1
General SD resident entire prior year, homeowner/renter.
Income Limits (2025) ~$20,192/year (single), ~$24,679/year (multiple-member household).
Asset Limits Not assessed; income-focused.
SD

Refunds up to $575; ~10,000 seniors benefit annually.

Benefits
Tax refund (~$250-$575/year based on income)

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

Age 60+
General SD resident, low-income.
Income Limits (2025) ~$2,322/month individual, 185% FPL
Asset Limits Not assessed.
SD

Vouchers (~$50/season); serves ~5,000 annually via 6 AAAs.

Benefits
Vouchers (~$50/season) for fresh produce at approved markets

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

Age 65+ (or disabled)
General SD resident 200+ days prior year, homeowner.
Income Limits (2025) ~$35,000/year (single), ~$45,000/year (multiple-member household).
Asset Limits Property value < $250,000 (single), $300,000 (multiple).
SD

Saves ~$300-$600/year avg.; applies to primary residence.

Benefits
Assessment freeze (~$300-$600/year savings)

Older Americans Act (OAA) Services

South Dakota OAA Services

Age 60+
General SD resident (or spouse of any age); no income/asset limits.
Income Limits (2025) None; donations encouraged for some services.
Asset Limits Not assessed.
SD

6 AAAs; rural focus due to sparse population.

Benefits
Meals (home-delivered or congregate, ~$5-$7/meal value) Transportation Homemaker services (~4 hours/week) Respite (~5 days/year) Legal aid

Places of interest near Custer Care and Rehab Center

Address 0.0 miles from city center Info 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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Address

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.

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 Info 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 average

South Dakota average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 24.6
In line with South Dakota average

South Dakota average: 23.9

Long-stay resident measures
Below average Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 22.1%
In line with South Dakota average

South Dakota average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 23.4%
In line with South Dakota average

South Dakota average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 28.4%
6% worse than South Dakota average

South Dakota average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 0.0%
100% better than South Dakota average

South Dakota average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.0%
10% worse than South Dakota average

South Dakota average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 4.9%
42% worse than South Dakota average

South Dakota average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 13.9%
155% worse than South Dakota average

South Dakota average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 8.5%
107% worse than South Dakota average

South Dakota average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 32.9%
35% worse than South Dakota average

South Dakota average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 73.2%
24% worse than South Dakota average

South Dakota average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 95.7%
In line with South Dakota average

South Dakota average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 74.6%
12% worse than South Dakota average

South Dakota average: 84.4%

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.

Compare Nursing Home around South Dakota

The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.

5 facilities compared · CMS & SD Dept. of Health data · Updated May 2026

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 (Alcester Township)41 94.9% +19%3.72 +30%-14%2112.2137 14 Stroschein Properties III LLC$3.0M$1.5M50.6%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.

Clark35 79.4% -1%3.15 -22%-27%151.3131 31 Tiffany Schlomer$6.0M$1.5M25.5%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 (White Lake Township)50 61.7% -23%3.45 +29%-20%2163.2140 17 Aurora-Brule Nursing Home$2.9M$1.5M51.8%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)68 75.2% -6%2.80 +52%-36%5343.8961 12 Philip Preston$10.7M$2.9M27.3%435051
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.

Custer35--- --02010.0-27 49 ----43A140

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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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