Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
46
35 employees · 11 contractors · 15 on an average day Custer Care and Rehab Center
Nursing Home, Hospice Care, Respite Care & Skilled Nursing · Custer, 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 & Skilled Nursing · Custer, 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 provides nursing home care, hospice care, respite care, and skilled nursing in Custer, South Dakota. Skilled nursing means licensed nurses are available on site around the clock, while hospice care supports residents with needs at the end of life. Respite care provides a short stay for someone whose usual caregiver needs time away to travel or recover.
Rehabilitation services are available for residents who need therapy during recovery or as part of ongoing care. The community has 35 beds, creating a smaller setting where staff and residents may become familiar with one another. Opened in 2023, Custer Care and Rehab Center is overseen by administrator Madison Barta and may suit someone who prefers a smaller community with nursing, rehabilitation, hospice, and respite services in one setting.
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
Data period: Q1 2026 (January 1 – March 31, 2026).
Headcount, shifts and contractors: CMS Payroll-Based Journal (PBJ).
Headcount
Every person who worked here at any point in the quarter, employees and contractors. It is not how many are on site at once: that is the "on an average day" figure.
46
35 employees · 11 contractors · 15 on an average day
Average hours one staff member works on a day they are on shift, across every role.
9.5 h
↑ 23% · SD 7.7 hThis facility: 9.5 h, 23% above the South Dakota average of 7.7 h (among South Dakota facilities reporting a recent figure).Green: 5% or more better than the state average. Yellow: within 5%. Red: 5% or more worse.
12,624 staff hours this quarter
See full South Dakota ranking →87.5% of staff hours were worked by the facility's own employees
South Dakota average: 87.9% · Contractors this quarter: Certified Nursing Assistant (4), Medication Aide/Technician (2), Licensed Practical Nurse (2), Mental Health Service Worker (1), Occupational Therapy Assistant (1), Occupational Therapy Aide (1)
Why it matters: employees work here week after week and get to know each resident's routines and needs. Agency contractors often rotate between facilities, so a higher employee share usually means more consistent care.
By The Numbers
Community insights.
Bed count
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
35
Rank #51 / 55Bed count — State benchmarked This nursing home is ranked 51st out of 55 nursing homes we track in South Dakota for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A smaller, more intimate setting that may offer a quieter environment and closer staff-resident interactions.
35
Rank #51 / 55Bed count — State benchmarked This nursing home is ranked 51st out of 55 nursing homes we track in South Dakota for bed count. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.Smaller home · May offer a more intimate, personalized care environment.
Years of operating
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
A newer community that may feature more recent facilities and programs. This is the number of years in operation under current management.
Rank #3 / 51Years in operation — State benchmarked This nursing home is ranked 3rd out of 51 nursing homes we track in South Dakota for years in operation. Shows how long this facility has been in operation compared to other South Dakota facilities. Longer operating histories may benefit residents, families, and staff. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
1
year
Walk Score
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #20 / 57Walk Score — State benchmarked This nursing home is ranked 20th out of 57 nursing homes we track in South Dakota for walk score. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
Rank #20 / 57Walk Score — State benchmarked This nursing home is ranked 20th out of 57 nursing homes we track in South Dakota for walk score. 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. Communities with the same value for a metric share the same rank. Rankings compare like with like: every nursing home we track in South Dakota that reports data for that category. Nursing homes without available data are excluded, so the pool size varies from metric to metric.
49
/ 100
Residents per day (avg)
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
The average number of residents living at this facility on a given day. CMS calculates this figure from the facility's Minimum Data Set (MDS) assessments and uses this value for other measures like Hours Per Resident Per Day (HPRD) and 5-Star Staffing rating.
27
Source: CMS Provider Information, average daily residents
About This Community
Facility TypeNursing Home
IssuanceJuly 1, 2025
CountyCuster
License Number80076
Custer Care and Rehab Center is administered by Madison Barta.
Respite CareRespite care provides families and unpaid caregivers with short-term relief from caregiving duties. Care can range from a few hours to a few weeks.
Pets not allowed
Wi-Fi
Daily Snack Cart
In-Room Features
Mounted Tvs In Each Room With Cable Service
ALM Inspection Grade Unavailable
Not publishedWe don't have enough verified data to publish an inspection grade for this facility — a missing grade reflects what we've been able to verify, not the facility's quality.
Enforcement
Penalties and fines
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 · Data as of Oct 2026
No penalties in the past 3 years
No civil money penalties or payment denials on record since Oct 2023.
Total fines
$0
SD avg $54KSouth Dakota average: $54,430. Average among the 72 South Dakota facilities with a penalty on record.US avg $66KUS average: $66,281, among the 6,725 US facilities with a penalty on record.
Number of fines
0
SD avg 2.5South Dakota average: 2.5. Average among the 72 South Dakota facilities with a penalty on record.US avg 1.88US average: 1.88, among the 6,725 US facilities with a penalty on record.
Payment denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
US avg 0.35US average: 0.35, among the 6,725 US facilities with a penalty on record.
Health Outcomes
Quality of care over time
How residents at this home fare on health outcomes and preventive care, compared with the South Dakota average.
CMS star rating for the care of long-stay residents, who live at the home for 100 days or more. It is built from the long-stay quality measures below. 5 stars is the best.
2
/ 5
Below averagePlaces of interest near Custer Care and Rehab Center
0.0 miles from city center
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 Homes around the area
Info below is compiled from CMS reports & the SD Dept. of Health (DOH), senior community websites & trusted data sources such as Walk Score & BBB.
Communities are listed from highest-ranked to lowest-ranked based on our methodology.
The facility name. Click to view the full profile page on Assisted Living Magazine, including photos, services, and contact info.
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CMS (Centers for Medicare & Medicaid Services, the federal agency that regulates nursing homes) Overall 5-star rating — a composite of Health Inspection, Staffing, and Quality Measures scores. 5 stars = top 10% nationally. 1 star = bottom 10%. The single most important number to start with when comparing facilities.
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Care Types in This Table
AL (Assisted Living):
Housing with help for daily activities like bathing, dressing, and medication, without 24-hour skilled nursing.
NH (Nursing Home):
24/7 skilled nursing care for residents with complex, ongoing medical needs.
SNF (Skilled Nursing Facility):
Round-the-clock nursing care, often for recovery after surgery, injury, or illness.
MC (Memory Care):
Secured, specialized care for people living with Alzheimer's or dementia.
RC (Respite Care):
Short-term temporary care that gives family caregivers a break.
IL (Independent Living):
Community living with dining, activities, and transportation for active seniors who need little personal care.
HOS (Hospice Care):
Comfort-focused care for those with a terminal illness, prioritizing quality of life over treatment.
ADC (Adult Day Care):
Daytime supervision, health monitoring, and social activities for seniors who live at home.
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Neighborhood or city area where the facility is located. Proximity to family, hospitals, and green space matters for both quality of life and ease of visitation. Consider drive time and transit access when evaluating location.
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Licensed bed capacity. Larger facilities (300+ beds) often have more specialized programs but can feel institutional. Smaller homes (under 150 beds) tend to deliver more personalized care. Compare with Avg Res/Day to understand how full the facility typically runs.
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Percentage of licensed beds filled on an average day. Color indicates financial health: green (90%+) = operationally strong, typically profitable. Amber (80–89%) = stable but leaving revenue on the table. Orange (70–79%) = financial strain likely, may struggle with fixed costs. Red (<70%) = significant distress, closure or ownership change risk increases sharply.
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This facility's occupancy rate compared to the statewide average for similar facilities. A positive number means above-average demand. Facilities running 5%+ above the state average are typically the most sought-after in their market — a strong proxy for reputation.
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CMS-adjusted total nurse hours per resident per day (RN + LPN + CNA combined). The national average is approximately 3.5 hrs. Higher is better — more direct care time per resident. Below 3.0 is a red flag. CMS weights RN hours more heavily because RNs handle complex clinical decisions that CNAs cannot.
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CMS Health Inspection star rating (1–5 stars), based on the 3 most recent annual state surveys plus any complaint investigations. This is the hardest rating to manipulate — it reflects real surveyor findings on-site. 5 stars = fewest deficiencies found. 1 star = most. It carries the heaviest weight in the Overall CMS rating.
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CMS Staffing star rating (1–5 stars), based on daily nurse staffing hours submitted to CMS via verified payroll data. Compares RN, LPN, and CNA coverage relative to resident acuity level. 5 stars = well above expected staffing. Weekend staffing is evaluated separately, as that's where many facilities quietly reduce coverage.
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CMS Quality Measures star rating (1–5 stars), based on 15 clinical outcome metrics including fall rates, pressure ulcers, antipsychotic drug use, and hospital readmissions. Captures actual resident health outcomes, not just compliance. High QM combined with low Health Inspection scores can indicate a facility with strong care but weak documentation practices.
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Registered Nurse hours per resident/day compared to the statewide average. RNs are the highest-skilled nursing staff — they assess residents, manage medications, and respond to emergencies. A value of +50% means RN coverage is 50% above the state norm. Negative values are a concern for residents with complex or acute medical needs.
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Total nursing staff hours (RN + LPN + CNA combined) per resident/day vs. the statewide average. A broader measure than RN vs State — it captures the entire care team. A facility can have high total staffing but low RN hours, meaning more aides and fewer nurses. Read both columns together for the full picture.
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Total dollar amount of federal monetary fines (civil money penalties) issued by CMS in the past 3 years. Fines are only levied for serious violations — typically actual harm to residents, repeated uncorrected deficiencies, or systemic non-compliance. Even a single fine is noteworthy. Multiple fines strongly suggest a pattern, not isolated incidents.
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Total health deficiency citations from the most recent standard inspection cycle. Minor citations (scope A–C) are common and often administrative in nature. Higher counts aren't always disqualifying, but should be read alongside Severe Citations to understand actual harm levels. Under 10 is strong for a large facility; 30+ warrants a closer look.
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Average deficiency citations per CMS inspection (survey) in the reporting window — total citations divided by the number of inspections. Lower is better; compare alongside total Citations and Severe Citations for context.
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Citations at CMS scope/severity level G or higher — G–I means actual harm occurred; J–L means residents were placed in immediate jeopardy. (D–F is potential for harm only). Examples include unaddressed falls, medication errors causing injury, neglect, or abuse.
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Average number of residents in the building on any given day, derived from annual census data. Reflects true operating scale — a 400-bed facility running 200 residents/day operates very differently from one at 390. Higher resident counts generally mean more funded staffing hours.
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Better Business Bureau rating (A+ to F). Reflects complaint history, business transparency, and how family disputes were resolved. A+ means no significant unresolved complaints. A blank (—) means the facility isn't BBB-accredited, which is common for healthcare providers and not necessarily a negative signal.
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Walk Score® (0–100). Measures walkability of the surrounding area. 90–100 = Walker's Paradise. 70–89 = Very Walkable. 50–69 = Somewhat Walkable. Below 50 = Car-Dependent. Higher scores benefit family visitors, resident outings, and staff commuting.
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The licensed owner or operator of record filed with CMS — the individual or organization legally accountable for the facility. Searching the operator name across other facilities can reveal chain or multi-site ownership, which matters: chain-operated homes tend to have more variable quality outcomes than independently run facilities.
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What the home actually collects for resident care, after contractual allowances, bad debt and discounts — not gross billings. Taken from the latest complete annual cost report, so it is comparable across homes reporting the same period. Revenue alone doesn't indicate care quality, but it funds staffing and capital reinvestment. Pair with Payroll %. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Staff salaries plus wage-related benefits from the latest complete annual cost report. Contract and agency labour is counted separately, under other operating costs, so a home leaning on agency staff can show a low figure here. Payroll is the cost most directly tied to care quality — compare with Payroll % for full context. Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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Payroll as a share of NET PATIENT REVENUE (not gross revenue). Both figures come from the same cost-report year. A higher figure means more of each revenue dollar goes to staff pay. Read with the Staffing star rating to judge whether spend translates into coverage — and note that homes whose patient revenue covers only part of their operation can read implausibly high. The South Dakota average is: 58.8% Figures are from each facility's most recent complete fiscal year — hover a value for the exact year; a * marks homes that report an older period than most facilities.
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CMS Certification Number: the unique federal identifier for this skilled nursing provider.
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Alcester Care and Rehab Center | NH AL SNF | Alcester (Alcester Township) | 41
Facility
41
SD AVG
69
Rank
#45 / 55 |
92.7%
Facility
92.7%
SD AVG
86.2%
Rank
#8 / 29 | +8% | 3.44
Facility
3.44
SD AVG
4.54
Rank
#37 / 48 | -4% | -24% | $0
Facility
$0
SD AVG
$52.4k
Rank
#1 / 51 | 7
Facility
7
SD AVG
17.8
Rank
#8 / 50 | 2.3
Facility
2.3
SD AVG
3.6
Rank
#15 / 50 | - | 41 | - |
14
Facility
14
SD AVG
38
Rank
#48 / 57 | Stroschein Properties III LLC | $3.1MFiscal year ending 12/2024
Facility
$3.1MFiscal year ending 12/2024
SD AVG
$7.6M
Rank
#44 / 45 | $1.9MFiscal year ending 12/2024
Facility
$1.9MFiscal year ending 12/2024
SD AVG
$4.5M
Rank
#38 / 45 | 60.4%Fiscal year ending 12/2024
Facility
60.4%Fiscal year ending 12/2024
SD AVG
58.8%
Rank
#12 / 45 | 435062 | ||||
| Menno-Olivet Care Center | NH AL HOS RC SNF | Menno | 41
Facility
41
SD AVG
69
Rank
#45 / 55 |
57.3%
Facility
57.3%
SD AVG
86.2%
Rank
#28 / 29 | -34% | 6.10
Facility
6.10
SD AVG
4.54
Rank
#1 / 48 | -2% | +34% | $0
Facility
$0
SD AVG
$52.4k
Rank
#1 / 51 | 6
Facility
6
SD AVG
17.8
Rank
#3 / 50 | 2.0
Facility
2.0
SD AVG
3.6
Rank
#8 / 50 | 1 | 24 | - |
13
Facility
13
SD AVG
38
Rank
#49 / 57 | Lacee Feltman | $2.4M*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | $1.9M*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 79%*Fiscal year ending 2020These figures are from this home's most recent complete cost report — an older period than most facilities report. Compare with that in mind. | 435113 | ||||
| Avera Maryhouse | NH AL HOS | Pierre | 67
Facility
67
SD AVG
69
Rank
#23 / 55 | - | - | 5.49
Facility
5.49
SD AVG
4.54
Rank
#4 / 48 | +14% | +21% | $0
Facility
$0
SD AVG
$52.4k
Rank
#1 / 51 | 9
Facility
9
SD AVG
17.8
Rank
#7 / 50 | 2.3
Facility
2.3
SD AVG
3.6
Rank
#10 / 50 | - | 59 | - |
60
Facility
60
SD AVG
38
Rank
#11 / 57 | - | - | - | - | 435034 | ||||
| Oakview Terrace | NH ADC AL IL MC | Freeman | 45
Facility
45
SD AVG
69
Rank
#37 / 55 |
80.7%
Facility
80.7%
SD AVG
86.2%
Rank
#25 / 29 | -6% | 5.85
Facility
5.85
SD AVG
4.54
Rank
#3 / 48 | +56% | +29% | $10.8k
Facility
$10.8k
SD AVG
$52.4k
Rank
#20 / 51 | 13
Facility
13
SD AVG
17.8
Rank
#12 / 50 | 4.3
Facility
4.3
SD AVG
3.6
Rank
#27 / 50 | 1 | 36 | - |
26
Facility
26
SD AVG
38
Rank
#39 / 57 | - | - | - | - | 435112 | ||||
| Custer Care and Rehab Center | NH HOS RC SNF | Custer | 35
Facility
35
SD AVG
69
Rank
#51 / 55 | - | - | - | -21% | - | $0
Facility
$0
SD AVG
$52.4k
Rank
#1 / 51 | - | - | - | 27 | - |
49
Facility
49
SD AVG
38
Rank
#20 / 57 | - | - | - | - | 43A140 |
Rank badges are statewide and care-type specific: each nursing home is ranked against every other SD nursing home we track that reports that metric, not just the 5 on this page. See how we rank facilities
Know before you visit
Frequently Asked Questions about Custer Care and Rehab Center
Quick answers from public records and the community's own listing.01 Is Custer Care and Rehab Center in a walkable area?
Custer Care and Rehab Center has a walk score of 49. Car-dependent. A few nearby services may be reachable on foot, but most trips require transportation.
02 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.
03 How long has Custer Care and Rehab Center been in business?
Custer Care and Rehab Center has been operating for approximately 1 year, based on available licensing and registration records.
04 Are pets allowed at Custer Care and Rehab Center?
No, Custer Care and Rehab Center has a no-pet policy.
05 Who is the administrator of Custer Care and Rehab Center?
Madison Barta is the administrator of Custer Care and Rehab Center.
06 What is the overall rating for Custer Care and Rehab Center?
Custer Care and Rehab Center received a 1-star overall rating from the CMS (Centers for Medicare and Medicaid Services). This score combines results from staffing levels, quality measures, and health inspections.
07 How many beds does Custer Care and Rehab Center have?
Custer Care and Rehab Center has 35 beds.
Updated on
