What government services provide money for senior housing?

Several government programs offer financial assistance for senior housing in various countries, focusing on the United States for a broad overview: Medicaid: Medicaid is a state and federally funded program that can cover the costs of nursing home care for those who meet eligibility criteria, including income and asset limits. Some states also offer Medicaid waivers that help pay for home and community-based services to prevent or delay nursing home placement. Medicare: Medicare, primarily a health insurance program for people aged 65 and over, does not cover long-term housing costs. However, it can cover short-term stays in a skilled nursing facility under specific conditions following a hospital stay. Section 202 Supportive Housing for the Elderly Program: This program provides housing for low-income seniors. It offers rental assistance and access to supportive services, such as cleaning, cooking, and transportation. Low-Income Housing Tax Credit (LIHTC) Properties: While not a direct subsidy, LIHTC encourages developers to create affordable housing. Seniors with low incomes can find reduced-rent apartments through this program. State and Local Programs: Many states, counties, and cities offer their own programs to assist seniors with housing costs. These can include property tax relief programs, rental assistance programs, and programs that offer affordable senior housing options. Veterans Affairs (VA): The VA offers several programs for veterans, including the Aid and Attendance benefit, which provides monthly payments to veterans who require the aid of another person, or are housebound, to help cover the cost of care in homes, nursing homes, and assisted living facilities. Social Security: While Social Security primarily provides retirement income, for many seniors, these benefits are a crucial part of their budget, including housing costs.

How do you pick the homes you recommend?

Before recommending homes, we conduct a thorough evaluation on crucial factors that define a senior home such as the quality of care they provide, the reputation of the organization, and a comprehensive review of community testimonials as well. Every detail is assessed to assure that seniors are offered not just senior care options, but trustworthy homes where they can experience the care that they deserve.

Do you help families that need Medicaid?

Yes. Assisting families who need Medicaid is important to us as it plays a crucial role in offering financial support to seniors confronting economic challenges. We would like to keep essential healthcare services accessible to all community members, irrespective of one’s financial circumstances.

How much does this service cost?

We extend our services at no cost, ensuring that families and seniors can benefit from tailored assistance in their search for care and home options. Our ability to offer personalized guidance without charge to families and seniors is made possible through the support and funding from the communities with which we team up.

What services do you offer?

Finding and ranking the best assisted living facilities Finding and ranking the best nursing homes Finding and ranking the best memory care facilities Our concierge service helps seniors move into the perfect home for them Helping seniors use medicare, medicaid, and other government programs to pay for their homes Helping seniors avoid senior homes that have bad service or fraud Helping seniors avoid senior homes that have bad service or fraud Autobiography & Family History Writing + Research Senior-focused concierge medicine Senior-focused nutritionist Senior-focused personal training Memory care specialists Custom wheelchairs at all price points. Custom hearing aids Cosmetic skincare + dermatology Companionship: We offer in-person and virtual companionship services. Someone engaging to hang out with or talk to on video chat. Senior housing concierge. Our service finds the best senior living options based on your needs, income, and personality.

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Dells Nursing and Rehab Center Inc.

Dell Rapids, SD 57022 View Map

Dells Nursing and Rehab Center Inc. is a Nursing Home in South Dakota

Dells Nursing and Rehab… is a Nursing Home in South Dakota

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Dells Nursing and Rehab Center Inc.
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Overview of Dells Nursing and Rehab Center Inc.

Dells Nursing and Rehab Center Inc. specializes in quality long-term care in a family-focused environment. The facility is committed to providing a secure and comfortable lifestyle for its residents. Family involvement and community integration are encouraged.

(605) 428-5478 info@DellsNursingRehab.com

Capacity and availability

Smaller home

May offer a more intimate, personalized care environment.

Total beds 46

This home usually has limited availability

Occupancy is moderate, suggesting balanced demand.

88.5%

TYPE OF STAY

Mostly short-term rehab stays

Most residents typically stay for a few weeks or months before returning home or moving on.

Might be optimal for

Short stays Recovery Medicare-covered care

How we assess these insights Show admissions and discharges

Breakdown by payment type

Medicare

55% of new residents, usually for short-term rehab.

Typical stay 1 - 2 months

Private pay

31% of new residents, often for short stays.

Typical stay 2 years

Medicaid

14% of new residents, often for long-term daily care.

Typical stay 6 years

Finances and operations

Home revenue

$3.4M

Operating deficit

-$182.3K

Voluntary non-profit home Other

Home revenue

$3,442,956.00

Operating deficit

$-182,301.00

Payroll costs

$1.5M

42.3% of revenue

Other operating costs

$2.2M

Total costs $3.6M

46-bed community

A moderately sized community that may balance personal attention with shared amenities and social activities.

About this community

License Status

Active

Facility Type

Nursing Home

License Date

July 1, 2025

Additional licensing details

License number: 10613

CMS Certification Number: 435129

County: Minnehaha

Ownership & operating entity

Dells Nursing and Rehab Center Inc. is administrated by Togel, Calyn.

Compare Nursing Homes around South Dakota

Alcester Care and Rehab Center

SNF

SD 57001

STROSCHEIN PROPERTIES III LLC

94.9%

$2,913,737.00

$1,508,672.00

51.8%

37.10

4/5

3.7156

5/5

3/5

1/5

Avantara Clark City

SNF

Clark

SCHLOMER, TIFFANY

79.4%

$5,951,228.00

$1,518,009.00

25.5%

30.60

3/5

3.1510

4/5

3/5

1/5

Aurora Brule Nursing Home Inc.

SNF

SD 57383

AURORA-BRULE NURSING HOME

61.7%

$2,847,378.00

$1,491,258.00

52.4%

39.60

3/5

3.4495

3/5

2/5

3/5

Avantara Arrowhead

SNF

SD 57702

PRESTON, PHILIP

75.2%

$10,728,053.00

$2,930,677.00

27.3%

60.50

1/5

2.7955

1/5

3/5

Dells Nursing and Rehab Center Inc.

SNF

SD 57022

STROSCHEIN PROPERTIES LLC

88.5%

$3,384,435.00

$1,457,326.00

43.1%

40.70

4.0065

Alcester Care and Rehab Center

Type of care: SNF AL

Community: SD 57001

Bed Count: 39

Pets Allowed: No

Operator: STROSCHEIN PROPERTIES III LLC

CCN: 435062

Occupancy: 94.9%

Home Revenue: $2,913,737.00

Payroll Costs: $1,508,672.00

Payroll %: 51.8%

Avg Residents/Day: 37.10

Overall Rating: 4/5

Adj Nurse Hours: 3.7156

Health Insp Rating: 5/5

Staffing Rating: 3/5

QM Rating: 1/5

Number of Fines: 2

Avantara Clark City

Type of care: SNF AL

Community: Clark

Bed Count: 38

Pets Allowed: No

Operator: SCHLOMER, TIFFANY

CCN: 435058

Occupancy: 79.4%

Home Revenue: $5,951,228.00

Payroll Costs: $1,518,009.00

Payroll %: 25.5%

Avg Residents/Day: 30.60

Overall Rating: 3/5

Adj Nurse Hours: 3.1510

Health Insp Rating: 4/5

Staffing Rating: 3/5

QM Rating: 1/5

Number of Fines: 1

Aurora Brule Nursing Home Inc.

Type of care: SNF AL

Community: SD 57383

Bed Count: 44

Pets Allowed: No

Operator: AURORA-BRULE NURSING HOME

CCN: 435132

Occupancy: 61.7%

Home Revenue: $2,847,378.00

Payroll Costs: $1,491,258.00

Payroll %: 52.4%

Avg Residents/Day: 39.60

Overall Rating: 3/5

Adj Nurse Hours: 3.4495

Health Insp Rating: 3/5

Staffing Rating: 2/5

QM Rating: 3/5

Number of Fines: 2

Avantara Arrowhead

Type of care: SNF AL

Community: SD 57702

Bed Count: 74

Pets Allowed: No

Operator: PRESTON, PHILIP

CCN: 435051

Occupancy: 75.2%

Home Revenue: $10,728,053.00

Payroll Costs: $2,930,677.00

Payroll %: 27.3%

Avg Residents/Day: 60.50

Overall Rating: 1/5

Adj Nurse Hours: 2.7955

Health Insp Rating: 1/5

Staffing Rating: 1/5

QM Rating: 3/5

Number of Fines: 5

Dells Nursing and Rehab Center Inc.

Type of care: SNF AL

Community: SD 57022

Bed Count: 48

Pets Allowed: No

Operator: STROSCHEIN PROPERTIES LLC

CCN: 435129

Occupancy: 88.5%

Home Revenue: $3,384,435.00

Payroll Costs: $1,457,326.00

Payroll %: 43.1%

Avg Residents/Day: 40.70

Adj Nurse Hours: 4.0065

Number of Fines: 3

Dell Rapids, SD 57022

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Total Staff

Employees

Contractors

14,788

Total Hours (Quarter)

Avg Staff/Day

7.4

Avg Shift (hrs)

Nursing Staff Breakdown

Role ⓘ	Count ⓘ	Avg Shift (hrs) ⓘ	Uses Contractors? ⓘ
Registered Nurse	7	9.7	Yes
Licensed Practical Nurse	6	10.2	Yes
Certified Nursing Assistant	38	7.9	Yes

Staff by Category

Administration

2 staff

7.8hs shift avg

Nursing Staff

54 staff

8.1hs shift avg

Physicians & Practitioners

1 staff

8.4hs shift avg

Therapy Services

15 staff

4.5hs shift avg

Activities & Recreation

0 staff

0hs shift avg

Social Services

3 staff

1hs shift avg

Dietary Services

9 staff

5.9hs shift avg

Other Services

0 staff

0hs shift avg

Contractor Analysis

44.4%

of total hours from contractors

6,563 contractor hours this quarter

Certified Nursing Assistant: 14 Medication Aide/Technician: 1 Registered Nurse: 1 Speech Language Pathologist: 5 Physical Therapy Assistant: 4 Medical Director: 1 Licensed Practical Nurse: 3 Qualified Social Worker: 3 Respiratory Therapy Technician: 3 Occupational Therapy Aide: 1 Physical Therapy Aide: 2

Role ⓘ	Employees ⓘ	Contractors ⓘ	Total Staff ⓘ	Total Hours ⓘ	Days Worked ⓘ	% of Days ⓘ	Avg Shift (hrs) ⓘ
Certified Nursing Assistant	24	14	38	8,213	91	100%	7.9
Registered Nurse	6	1	7	1,850	91	100%	9.7
Licensed Practical Nurse	3	3	6	1,063	79	87%	10.2
Medication Aide/Technician	2	1	3	998	89	98%	6.4
Other Dietary Services Staff	9	0	9	820	87	96%	5.9
Nurse Practitioner	1	0	1	540	64	70%	8.4
Administrator	1	0	1	480	60	66%	8
Physical Therapy Assistant	0	4	4	289	62	68%	4.5
Speech Language Pathologist	0	5	5	222	57	63%	3.4
Respiratory Therapy Technician	0	3	3	199	30	33%	6.6
Occupational Therapy Aide	0	1	1	48	9	10%	5.3
Qualified Social Worker	0	3	3	30	28	31%	1
Physical Therapy Aide	0	2	2	25	6	7%	4.2
Medical Director	0	1	1	12	3	3%	4

View All Staffing Data

Total Health inspections 4

11% below South Dakota average

South Dakota average: 4.5

Last Health inspection on Jun 2025

Total Health citations 17

15% above South Dakota average

South Dakota average: 14.8

4.25 citations per inspection (avg)

Citations origin

Citations can result from standard inspections or complaint-based investigations.

Standard inspections 14 citations

Complaint investigations 4 citations

Breakdown of citations

Critical Health citations 0

100% below South Dakota average

South Dakota average: 0.3

Serious Health citations 2

11% above South Dakota average

South Dakota average: 1.8

Moderate Health citations 15

Minor Health citations 0

Citations history (last 3 years)

Infection Control moderate citation Jun 26, 2025

Corrected

Resident Rights moderate citation Jun 26, 2025

Corrected

Abuse/Neglect moderate citation Jan 16, 2025

Corrected

Abuse/Neglect moderate citation Jan 16, 2025

Corrected

Ownership: For-Profit Corporation

Resident Census by Payment Source

40 Total Residents

Medicare 2 (5%)

Medicaid 23 (57.5%)

Private Pay/Other 15 (37.5%)

Programs & Services

Family Member Group

Family Engagement

Active councils help families stay involved in care decisions and facility operations.

Active Family Council

High-risk clinical events score 15.5

29% worse than South Dakota average

South Dakota average: 12.0

Functional decline score 23.1

Near South Dakota average

South Dakota average: 23.9

Long-Stay Resident Measures

Need for Help with Daily Activities Increased 18.8%

16% below South Dakota average.

Walking Ability Worsened 24.5%

7% above South Dakota average.

Low Risk Long-Stay Residents with Bowel/Bladder Incontinence 26.2%

2% below South Dakota average.

Falls with Major Injury 23.9%

375% above South Dakota average.

High Risk Residents with Pressure Ulcers 1.2%

74% below South Dakota average.

Urinary Tract Infection 1.3%

63% below South Dakota average.

Depressive Symptoms 0.0%

100% below South Dakota average.

Antipsychotic Use 35.9%

47% above South Dakota average.

Pneumococcal Vaccine 98.7%

3% above South Dakota average.

Influenza Vaccine 86.4%

11% below South Dakota average.

Lost Too Much Weight 9.3%

70% above South Dakota average.

Short-stay resident measures

Pneumococcal Vaccine 92.3%

9% better than South Dakota average

Antipsychotic medication increase 6.7%

280% worse than South Dakota average

Total fines amount $68K

This home paid 71% more in fines than the state average.

South Dakota average: $40K

Number of Fines 3

This home received 48% more fines than the state average.

South Dakota average: 2.0

Payment Denials 0

This home is near the state average.

South Dakota average: 0.0

Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

Civil Money Penalty Aug 8, 2024

$25K

Civil Money Penalty Feb 12, 2024

$40K

Civil Money Penalty Apr 17, 2023

$3K

Last updated: Jan 2026

Financial Trends

Historical financial and operational data for Dells Nursing and Rehab Center Inc. based on CMS SNF Cost Reports.

Occupancy Rate 88.5% ↓ 0.4pp vs 2022

Net Income -$182,301 ↓ ~$237K vs 2022

Total Payroll $2,797,577 ↑ ~$344K vs 2022

Profit Margin -5.4% ↓ 7.2pp vs 2022

Loading trend charts...

Metric	2013	2014	2015	2016	2017	2018	2019	2020	2021	2022	2023
Occupancy %	64.2%	94.7%	91.0%	91.3%	93.9%	93.1%	90.3%	84.6%	90.7%	88.8%	88.5%
Beds	71	71	71	62	54	54	50	50	48	48	48
Net Income	-$250,428	$354,106	$301,399	$253,739	-$82,950	-$48,834	$80,528	$394,596	$95,405	$54,256	-$182,301
Gross Revenue	$3,702,225	$3,730,590	$3,866,124	$3,623,890	$3,602,631	$3,290,096	$3,136,763	$2,887,664	$3,050,974	$3,069,318	$3,384,435
Operating Expenses	$3,974,999	$3,462,003	$3,599,085	$3,386,656	$3,824,065	$3,369,076	$3,104,330	$3,589,677	$3,090,868	$3,530,525	$3,625,257
Net Patient Revenue	$3,702,225	$3,730,590	$3,866,124	$3,623,890	$3,602,631	$3,290,096	$3,136,763	$2,887,664	$3,050,974	$3,069,318	$3,384,435
Total Payroll	$2,754,432	$2,301,243	$2,521,352	$2,391,019	$2,817,611	$2,342,616	$2,340,536	$2,158,086	$2,263,722	$2,453,947	$2,797,577
Profit Margin %	-6.8%	9.5%	7.8%	7.0%	-2.3%	-1.5%	2.6%	13.7%	3.1%	1.8%	-5.4%
Medicare %	7.1%	3.3%	6.8%	8.2%	7.2%	4.4%	5.2%	7.6%	6.9%	1.4%	4.9%
Medicaid %	87.9%	55.7%	52.0%	51.3%	48.0%	48.3%	46.8%	51.5%	49.5%	51.2%	57.4%
Private %	5.0%	41.0%	41.1%	40.5%	44.8%	47.4%	48.0%	40.9%	43.5%	47.4%	37.8%
Revenue/Day	$239	$152	$164	$171	$177	$179	$186	$186	$201	$197	$218
Cost/Day	$257	$141	$153	$160	$187	$184	$184	$232	$204	$227	$234
Avg Length of Stay	397.0 days	1,022.7 days	406.7 days	432.6 days	358.1 days	483.0 days	674.2 days	297.9 days	409.3 days	536.7 days	455.8 days

Guides for Better Senior Living

Care Cost Calculator: See Prices in Your Area

Nursing Home Data Explorer

Don’t Wait Too Long: 7 Red Flag Signs Your Parent Needs Assisted Living Now

The True Cost of Assisted Living in 2025 – And How Families Are Paying For It

Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance

Home and Community Based Services Waiver

SD Medicaid HCBS Waiver

General: Age 65+ or disabled, 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 Specifics: Sparse population aids rural access; limited providers.

South Dakota Elderly Services Program

SD ESP

General: Age 60+, South Dakota resident, at risk of decline.

Income Limits: ~$1,732/month (individual, varies).

Asset Limits: $5,000 (individual).

SD Specifics: Limited funding; rural focus.

Medicare Savings Program (MSP)

South Dakota Medicare Savings Program

General: Age 65+ or disabled, 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 Specifics: Three tiers; includes Extra Help for Part D; no waitlist.

Low-Income Home Energy Assistance Program (LIEAP)

South Dakota LIEAP

General: Age 60+ prioritized, SD resident, low-income household.

Income Limits (2025): ~$3,970/month (individual, 185% FPL).

Asset Limits: Not assessed; income-focused.

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

Family Caregiver Support Program (FCSP)

South Dakota Family Caregiver Support Program

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 Specifics: Rural emphasis; includes grandparent caregivers.

Senior Community Service Employment Program (SCSEP)

South Dakota SCSEP

General: Age 55+, unemployed, low-income, SD resident.

Income Limits (2025): ~$1,983/month (125% FPL).

Asset Limits: Not specified; income-focused.

SD Specifics: Priority for veterans, rural residents; AARP partnership.

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

South Dakota VA Aid and Attendance/Housebound

General: Age 65+ or disabled veteran/spouse, 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 Specifics: Supports rural veterans; high demand near Sioux Falls VA.

Property Tax Reduction Program

South Dakota Property Tax Reduction from Municipal Taxes

General: Age 65+ (or disabled) by Jan 1, 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 Specifics: Refunds up to $575; ~10,000 seniors benefit annually.

Senior Farmers’ Market Nutrition Program (SFMNP)

South Dakota SFMNP

General: Age 60+, SD resident, low-income.

Income Limits (2025): ~$2,322/month (individual, 185% FPL).

Asset Limits: Not assessed.

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

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

South Dakota Property Tax Freeze

General: Age 65+ (or disabled), 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 Specifics: Saves ~$300-$600/year avg.; applies to primary residence.

Older Americans Act (OAA) Services

South Dakota OAA Services

General: Age 60+, 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 Specifics: 6 AAAs; rural focus due to sparse population.

Dells Nursing and Rehab Center Inc.

Dells Nursing and Rehab Center Inc. is a Nursing Home in South Dakota

Dells Nursing and Rehab… is a Nursing Home in South Dakota

Dells Nursing and Rehab Center Inc.

Dells Nursing and Rehab Center Inc. is a Nursing Home in South Dakota

Dells Nursing and Rehab… is a Nursing Home in South Dakota

Capacity and availability

Smaller home

This home usually has limited availability

Who this home usually serves

Mostly short-term rehab stays

Breakdown by payment type

Medicare

Private pay

Medicaid

Finances and operations

About this community

Additional licensing details

Ownership & operating entity

Compare Nursing Homes around South Dakota

Places of interest near Dells Nursing and Rehab Center Inc.

Calculate Travel Distance to Dells Nursing and Rehab Center Inc.

Staffing Data

Nursing Staff Breakdown

Staff by Category

Contractor Analysis

Health Inspection History

Breakdown of citations

Citations history (last 3 years)

Facility Characteristics

Resident Census by Payment Source

Programs & Services

Family Engagement

Quality of care over time

Long-Stay Resident Measures

Daily care & independence

Safety & clinical stability

Emotional & behavioral wellbeing

Preventive care

Nutrition & physical health

Short-stay resident measures

Penalties and fines

Penalty History

Financial Trends

Occupancy Rate

Financial Performance

Payroll & Labor Costs

Payer Mix

Revenue vs Cost Per Patient Day

Guides for Better Senior Living

Eldertainment

Financial Aid for South Dakota Seniors

Home and Community Based Services Waiver

South Dakota Elderly Services Program

Medicare Savings Program (MSP)

Low-Income Home Energy Assistance Program (LIEAP)

Family Caregiver Support Program (FCSP)

Senior Community Service Employment Program (SCSEP)

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

Property Tax Reduction Program

Senior Farmers’ Market Nutrition Program (SFMNP)

Freeze on Assessments for Dwellings of Disabled and Senior Citizens

Older Americans Act (OAA) Services

Touring Checklist for Senior Living

Location

Community Spaces and Overall Environment

Services

Staffing

Accommodations

Finances

Other Notes

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