Total health inspections
4
South Dakota average 4.5
Last Health inspection on Jun 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Dells Nursing and Rehab Center Inc.
Nursing Home · South Dakota, SD
Dells Nursing and Rehab Center Inc.
Nursing Home · South Dakota, SD
Dells Nursing and Rehab Center Inc. accepts Medicare, Medicaid, and private pay.
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.
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.
Total nursing care / resident
This home is ranked 20th out of 57 homes in South Dakota. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
This home is ranked 20th out of 57 homes in South Dakota. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
4h 0m per day
Rank #20 / 57Nurse hours — State benchmarkedThis home is ranked 20th out of 57 homes in South Dakota. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 57 South Dakota SNFs. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
vs South Dakota avg
Standout metric
Weekend RN is +10% above state avg
| 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.
| 48m per day | ■ Avg 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.
| 10m per day | ▼ 66% 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 16m per day | ▼ 13% 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.
| 2h 58m per day | ▼ 11% 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.
| 3m per day | ■ Avg 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.
| 34m per day | ▲ 10% State avg: 31m per day · National avg: 28m per day |
Capacity and availability
This home usually has limited availability
Occupancy between 85% and 95% suggests balanced demand.
Occupancy rate
88.5%
Rank #20 / 54Occupancy rate — State benchmarkedThis home is ranked 20th out of 54 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 54. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
456 days
Occupancy rate
88.5%
Rank #20 / 54Occupancy rate — State benchmarkedThis home is ranked 20th out of 54 homes in South Dakota. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 54. Higher occupancy signals strong local demand and financial stability.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Avg. Length of Stay
456 days
46-bed community Rank #80 / 117Bed count — State benchmarkedThis home is ranked 80th 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: 60 / 100 Rank #39 / 158Walk Score — State benchmarkedThis home is ranked 39th out of 158 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.
Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
About this community
Facility TypeNursing Home
StatusActive
IssuanceJuly 1, 2025
CountyMinnehaha
License Number10613
CMS Certification Number435129
Dells Nursing and Rehab Center Inc. is administrated by Calyn Togel.
Health Inspection History
Inspections
Total health citations
17
Rank #30 / 59Health citations — State benchmarkedThis home is ranked 30th 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
4.25
Rank #44 / 59Citations per inspection — State benchmarkedThis home is ranked 44th 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.
13 of 17 citations resulted from standard inspections; 3 of 17 resulted from complaint investigations; and 1 of 17 came from combined inspections (standard and complaint).
Breakdown of citation severity (last 2 years)
Critical Health citations
0
100% better than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
2
Rank #18 / 51Serious citations (G–I) — State benchmarkedThis home is ranked 18th out of 51 homes in South Dakota. Shows G–I scope serious health citations for this facility versus other South Dakota SNFs. Lower counts rank better.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
11% worse than South Dakota averageSouth Dakota average: 1.8
Citations history (last 2 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
Staffing Data
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
Total staff
82
Employees
44
Contractors
38
Staff to resident ratio
2.05:1
6% better than South Dakota average
Avg staff/day
20
Average shift
7.8 hours
0% compared with South Dakota average
Total staff hours (quarter)
14,353
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
8
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursThis role is partially covered by contractors.
Licensed Practical Nurse
Assists with medical care and medications.
LPN Staff
4
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
35
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 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
50.8%
7,298 contractor hours this quarter
Certified Nursing Assistant: 12
Speech Language Pathologist: 5
Respiratory Therapy Technician: 4
Registered Nurse: 3
Licensed Practical Nurse: 3
Physical Therapy Assistant: 3
Physical Therapy Aide: 2
Qualified Social Worker: 2
Medication Aide/Technician: 1
Medical Director: 1
Occupational Therapy Aide: 1
Other Physician: 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 | 23 | 12 | 35 | 7,167 | 92 | 100% | 8.1 |
| Registered Nurse | 5 | 3 | 8 | 2,450 | 91 | 99% | 10.4 |
| Other Dietary Services Staff | 10 | 0 | 10 | 1,234 | 88 | 96% | 6.4 |
| Medication Aide/Technician | 3 | 1 | 4 | 836 | 87 | 95% | 6.3 |
| Licensed Practical Nurse | 1 | 3 | 4 | 755 | 61 | 66% | 10.5 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Physical Therapy Aide | 0 | 2 | 2 | 440 | 67 | 73% | 6.6 |
| Speech Language Pathologist | 0 | 5 | 5 | 270 | 45 | 49% | 4.7 |
| Administrator | 1 | 0 | 1 | 256 | 32 | 35% | 8 |
| Respiratory Therapy Technician | 0 | 4 | 4 | 233 | 38 | 41% | 5.9 |
| Physical Therapy Assistant | 0 | 3 | 3 | 82 | 39 | 42% | 1.9 |
| Qualified Social Worker | 0 | 2 | 2 | 62 | 30 | 33% | 2 |
| Occupational Therapy Aide | 0 | 1 | 1 | 24 | 6 | 7% | 4 |
| Medical Director | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
| Other Physician | 0 | 1 | 1 | 12 | 3 | 3% | 4 |
35 Certified Nursing Assistant
% of Days
100%
8 Registered Nurse
% of Days
99%
10 Other Dietary Services Staff
% of Days
96%
4 Medication Aide/Technician
% of Days
95%
4 Licensed Practical Nurse
% of Days
66%
1 Nurse Practitioner
% of Days
71%
2 Physical Therapy Aide
% of Days
73%
5 Speech Language Pathologist
% of Days
49%
1 Administrator
% of Days
35%
4 Respiratory Therapy Technician
% of Days
41%
3 Physical Therapy Assistant
% of Days
42%
2 Qualified Social Worker
% of Days
33%
1 Occupational Therapy Aide
% of Days
7%
1 Medical Director
% of Days
3%
1 Other Physician
% of Days
3%
Penalties and fines
Includes penalties issued in 2024
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 Jan 2026)
Total fines amount
$68K Rank #53 / 59Federal fines — State benchmarkedThis home is ranked 53rd out of 59 homes in South Dakota. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 59 skilled nursing facilities in the pool. Lower total dollars mean a better rank.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
71% higher than South Dakota averageSouth Dakota average: $40K
Number of fines
3
48% more fines than South Dakota averageSouth Dakota average: 2.0
Payment Denials
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with South Dakota averageSouth Dakota average: 0.0
Fines amount comparison
Fines amount comparison
This facility
$68K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
2 penalties in the past 3 years
Multiple penalties were reported in the last 3 years.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Aug 8, 2024
$25K
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 12, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 12, 2024
$40K
Last updated: Jan 2026
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.
15.5
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
15.5
29% 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.
23.1
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.1
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
18.8%
Percent of long-stay residents whose need for help with daily activities has increased
18.8%
16% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
24.5%
Percent of long-stay residents whose ability to move independently worsened
24.5%
7% worse than 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
26.2%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.2%
In line with South Dakota averageSouth Dakota average: 26.7%
Falls with Major Injury
Percent of long-stay residents experiencing one or more falls with major injury
23.9%
Percent of long-stay residents experiencing one or more falls with major injury
23.9%
375% worse than South Dakota averageSouth Dakota average: 5.0%
High Risk Residents with Pressure Ulcers
Percent of long-stay high risk residents with pressure ulcers
1.2%
Percent of long-stay high risk residents with pressure ulcers
1.2%
74% better than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
1.3%
Percent of long-stay residents with a urinary tract infection
1.3%
63% better than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
9.3%
Percent of long-stay residents who lose too much weight
9.3%
70% worse than South Dakota averageSouth Dakota average: 5.5%
Depressive Symptoms
Percent of long-stay residents who have depressive symptoms
0.0%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than South Dakota averageSouth Dakota average: 4.1%
Antipsychotic Use
Percent of long-stay residents who received an antipsychotic medication
35.9%
Percent of long-stay residents who received an antipsychotic medication
35.9%
47% worse than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
11% worse than South Dakota averageSouth Dakota average: 96.9%
Hospitalizations per 1,000 days
Number of hospitalizations per 1,000 long-stay resident days.
1.67
Number of hospitalizations per 1,000 long-stay resident days.
1.67
11% worse than South Dakota averageSouth Dakota average: 1.51
ED visits per 1,000 days
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.13
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.13
15% worse than South Dakota averageSouth Dakota average: 1.85
Short-stay resident measures
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
9% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
6.7%
Percent of short-stay residents who newly received an antipsychotic medication
6.7%
280% worse than South Dakota averageSouth Dakota average: 1.8%
Falls with major injury
Percentage of SNF residents who experience falls with major injury during their stay.
8.1%
Percentage of SNF residents who experience falls with major injury during their stay.
8.1%
953% worse than South Dakota averageSouth Dakota average: 0.8%
Ability to care for self at discharge
Percentage of residents at or above expected ability to care for themselves at discharge.
39.3%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.3%
27% worse than South Dakota averageSouth Dakota average: 53.7%
Successful return to home or community
Rate of successful return to home or community from a skilled nursing facility.
36.0%
Rate of successful return to home or community from a skilled nursing facility.
36.0%
29% worse than South Dakota averageSouth Dakota average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40
Medicare
2
5% of residents
Medicaid
23
57.5% of residents
Private pay or other
15
37.5% of residents
Programs & Services
Family Member Group
Family members meet regularly to discuss policies, care quality, and activities
Active Family Council
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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
-$182.3K
↓ ~$236.6K vs 2022
Total Payroll
$2.8M
↑ ~$343.6K vs 2022
Profit Margin
-5.4%
↓ 7.2pp vs 2022
Finances and operations
Voluntary non-profit community
Home revenue
$3.4M
Operating deficit
-$182.3K
Voluntary non-profit community
Home revenue
$3.4M Rank #48 / 55Revenue — State benchmarkedThis home is ranked 48th out of 55 homes in South Dakota. Shows this facility's annual revenue compared to the South Dakota SNF average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Operating deficit
-$182.3K
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #37 / 55Payroll — State benchmarkedThis home is ranked 37th out of 55 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
$2.8M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #37 / 55Payroll — State benchmarkedThis home is ranked 37th out of 55 homes in South Dakota. Shows total annual staff payroll benchmarked to the South Dakota average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$827.7K
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$3.6M
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Places of interest near Dells Nursing and Rehab Center Inc.
324.9 miles from city center
Estimated distance in miles from Dell Rapids's city center to Dells Nursing and Rehab Center Inc.'s address, calculated via Google Maps.
Calculate Travel Distance to Dells Nursing and Rehab Center Inc.
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Financial Assistance for
Nursing Home in South Dakota
Dells Nursing and Rehab Center Inc. is located in Dell Rapids, 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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| Dells Nursing and Rehab Center 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. | Dell Rapids | 46 | 88.5% | +11% | 4.01 | - | - | - | -12% | -8% | $68.2k | 17 | 4.3 | 2 | 41 | 60 | Stroschein Properties LLC | $3.4M | $2.8M | 81.3% | 435129 |
Frequently Asked Questions about Dells Nursing and Rehab Center Inc.
Is Dells Nursing and Rehab Center Inc. in a walkable area?
Dells Nursing and Rehab Center Inc. has a walk score of 60. Moderately walkable. Some errands can be accomplished on foot, with a mix of nearby amenities.
What is the license number of Dells Nursing and Rehab Center Inc.?
According to SD state health department records, Dells Nursing and Rehab Center Inc.'s license number is 10613.
Who is the administrator of Dells Nursing and Rehab Center Inc.?
Calyn Togel is the administrator of Dells Nursing and Rehab Center Inc..
How many beds does Dells Nursing and Rehab Center Inc. have?
Dells Nursing and Rehab Center Inc. has 46 beds.
What is the address of Dells Nursing and Rehab Center Inc.?
Dells Nursing and Rehab Center Inc. is located at 1400 Thresher Dr.
What is the phone number of Dells Nursing and Rehab Center Inc.?
(605) 428-5478 will put you in contact with the team at Dells Nursing and Rehab Center Inc..
What county is Dells Nursing and Rehab Center Inc. located in?
Dells Nursing and Rehab Center Inc. is in Minnehaha County.
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