4/5
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.
4/5
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.
Owned by Stroschein Properties LLC, Dells Nursing and Rehab Center is a nursing and rehabilitation facility in Dell Rapids, South Dakota. The 46-bed facility is located on Thresher Drive. Medicare, Medicaid, and private pay are accepted, giving families several options for covering both short-term rehabilitation and longer-term nursing care.
The community has an occupancy rate of 89%. Residents stay an average of about 15 months, including people recovering through rehabilitation and those needing ongoing skilled nursing care. The facility provides short-term rehabilitation and longer-term care.
Residents recovering from illness, surgery, or a hospital stay can access physical, occupational, and speech therapy services. Those staying longer receive 24-hour nursing care and dietary services depending on their individual needs.
Total nursing care averages 4 hours per resident each day. Registered nurses, nurse aides, and licensed practical nurses work together to provide coordinated support and daily care. Meals are an important part of daily life at the facility. Residents are served homemade meals in a family-style dining setting. Residents have access to an open breakfast service and meal choices at each sitting, so they can choose what they eat throughout the day.
The surrounding area has a Walk Score of 60, so some errands and nearby services can be reached while walking. Families visiting from outside the area may appreciate the small-town setting and the community-focused approach to care.
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.
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 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.
| 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.
| 47m 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.
| 12m per day | ▼ 59% 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 7m per day | ▼ 19% 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 42m per day | ▼ 19% 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.
| 4m per day | ▲ 23% 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.
| 28m per day | ▼ 10% State avg: 31m per day · National avg: 28m per day |
Average number of days residents stay at this facility, based on CMS cost report data. Shorter stays often reflect post-acute or rehab care; longer stays reflect long-term care.
Dells Nursing and Rehab Center Inc. is administered by Calyn Togel.
State average N/A
Last Health inspection on Jun 2025
State average N/A
State average N/A
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).
In line with State averageState average: N/A
In line with State averageState average: N/A
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
0% compared with State averageState average ratio: 0 : 0
0% compared with State averageState average: 0 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
8 total: 5 full-time employees and 3 contractors.
8
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.4 hoursAssists with medical care and medications.
4 total: 1 full-time employee and 3 contractors.
4
Average shift length. Calculated as total hours divided by days worked and average staff per day.
10.5 hoursHelps with daily care and mobility.
35 total: 23 full-time employees and 12 contractors.
35
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.1 hours
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
7,298 contractor hours this quarter
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 |
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)
71% higher than State averageState average: $40K
48% more fines than State averageState average: 2.0
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
In line with State averageState average: 0.0
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.
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.
Feb 12, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
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 State averageState average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
23.1
In line with State averageState average: 23.9
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
18.8%
16% better than State averageState average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
24.5%
7% worse than State averageState average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.2%
In line with State averageState average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
23.9%
375% worse than State averageState average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
1.2%
74% better than State averageState average: 4.5%
Percent of long-stay residents with a urinary tract infection
1.3%
63% better than State averageState average: 3.5%
Percent of long-stay residents who lose too much weight
9.3%
70% worse than State averageState average: 5.5%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than State averageState average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
35.9%
47% worse than State averageState average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
98.7%
In line with State averageState average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
86.4%
11% worse than State averageState average: 96.9%
Number of hospitalizations per 1,000 long-stay resident days.
1.67
11% worse than State averageState average: 1.51
Number of outpatient emergency department visits per 1,000 long-stay resident days.
2.13
15% worse than State averageState average: 1.85
CMS star rating based on short-stay quality measure performance. 5 stars = much above average, 1 star = much below average.
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
92.3%
9% better than State averageState average: 84.4%
Percent of short-stay residents who newly received an antipsychotic medication
6.7%
280% worse than State averageState average: 1.8%
Percentage of SNF residents who experience falls with major injury during their stay.
8.1%
953% worse than State averageState average: 0.8%
Percentage of residents at or above expected ability to care for themselves at discharge.
39.3%
27% worse than State averageState average: 53.7%
Rate of successful return to home or community from a skilled nursing facility.
36.0%
29% worse than State averageState average: 50.6%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
55% of new residents, usually for short-term rehab.
31% of new residents, often for short stays.
14% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
40Family members meet regularly to discuss policies, care quality, and activities
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.
Historical financial and operational data for Dells Nursing and Rehab Center Inc. from 2014–2023, based on CMS SNF Cost Reports.
Key figures below are for fiscal year ending in 12/2023.
Based on CMS SNF Cost Report for fiscal year ending in 12/2023.
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Net patient revenue — what the home actually collects for resident care, after contractual allowances, bad debt and discounts are subtracted from its gross charges (CMS cost report, Worksheet G-3). It covers resident care only; money the home earns from other sources is shown separately as "Other income."
Net patient income: net patient revenue minus the home's total operating expenses. A positive figure means it earns more from resident care than it spends to deliver it; a negative figure means the opposite. It excludes non-operating "other income."
Money the home earns outside of resident care — such as investments, grants, rentals and other non-operating sources (CMS cost report, Worksheet G-3). It is tracked separately from net patient revenue: it is not part of that figure, and it is not included in net patient income.
Staff salaries plus wage-related costs — benefits such as payroll taxes, health insurance and retirement — from the home's own accounting records (CMS cost report, Worksheet A). Contract or agency labor is counted separately, under other operating costs.
Rank #47 / 63Payroll — State benchmarkedThis home is ranked 47th out of 63 homes in South Dakota for Payroll. 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.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Payroll as a share of revenue: staff salaries and wage-related benefits divided by net patient revenue. A higher figure means more of each revenue dollar goes to staff pay.
Rank #2 / 63Payroll % — State benchmarkedThis home is ranked 2nd out of 63 homes in South Dakota for Payroll %. Shows payroll as a percentage of revenue versus the South Dakota average. Well-run South Dakota facilities typically land around 64–73% — the top third Statewide. Below 25% may signal understaffing or heavy agency use — read with Staffing ratings.Rankings are based only on facilities in South Dakota that report data for that category. Facilities without available data are excluded from the ranking.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
Everything it costs to run the home apart from payroll — food, utilities, supplies, maintenance, contract labor and administration. Calculated as total operating expense minus payroll (staff salaries and wage-related benefits).
The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
Most residents typically stay for a few weeks or months before returning home or moving on.
Most new residents arrive under Medicare (55% of admissions), and a typical Medicare stay runs around 1 - 2 months.
Coverage residents most often arrive under.
Coverage residents most often leave under.
0.0 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.
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The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
| Avera Maryhouse | NH AL HOS | Pierre | - | 67 | - | 60 | Private Rooms / Semi-Private Rooms |
| Bethesda Home of Aberdeen | NH AL HC RC SNF | Aberdeen (Aberdeen Township) | - | 86 | - | 85 | - |
| Prairie Heights Healthcare | NH HOS SNF | Nw Aberdeen | - | 99 | - | 85 | - |
| Bethany Home Sioux Falls/Bethany Home-Brandon | NH AL IL MC SNF | Sioux Falls | - | 112 | - | 65 | - |
| Dells Nursing and Rehab Center Inc. | NH SNF | Dell Rapids | - | 46 | - | 60 | - |
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.
According to SD state health department records, Dells Nursing and Rehab Center Inc.'s license number is 10613.
Dells Nursing and Rehab Center Inc.'s occupancy is 88.5%.
Dells Nursing and Rehab Center Inc. is registered as a for-profit in SD.
Calyn Togel is the administrator of Dells Nursing and Rehab Center Inc..
Dells Nursing and Rehab Center Inc. has 46 beds.
Yes — there is 1 photo of Dells Nursing and Rehab Center Inc. in the photo gallery on this page.
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