Total Health inspections
3
33% below South Dakota average
South Dakota average:
4.5
Last Health inspection on May 2025
Mostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
Highmore Health
Highmore Health is a Nursing Home in South Dakota
Highmore Health is a Nursing Home in South Dakota
Highmore Health
Highmore Health is a Nursing Home in South Dakota
Highmore Health is a Nursing Home in South Dakota
Highmore Health has provided personalized and professional care to the community for over 50 years. It offers a range of services including rehabilitation care, memory care, long-term care, and palliative support. The facility is dedicated to providing quality care in a compassionate and dignified environment.
Quality ratings
Official CMS rating based on health inspections, staffing and quality measures.
Official CMS rating based on deficiencies found during state health inspections.
Official CMS rating based on nurse staffing hours per resident per day.
Official CMS rating based on clinical outcomes for residents.
Capacity and availability
Smaller home
May offer a more intimate, personalized care environment.
Total beds
39
This home usually has limited availability
Occupancy is moderate, suggesting balanced demand.
Occupancy rate
90.2%
Residents per day (avg)
34
Occupancy rate
90.2%
Residents per day (avg)
34
Who this home usually serves
Show admissions and discharges
TYPE OF STAY
Might be optimal for
Short stays
Recovery
Medicare-covered care
Breakdown by payment type
Medicare
53% 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
9 - 10 months
Medicaid
16% of new residents, often for long-term daily care.
Typical stay
2 - 3 years
Finances and operations
Proprietary home
Corporation
Home revenue
$4.5M
Profit
$75.9K
Proprietary home
Corporation
Home revenue
$4,457,350.00
Profit
$75,883.00
Payroll costs
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
$1.6M
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Other operating costs
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
$2.8M
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Total costs
$4.4M
39-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
About this community
License Status
ActiveFacility Type
Nursing Home
License Date
September 19, 2025
Additional licensing details
License number:
10628
CMS Certification Number:
435092
County:
Hyde
Ownership & operating entity
Highmore Health is administrated by Knox, Kim.
Care Services
Nursing Services
Rehabilitation Services
Memory Care
Amenities & Lifestyle
Programs & Activities
Specific Programs
Rehabilitation Care, Memory Care, Long Term Care, Palliative Care
Compare Nursing Homes around South Dakota
The information below is reported by the South Dakota Department of Health, Office of Health Care Facilities Licensure.
Alcester Care and Rehab Center
+30%
-14%
+19%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57001
39
No
-
STROSCHEIN PROPERTIES III LLC
94.9%
$2,913,737.00
$1,508,672.00
51.8%
37.10
3.7156
2
11
1
+30%-14%+19%
Avantara Clark City
-22%
-27%
-1%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
Clark
38
No
31
SCHLOMER, TIFFANY
79.4%
$5,951,228.00
$1,518,009.00
25.5%
30.60
3.1510
1
5
1
-22%-27%-1%
Highmore Health
-27%
-17%
+13%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57345
40
No
-
CARING PROFESSIONALS
90.2%
$4,240,513.00
$1,563,133.00
36.9%
33.80
3.5831
1
23
4
-27%-17%+13%
Aurora Brule Nursing Home Inc.
+29%
-20%
-23%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57383
44
No
-
AURORA-BRULE NURSING HOME
61.7%
$2,847,378.00
$1,491,258.00
52.4%
39.60
3.4495
2
16
1
+29%-20%-23%
Avantara Arrowhead
+52%
-36%
-6%
SNF
Nursing Home 24/7 care needed
AL
Assisted Living For seniors needing help with daily tasks but not full-time nursing.
SD 57702
74
No
12
PRESTON, PHILIP
75.2%
$10,728,053.00
$2,930,677.00
27.3%
60.50
2.7955
5
34
9
+52%-36%-6%
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:
Adj Nurse Hours:
3.7156
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
11
Severe Citations:
1
RN share vs State Avg:
+30%
+30%
Staffing vs State Avg:
-14%
-14%
Occupancy vs State Avg:
+19%
+19%
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:
Adj Nurse Hours:
3.1510
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
5
Severe Citations:
1
RN share vs State Avg:
-22%
-22%
Staffing vs State Avg:
-27%
-27%
Occupancy vs State Avg:
-1%
-1%
Highmore Health
Type of care:
SNF
AL
Community:
SD 57345
Bed Count:
40
Pets Allowed:
No
Operator:
CARING PROFESSIONALS
CCN:
435092
Occupancy:
90.2%
Home Revenue:
$4,240,513.00
Payroll Costs:
$1,563,133.00
Payroll %:
36.9%
Avg Residents/Day:
33.80
Overall Rating:
Adj Nurse Hours:
3.5831
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
1
Citations:
23
Severe Citations:
4
RN share vs State Avg:
-27%
-27%
Staffing vs State Avg:
-17%
-17%
Occupancy vs State Avg:
+13%
+13%
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:
Adj Nurse Hours:
3.4495
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
2
Citations:
16
Severe Citations:
1
RN share vs State Avg:
+29%
+29%
Staffing vs State Avg:
-20%
-20%
Occupancy vs State Avg:
-23%
-23%
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:
Adj Nurse Hours:
2.7955
Health Insp Rating:
Staffing Rating:
QM Rating:
Number of Fines:
5
Citations:
34
Severe Citations:
9
RN share vs State Avg:
+52%
+52%
Staffing vs State Avg:
-36%
-36%
Occupancy vs State Avg:
-6%
-6%Places of interest near Highmore Health
0.0 miles from city center
Highmore, SD 57345
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Staffing Data
Source: CMS Payroll-Based Journal (Q2 2025)
75
Total Staff
69
Employees
6
Contractors
14,760
Total Hours (Quarter)
22
Avg Staff/Day
7.4
Avg Shift (hrs)
Nursing Staff Breakdown
| Role ⓘ | Count ⓘ | Avg Shift (hrs) ⓘ | Uses Contractors? ⓘ |
|---|---|---|---|
| Registered Nurse | 6 | 11.7 | No |
| Licensed Practical Nurse | 3 | 11.1 | No |
| Certified Nursing Assistant | 25 | 8.2 | No |
Staff by Category
Administration ⓘ
2 staff
7.8hs shift avg
Nursing Staff ⓘ
45 staff
8.7hs shift avg
Physicians & Practitioners ⓘ
5 staff
5.8hs shift avg
Therapy Services ⓘ
15 staff
6.8hs shift avg
Activities & Recreation ⓘ
0 staff
0hs shift avg
Social Services ⓘ
1 staff
1.7hs shift avg
Dietary Services ⓘ
4 staff
3.8hs shift avg
Other Services ⓘ
3 staff
4.9hs shift avg
Contractor Analysis
2.4%
of total hours from contractors
351 contractor hours this quarter
Administrator: 1
Respiratory Therapy Technician: 1
Occupational Therapy Assistant: 1
Qualified Social Worker: 1
Occupational Therapist: 1
Occupational Therapy Aide: 1
| Role ⓘ | Employees ⓘ | Contractors ⓘ | Total Staff ⓘ | Total Hours ⓘ | Days Worked ⓘ | % of Days ⓘ | Avg Shift (hrs) ⓘ |
|---|---|---|---|---|---|---|---|
| Certified Nursing Assistant | 25 | 0 | 25 | 5,801 | 91 | 100% | 8.2 |
| Physical Therapist | 9 | 0 | 9 | 2,460 | 91 | 100% | 6.5 |
| Registered Nurse | 6 | 0 | 6 | 1,513 | 89 | 98% | 11.7 |
| Licensed Practical Nurse | 3 | 0 | 3 | 780 | 68 | 75% | 11.1 |
| Other Dietary Services Staff | 4 | 0 | 4 | 732 | 83 | 91% | 3.8 |
| Clinical Nurse Specialist | 4 | 0 | 4 | 568 | 64 | 70% | 5 |
| Medication Aide/Technician | 5 | 0 | 5 | 522 | 70 | 77% | 7 |
| Administrator | 1 | 1 | 2 | 498 | 61 | 67% | 7.8 |
| Nurse Aide in Training | 6 | 0 | 6 | 484 | 49 | 54% | 7 |
| Speech Language Pathologist | 1 | 0 | 1 | 452 | 57 | 63% | 7.9 |
| Nurse Practitioner | 1 | 0 | 1 | 371 | 49 | 54% | 7.6 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 295 | 33 | 36% | 9 |
| Physical Therapy Assistant | 1 | 0 | 1 | 126 | 23 | 25% | 5.5 |
| Dental Services Staff | 3 | 0 | 3 | 112 | 23 | 25% | 4.9 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 20 | 3 | 3% | 6.5 |
| Occupational Therapy Aide | 0 | 1 | 1 | 18 | 3 | 3% | 6.1 |
| Qualified Social Worker | 0 | 1 | 1 | 7 | 4 | 4% | 1.7 |
| Occupational Therapist | 0 | 1 | 1 | 1 | 2 | 2% | 0.5 |
Health Inspection History
Total Health citations
23
55% above South Dakota average
South Dakota average:
14.8
7.67 citations per inspection (avg)
Citations origin
Citations can result from standard inspections or complaint-based investigations.
Standard inspections
23 citations
Complaint investigations
0 citations
Breakdown of citations
Critical Health citations
1
233% above South Dakota average
South Dakota average:
0.3
Serious Health citations
3
67% above South Dakota average
South Dakota average:
1.8
Moderate Health citations
19
Minor Health citations
0
Citations history (last 3 years)
Abuse/Neglect moderate citation
May 08, 2025
Corrected
Infection Control moderate citation
May 08, 2025
Corrected
Nutrition moderate citation
May 08, 2025
Corrected
Resident Rights moderate citation
May 08, 2025
Corrected
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Ownership: Non-Profit Corporation
Resident Census by Payment Source
34
Total Residents
Medicare
3
(8.8%)
ⓘ
Medicaid
16
(47.1%)
ⓘ
Private Pay/Other
15
(44.1%)
ⓘ
Programs & Services
Residents' Group
ⓘ
Nurse Aide Training
ⓘ
Family Engagement
Active councils help families stay involved in care decisions and facility operations.
Active
Resident Council
ⓘ
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
12.2
Near South Dakota average
South Dakota average:
12.0
Functional decline score
20.9
13% better than South Dakota average
South Dakota average:
23.9
Long-Stay Resident Measures
Daily care & independence
Need for Help with Daily Activities Increased
20.8%
7% below South Dakota average.
Walking Ability Worsened
15.4%
33% below South Dakota average.
Low Risk Long-Stay Residents with Bowel/Bladder Incontinence
26.4%
1% below South Dakota average.
Safety & clinical stability
Falls with Major Injury
8.1%
62% above South Dakota average.
High Risk Residents with Pressure Ulcers
5.0%
12% above South Dakota average.
Urinary Tract Infection
11.0%
218% above South Dakota average.
Emotional & behavioral wellbeing
Depressive Symptoms
0.0%
100% below South Dakota average.
Antipsychotic Use
20.8%
14% below South Dakota average.
Preventive care
Pneumococcal Vaccine
100.0%
5% above South Dakota average.
Influenza Vaccine
100.0%
3% above South Dakota average.
Nutrition & physical health
Lost Too Much Weight
11.6%
112% above South Dakota average.Short-stay resident measures
Pneumococcal Vaccine
100.0%
18% better than South Dakota average
Antipsychotic medication increase
0.0%
100% better than South Dakota average 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 Jan 2026)
Total fines amount
$13K
This home paid 67% less in fines than the state average.
South Dakota average:
$40K
Number of Fines
1
This home received 51% fewer 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
Mar 2, 2023
$13K
Last updated: Jan 2026
Financial Trends
Historical financial and operational data for Highmore Health based on CMS SNF Cost Reports.
Occupancy Rate
90.2%
↓ 4.0pp vs 2023
Net Income
$75,883
↑ ~$525K vs 2023
Total Payroll
$2,340,821
↓ ~$44K vs 2023
Profit Margin
1.8%
↑ 13.5pp vs 2023
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