Occupancy rate
90%
In line with South Dakota averageMostly short-term rehab stays
Most residents typically stay for a few weeks or months before returning home or moving on.
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Nursing Home
Highmore Health
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
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.
Nursing care per resident
This shows how many total hours of nursing staff time are available per resident each day. Higher numbers usually mean more staff support.
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
Privately-owned community
Operated by a business corporation.
Home revenue
$4.5M
Profit
$75.9K
Privately-owned community
Operated by a business 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
Occupancy
In line with South Dakota averageOccupied beds
35 / 39
Average residents
51 per day
License details
Facility type
Nursing Home
Status
Active
Issuance
September 19, 2025
County:
Hyde
Additional licensing details
License number:
10628
CMS Certification Number:
435092
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
Health Inspection History
Inspections
Total health inspections
3
South Dakota average 4.5
Last Health inspection on May 2025
Total health citations
23
South Dakota average 14.8
Citations per inspection
7.67
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 23 citations resulted from standard inspections.
Breakdown of citation severity (last 3 years)
Critical Health citations
1
1
233% worse than South Dakota averageSouth Dakota average: 0.3
Serious Health citations
3
3
67% worse than South Dakota averageSouth Dakota average: 1.8
1 critical citation
3 serious citations
19 moderate citations
0 minor citations
Citations history (last 3 years)
Abuse/Neglect moderate citation
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Issues related to protecting resident's from harm, including abuse, neglect, or mistreatment.
May 08, 2025
Corrected
Infection Control moderate citation
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 08, 2025
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
May 08, 2025
Corrected
Nutrition moderate citation
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Issues related to food quality, meal service, and resident's nutritional needs.
May 08, 2025
Corrected
Resident Rights moderate citation
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
Issues related to resident's rights, including dignity, privacy, and the ability to make decisions about their care.
May 08, 2025
Corrected
Data sourced from CMS Health Deficiencies reports. Citation severity codes range from A (least serious) to L (most serious). Immediate Jeopardy (J-L) citations indicate situations where the facility's noncompliance has placed residents at risk of death or serious harm.
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
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.
Alcester
39
94.9%
+19%
3.72
-14%
2
11
1
37
-
Stroschein Properties Iii Llc
$2,9M
$1,5M
51.8%
435062
Avantara Clark City
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.
Clark
38
79.4%
-1%
3.15
-27%
1
5
1
31
31
Schlomer, Tiffany
$6,0M
$1,5M
25.5%
435058
Highmore Health
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.
Highmore
40
90.2%
+13%
3.58
-17%
1
23
4
34
-
Caring Professionals
$4,2M
$1,6M
36.9%
435092
Aurora Brule Nursing Home 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.
White Lake
44
61.7%
-23%
3.45
-20%
2
16
1
40
-
Aurora-Brule Nursing Home
$2,8M
$1,5M
52.4%
435132
Avantara Arrowhead
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.
-
74
75.2%
-6%
2.80
-36%
5
34
9
61
12
Preston, Philip
$10,7M
$2,9M
27.3%
435051
Places of interest near Highmore Health
0.0 miles from city center
410 8th St SE, Highmore, SD 57345
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Staffing Data (Q2 2025)
This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
Total staff
75
Employees
69
Contractors
6
Staff to resident ratio
2.21:1
15% better than South Dakota averageSouth Dakota average ratio: 1.91:1
Avg staff/day
22
Average shift
7.4 hours
0% compared with South Dakota averageSouth Dakota average: 7.7 hours
Total staff hours (quarter)
14,760
Nursing staff breakdown
Registered Nurse
Manages medical care and health needs.
Total count
6
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.7 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.7 hoursNo contractors work on this role.
Licensed Practical Nurse
Assists with medical care and medications.
Total count
3
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.1 hoursNo contractors work on this role.
Certified Nursing Assistant
Helps with daily care and mobility.
Total count
25
Average shift length
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hours
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.2 hoursNo contractors work on this role.
Contractor staffing
Total hours from contractors
2.4%
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
Staff by category
| 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 |
25 Certified Nursing Assistant
% of Days
100%
9 Physical Therapist
% of Days
100%
6 Registered Nurse
% of Days
98%
3 Licensed Practical Nurse
% of Days
75%
4 Other Dietary Services Staff
% of Days
91%
4 Clinical Nurse Specialist
% of Days
70%
5 Medication Aide/Technician
% of Days
77%
2 Administrator
% of Days
67%
6 Nurse Aide in Training
% of Days
54%
1 Speech Language Pathologist
% of Days
63%
1 Nurse Practitioner
% of Days
54%
1 Respiratory Therapy Technician
% of Days
36%
1 Physical Therapy Assistant
% of Days
25%
3 Dental Services Staff
% of Days
25%
1 Occupational Therapy Assistant
% of Days
3%
1 Occupational Therapy Aide
% of Days
3%
1 Qualified Social Worker
% of Days
4%
1 Occupational Therapist
% of Days
2%
Facility Characteristics
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total census
34 residents
Residents by payment source
Medicare
3 residents (8.8%)
Medicaid
16 residents (47.1%)
Private pay or other
15 residents (44.1%)
Programs & Services
Residents' Group
Residents meet regularly to discuss policies, care quality, and activities
Nurse Aide Training
State-approved Nurse Aide Training and Competency Evaluation Program on-site
Active Resident Council
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
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.
12.2
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
12.2
In line with 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.
20.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.9
13% better than South Dakota averageSouth Dakota average: 23.9
Long-stay resident measures
Need for Help with Daily Activities Increased
Percent of long-stay residents whose need for help with daily activities has increased
20.8%
Percent of long-stay residents whose need for help with daily activities has increased
20.8%
7% better than South Dakota averageSouth Dakota average: 22.3%
Walking Ability Worsened
Percent of long-stay residents whose ability to move independently worsened
15.4%
Percent of long-stay residents whose ability to move independently worsened
15.4%
33% better 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
26.4%
Percent of low risk long-stay residents who lose control of their bowels or bladder
26.4%
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
8.1%
Percent of long-stay residents experiencing one or more falls with major injury
8.1%
62% 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
5.0%
Percent of long-stay high risk residents with pressure ulcers
5.0%
12% worse than South Dakota averageSouth Dakota average: 4.5%
Urinary Tract Infection
Percent of long-stay residents with a urinary tract infection
11.0%
Percent of long-stay residents with a urinary tract infection
11.0%
218% worse than South Dakota averageSouth Dakota average: 3.5%
Lost Too Much Weight
Percent of long-stay residents who lose too much weight
11.6%
Percent of long-stay residents who lose too much weight
11.6%
112% 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
20.8%
Percent of long-stay residents who received an antipsychotic medication
20.8%
14% better than South Dakota averageSouth Dakota average: 24.4%
Pneumococcal Vaccine
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Influenza Vaccine
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
100.0%
In line with South Dakota averageSouth Dakota average: 96.9%
Short-stay resident measures
Pneumococcal Vaccine
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
18% better than South Dakota averageSouth Dakota average: 84.4%
Antipsychotic medication increase
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
Percent of short-stay residents who newly received an antipsychotic medication
0.0%
100% better than South Dakota averageSouth Dakota average: 1.8%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
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
67% lower than South Dakota averageSouth Dakota average: $40K
Number of fines
1
51% fewer 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
$13K
South Dakota average
$40K
Penalty History
Penalties are imposed by CMS for violations of federal nursing home regulations.
Civil Money Penalty
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Mar 2, 2023
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
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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Guides for Better Senior Living
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Understanding Senior Living Costs: Pricing Models, Discounts & Financial Assistance
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