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Highmore Health
Nursing Home, Memory Care, Palliative Care & Skilled Nursing · Highmore, SD
CMS overall rating Info 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.

Highmore Health

Nursing Home, Memory Care, Palliative Care & Skilled Nursing · Highmore, SD
CMS overall rating Info 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.
410 8Th St Se, Highmore, SD 57345 View map Calculator: See prices in your area
Highmore Health accepts Medicare, Medicaid, and private pay.
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Highmore Health accepts Medicare, Medicaid, and private pay.

Overview of Highmore Health

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Highmore Health has served Hyde County for more than 50 years as a nursing home in Highmore, South Dakota. Caring Professionals operates the facility under administrator Kim Knox. The 39-bed community provides skilled nursing, rehabilitation, memory care, long-term care, and palliative support and accepts Medicare and Medicaid.

The facility holds a 3-star CMS overall rating. Its Health Inspection rating is above the South Dakota average, but its Quality Measures rating is below average, pulling the overall rating down.

Across three inspections since 2023, Highmore Health recorded 23 citations, averaging 7.67 per inspection, compared with a statewide mean of 3.34. One citation was classified as critical and three as serious. A $13,000 federal fine appears in the record, 67% below the South Dakota average for fined facilities, with no penalties issued in the past three years.

Occupancy runs at 90%, notably above South Dakota’s 79.9% average and ranks 15th among 54 state facilities, a signal of consistent local demand in a rural county. Physical therapist staffing is double the state average at 6 minutes per resident per day, a standout figure for a short-stay rehabilitation population. Total nurse staffing averages 3 hours and 35 minutes per resident per day, modestly below the state’s 3 hours and 46 minutes. CNA and LPN staffing are below state averages, while RN staffing is 10% above.

The facility has an active resident council to round out the care model alongside its on-site rehabilitation services.

With a payer mix weighted toward Medicare admissions and an average length of stay of 440 days, Highmore Health is structured for both short-term post-acute rehabilitation and longer-term care in a small, rural community setting.

Facility Direct Line (605) 852-2255
Facility Direct Line (605) 852-2255
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Quality ratings

Measured by Centers for Medicare & Medicaid Services (CMS)

Overall rating Info 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.
Health Inspection Info 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.
Staffing Info 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.
Quality Measures Info 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.

Staffing hours breakdown

Info 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.

Hours per resident per day — compared to state averages

Total nursing care / resident Info 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.
3h 35m per day
Rank #37 / 65Nurse hours — State benchmarkedThis home is ranked 37th out of 65 homes in South Dakota for Nurse Hours. Shows adjusted nurse hours per resident per day benchmarked to the South Dakota average, with a ranking across 65 South Dakota facilities. More hours mean more direct care. The national average is about 3.5 hrs; below 3.0 is a red flag.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.
vs avg

5 of 6 metrics below state avg

Standout metric Physical Therapist is +74% above state avg
Staff type Hours / Day / Resident vs state avg
Registered Nurse (RN) Info 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. 46m per day ▼ 3% State avg: 48m per day · National avg: 41m per day
LPN / LVN Info 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. 18m per day ▼ 38% State avg: 29m per day · National avg: 52m per day
Nurse Aide Info 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 4m per day ▼ 21% State avg: 2h 37m per day · National avg: 2h 20m per day
Weekend Total Nursing Info 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 45m per day ▼ 17% State avg: 3h 19m per day · National avg: 3h 26m per day
Physical Therapist Info 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. 5m per day ▲ 74% State avg: 3m per day · National avg: 4m per day
Weekend RN Info 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. 27m per day ▼ 12% State avg: 31m per day · National avg: 28m per day

Capacity and availability

Avg. Length of Stay Info 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.
440 days
Bed community size
39-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Walk Score
Walk Score: 29 / 100
Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

About this community

Occupancy

Occupancy rate
89%
Rank #14 / 34Occupancy rate — State benchmarkedThis home is ranked 14th out of 34 homes in South Dakota for Occupancy. Shows this facility's occupancy rate versus the South Dakota average, with its Statewide rank out of 34. Higher occupancy signals strong local demand and financial stability.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.
Higher than the South Dakota average: 79.9%
Occupied beds
35 / 39
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
StatusActive
IssuanceSeptember 19, 2025
CountyHyde
License Number10628
CMS Certification Number435092

Ownership & Operating Entity

Highmore Health is administered by Kim Knox.

Therapy & Rehabilitation

1 service
Rehabilitation Services

Amenities & Lifestyle

Activities
Experienced Staff
Family Atmosphere

Contact Highmore Health

Health Inspection History

Inspections since 2023
Total health inspections 3

State average N/A

Last Health inspection on May 2025

Total health citations
23 Rank #47 / 65Health citations — State benchmarkedThis home is ranked 47th out of 65 homes in South Dakota for Health Citations. Shows this facility's total health deficiency citations benchmarked to the South Dakota State average, with a ranking across all 65 SD facilities. Lower citation counts earn a better rank.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.

State average N/A

Citations per inspection
7.67 Rank #65 / 65Citations per inspection — State benchmarkedThis home is ranked 65th out of 65 homes in South Dakota for Citations Per Inspection. Shows average deficiency citations per CMS inspection for this facility versus the South Dakota mean across 65 facilities with citation data. Lower is better.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.

State average N/A

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
In line with State average

State average: N/A

Serious health citations
3
In line with State average

State average: N/A

1 critical citation State average: N/A
3 serious citations State average: N/A
19 moderate citations State average: N/A
0 minor citations State average: N/A
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

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.

Staffing Data

Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.

Total staff 73
Employees 60
Contractors 13
Staff to resident ratio 2.15 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 21
Average shift 7.6 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 14,707

Nursing staff breakdown

Q4 2025 · Oct 1 – Dec 31 More info 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 Info 6 total: 4 full-time employees and 2 contractors. 6
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11.3 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 4 total: 3 full-time employees and 1 contractor. 4
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 11 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 24 total: 20 full-time employees and 4 contractors. 24
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.4 hours

Contractor staffing

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.

Total hours from contractors

20.2%

2,964 contractor hours this quarter

Certified Nursing Assistant: 4 Registered Nurse: 2 Administrator: 1 Licensed Practical Nurse: 1 Respiratory Therapy Technician: 1 Physical Therapy Assistant: 1 Speech Language Pathologist: 1 Occupational Therapy Aide: 1 Occupational Therapy Assistant: 1

Staff by category

Q4 2025 · Oct 1 – Dec 31 More info This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Certified Nursing Assistant 20 4 24 5,909 92 100% 8.4
Physical Therapist 10 0 10 2,526 92 100% 6.2
Registered Nurse 4 2 6 1,350 92 100% 11.3
Licensed Practical Nurse 3 1 4 960 79 86% 11
Other Dietary Services Staff 4 0 4 844 84 91% 4.5
Clinical Nurse Specialist 4 0 4 659 64 70% 5.5
Administrator 1 1 2 491 61 66% 7.7
Nurse Practitioner 1 0 1 474 63 68% 7.5
Medication Aide/Technician 4 0 4 441 60 65% 7
Speech Language Pathologist 0 1 1 310 44 48% 7
Respiratory Therapy Technician 0 1 1 279 32 35% 8.7
Nurse Aide in Training 7 0 7 277 31 34% 6.8
Physical Therapy Assistant 0 1 1 111 16 17% 6.9
Dental Services Staff 2 0 2 52 17 18% 3.1
Occupational Therapy Aide 0 1 1 15 3 3% 5
Occupational Therapy Assistant 0 1 1 10 2 2% 5
24 Certified Nursing Assistant
% of Days 100%
10 Physical Therapist
% of Days 100%
6 Registered Nurse
% of Days 100%
4 Licensed Practical Nurse
% of Days 86%
4 Other Dietary Services Staff
% of Days 91%
4 Clinical Nurse Specialist
% of Days 70%
2 Administrator
% of Days 66%
1 Nurse Practitioner
% of Days 68%
4 Medication Aide/Technician
% of Days 65%
1 Speech Language Pathologist
% of Days 48%
1 Respiratory Therapy Technician
% of Days 35%
7 Nurse Aide in Training
% of Days 34%
1 Physical Therapy Assistant
% of Days 17%
2 Dental Services Staff
% of Days 18%
1 Occupational Therapy Aide
% of Days 3%
1 Occupational Therapy Assistant
% of Days 2%
View All Staffing Data

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 Rank #1 / 67Federal fines — State benchmarkedThis home is ranked 1st out of 67 homes in South Dakota for Federal Fines. Shows this facility's cumulative CMS federal fine dollars versus the South Dakota average among facilities with fines, and where it ranks among 67 facilities in the pool. Lower total dollars mean a better rank.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.
67% lower than State average

State average: $40K

Number of fines 1
51% fewer fines than State average

State average: 2.0

Payment Denials Info Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed. 0
In line with State average

State average: 0.0

Fines amount comparison
Fines amount comparison
This facility $13K
State average $40K

No penalties in the past 3 years

No civil money penalties or payment denials were reported in the last 3 years.

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 Info 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 State average

State average: 12.0

Functional decline score Info A composite score based on activities of daily living decline, walking ability decline, and incontinence. 20.9
13% better than State average

State average: 23.9

Long-stay resident measures
Below average State avg: 2.6 Info 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 Info Percent of long-stay residents whose need for help with daily activities has increased 20.8%
7% better than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 15.4%
33% better than State average

State average: 22.8%

Low Risk Residents with Bowel/Bladder Incontinence Info Percent of low risk long-stay residents who lose control of their bowels or bladder 26.4%
In line with State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 8.1%
62% worse than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 5.0%
12% worse than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 11.0%
218% worse than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 11.6%
112% worse than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 0.0%
100% better than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 20.8%
14% better than State average

State average: 24.4%

Pneumococcal Vaccine Info Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
5% better than State average

State average: 95.7%

Influenza Vaccine Info Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine 100.0%
In line with State average

State average: 96.9%

Hospitalizations per 1,000 days Info Number of hospitalizations per 1,000 long-stay resident days. 0.92
39% better than State average

State average: 1.51

ED visits per 1,000 days Info Number of outpatient emergency department visits per 1,000 long-stay resident days. 1.52
18% better than State average

State average: 1.85

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 100.0%
18% better than State average

State average: 84.4%

Antipsychotic medication increase Info Percent of short-stay residents who newly received an antipsychotic medication 0.0%
100% better than State average

State average: 1.8%

Falls with major injury Info Percentage of SNF residents who experience falls with major injury during their stay. 0.0%
100% better than State average

State average: 0.8%

Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.

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

Facility Characteristics

Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)

Total residents 34
Medicare
3
8.8% of residents
Medicaid
16
47.1% of residents
Private pay or other
15
44.1% of residents
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.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 06/2024.

Nonprofit
Nonprofit Corporation
Net patient revenue Info 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."
$3.5M
Net patient income Info 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."
-$141.0K
Nonprofit Nonprofit Corporation
Net patient revenue Info 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."
$3.5M Rank #52 / 63Revenue — State benchmarkedThis home is ranked 52nd out of 63 homes in South Dakota for Revenue. Shows this facility's annual revenue compared to the South Dakota average. Higher revenue generally means more resources for staffing and capital — read alongside Payroll %.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.
Net patient income Info 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."
-$141.0K
Other income Info 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.
$216.8K
Payroll costs Info 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 #56 / 63Payroll — State benchmarkedThis home is ranked 56th 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.
$1.8M 51.3% of net patient revenue Info 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 #21 / 63Payroll % — State benchmarkedThis home is ranked 21st 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.
Other operating costs Info 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).
$1.9M
Total costs Info The home's total operating expense for the year — all the costs of running it, salaries included (CMS cost report, Worksheet G-3).
$3.7M
How we calculate these figures

This home is administered by Kim Knox.

This home is owned by Caring Professionals

Certified by the Centers for Medicare & Medicaid Services authority — CMS Certification Number: 435092

Show certification details

Who this home usually serves

TYPE OF STAY

Mostly short-term rehab stays

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

Most new residents arrive under Medicare (53% of admissions), and a typical Medicare stay runs around 1 - 2 months.

Admissions
49 total

Coverage residents most often arrive under.

Medicare 53%
Private pay 31%
Medicaid 16%
Discharges
30 total

Coverage residents most often leave under.

Medicare 60%
Private pay 17%
Medicaid 23%

Admissions and discharges reflect care patterns over time — they are not used to rate this facility.

How we assess these insights

Places of interest near Highmore Health

Address 0.0 miles from city center Info Estimated distance in miles from Highmore's city center to Highmore Health's address, calculated via Google Maps.

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Nursing Home Explorer

Frequently Asked Questions about Highmore Health

What neighborhood is Highmore Health in?

Highmore Health is in the Highmore Township neighborhood of Highmore.

Is Highmore Health in a walkable area?

Highmore Health has a walk score of 29. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.

What is the license number of Highmore Health?

According to SD state health department records, Highmore Health's license number is 10628.

What is the occupancy rate at Highmore Health?

Highmore Health's occupancy is 89%.

Does Highmore Health operate as a for-profit or non-profit?

Highmore Health is registered as a non-profit in SD.

Who is the administrator of Highmore Health?

Kim Knox is the administrator of Highmore Health.

How many beds does Highmore Health have?

Highmore Health has 39 beds.

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