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The Overall CMS Rating is scored from 1 to 5 stars and 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.
The Overall CMS Rating is scored from 1 to 5 stars and 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.
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.
This home is ranked 7th out of 64 homes in South Dakota.| Staff type | Hours / day | 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.
| 1h 0m per day | ▲ 25% 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.
| 52m per day | ▲ 79% 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 19m per day | ▼ 11% State avg: 2h 37m per day · National avg: 2h 20m per day |
|
Total Nursing (Weekend)
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 46m per day | ▼ 17% 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.
| 2m per day | ▼ 33% State avg: 3m per day · National avg: 4m per day |
|
RN (Weekend)
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.
| 49m per day | ▲ 58% State avg: 31m per day · National avg: 28m per day |
Most residents stay for extended periods and receive ongoing daily care.
22% of new residents, usually for short-term rehab.
44% of new residents, often for short stays.
34% of new residents, often for long-term daily care.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #59 / 61Payroll — state benchmarkedThis home is ranked 59th out of 61 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.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Lower than the South Dakota average: 79.9%Strand-Kjorsvig Community Rest Home is administrated by Van Voorst, Samuel.
Ways to qualify for care at this community, including accepted programs and payment options.
This facility is certified for eligible Medicaid services.
South Dakota average 4.5
Last Health inspection on May 2025
South Dakota average 14.8
South Dakota average 3.34
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
21 of 23 citations resulted from standard inspections; and 2 of 23 resulted from complaint investigations.
100% better than South Dakota averageSouth Dakota average: 0.3
2
11% worse than South Dakota averageSouth Dakota average: 1.8
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 08, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 08, 2025
Corrected
Issues related to how the facility is managed, including policies, procedures, and compliance with regulations.
May 08, 2025
Corrected
Issues related to preventing and controlling infections, including hygiene practices and safety protocols.
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.
| 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 (Alcester Township) | 41 | 94.9% | +19% | 3.72 | +30% | -14% | 2 | 11 | 2.2 | 1 | 37 | - | - | Stroschein Properties Iii Llc | $3.0M | $1.5M | 50.6% | 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 | 35 | 79.4% | -1% | 3.15 | -22% | -27% | 1 | 5 | 1.3 | 1 | 31 | - | 31 | Schlomer, Tiffany | $6.0M | $1.5M | 25.5% | 435058 | ||||
| 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 (White Lake Township) | 50 | 61.7% | -23% | 3.45 | +29% | -20% | 2 | 16 | 3.2 | 1 | 40 | - | - | Aurora-Brule Nursing Home | $2.9M | $1.5M | 51.8% | 435132 | ||||
| Strand-Kjorsvig Community Rest Home |
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. | Roslyn (Raritan Township) | 33 | 64.4% | -19% | 5.05 | -25% | +17% | 8 | 23 | 5.8 | 2 | 26 | - | - | Schmidt, Shannon | $2.8M | $1.2M | 43.3% | 435125 | ||||
| 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. | Rapid City (Broadmoor Subdivision) | 68 | 75.2% | -6% | 2.80 | +52% | -36% | 5 | 34 | 3.8 | 9 | 61 | - | 12 | Preston, Philip | $10.7M | $2.9M | 27.3% | 435051 |
0.0 miles from city center
Estimated distance in miles from Roslyn's city center to Strand-Kjorsvig Community Rest Home's address, calculated via Google Maps.
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This data corresponds to Q2 2025 and is based on CMS Payroll-Based Journal.
23% better than South Dakota averageSouth Dakota average ratio: 1.91:1
16% worse than South Dakota averageSouth Dakota average: 7.7 hours
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursThis role is partially covered by contractors.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.2 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
6.8 hoursThis role is partially covered by contractors.
Total hours from contractors
3,361 contractor hours this quarter
| Certified Nursing Assistant | 14 | 6 | 20 | 4,800 | 91 | 100% | 6.8 |
| Licensed Practical Nurse | 5 | 0 | 5 | 1,460 | 84 | 92% | 9.2 |
| Registered Nurse | 4 | 1 | 5 | 1,241 | 83 | 91% | 9.8 |
| Other Dietary Services Staff | 5 | 0 | 5 | 879 | 80 | 88% | 5.6 |
| Administrator | 1 | 2 | 3 | 610 | 70 | 77% | 7 |
| Nurse Practitioner | 1 | 0 | 1 | 506 | 61 | 67% | 8.3 |
| Clinical Nurse Specialist | 1 | 0 | 1 | 387 | 78 | 86% | 5 |
| Dietitian | 1 | 0 | 1 | 364 | 55 | 60% | 6.6 |
| Speech Language Pathologist | 0 | 4 | 4 | 263 | 52 | 57% | 5 |
| RN Director of Nursing | 1 | 0 | 1 | 210 | 39 | 43% | 5.4 |
| Medication Aide/Technician | 2 | 0 | 2 | 155 | 36 | 40% | 4.3 |
| Dental Services Staff | 1 | 0 | 1 | 116 | 29 | 32% | 4 |
| Respiratory Therapy Technician | 0 | 3 | 3 | 80 | 40 | 44% | 1.9 |
| Physical Therapy Aide | 0 | 1 | 1 | 57 | 35 | 38% | 1.6 |
| Physical Therapy Assistant | 0 | 2 | 2 | 40 | 22 | 24% | 1.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 25 | 3 | 3% | 8.2 |
| Qualified Social Worker | 0 | 2 | 2 | 21 | 15 | 16% | 1.4 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 8 | 1 | 1% | 8 |
| Mental Health Service Worker | 0 | 1 | 1 | 2 | 1 | 1% | 2 |
| Medical Director | 0 | 1 | 1 | 1 | 1 | 1% | 0.5 |
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
26Residents meet regularly to discuss policies, care quality, and activities
Conducts clinical research trials to develop and test new treatments
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.
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.
10.5
13% better than South Dakota averageSouth Dakota average: 12.0
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
20.4
15% better than South Dakota averageSouth Dakota 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
25.5%
14% worse than South Dakota averageSouth Dakota average: 22.3%
Percent of long-stay residents whose ability to move independently worsened
13.5%
41% better than South Dakota averageSouth Dakota average: 22.8%
Percent of low risk long-stay residents who lose control of their bowels or bladder
22.2%
17% better than South Dakota averageSouth Dakota average: 26.7%
Percent of long-stay residents experiencing one or more falls with major injury
1.0%
81% better than South Dakota averageSouth Dakota average: 5.0%
Percent of long-stay high risk residents with pressure ulcers
2.8%
37% better than South Dakota averageSouth Dakota average: 4.5%
Percent of long-stay residents with a urinary tract infection
2.0%
42% better than South Dakota averageSouth Dakota average: 3.5%
Percent of long-stay residents who lose too much weight
9.6%
75% worse than South Dakota averageSouth Dakota average: 5.5%
Percent of long-stay residents who have depressive symptoms
5.3%
30% worse than South Dakota averageSouth Dakota average: 4.1%
Percent of long-stay residents who received an antipsychotic medication
30.0%
23% worse than South Dakota averageSouth Dakota average: 24.4%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
100.0%
5% better than South Dakota averageSouth Dakota average: 95.7%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
96.6%
In line with South Dakota averageSouth Dakota average: 96.9%
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
96.7%
15% better than South Dakota averageSouth Dakota average: 84.4%
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.
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)
40% higher than South Dakota averageSouth Dakota average: $40K
294% more fines than South Dakota averageSouth Dakota average: 2.0
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
Penalties are imposed by CMS for violations of federal nursing home regulations.
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Sep 11, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Feb 6, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 8, 2024
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 2, 2024Last updated: Jan 2026
Historical financial and operational data for Strand-Kjorsvig Community Rest Home based on CMS SNF Cost Reports.
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