Strand-Kjorsvig Community Rest Home
Nursing Home, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Roslyn, 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.

Strand-Kjorsvig Community Rest Home

Nursing Home, Assisted Living, Hospice Care, Respite Care & Skilled Nursing · Roslyn, 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.
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Strand-Kjorsvig Community Rest Home accepts Medicaid, Medicare, and private pay.

Overview of Strand-Kjorsvig Community Rest Home

Run by administrator Samuel Van Voorst and owner Shannon Schmidt, Strand-Kjorsvig Community Rest Home handles skilled nursing, short-term rehab, and respite care within a 33-bed private facility that also serves as a VA-qualified provider. Founded in 1957, the downtown building works with a varied payer group comprising 44% private-pay, 34% Medicaid, and 22% Medicare admissions, leading to an average stay of 229 days. The property is located in an area with a Walk Score of 22, maintaining a 64.4% occupancy rate and reporting a 2024 operating profit of $64.3 thousand on $2.8 million in revenue.

Public oversight databases highlight high staffing numbers, with total nursing care averaging 5 hours and 3 minutes per resident daily to rank ninth across South Dakota. Daily records show robust numbers for both registered nurses and LPNs, including strong weekend RN continuity, though contractors make up 28.1% of overall staff hours.

Clinical tracking summaries reveal solid long-term stability, with permanent residents recording favorable rates for major fall prevention, skin integrity, and walking abilities. However, the data points to some specific hurdles, as long-stay resident weight loss and antipsychotic drug use track higher than state benchmarks, and the home has compiled $56,000 in federal fines across eight penalties over the past three years.

Prospective residents weighing regional long-term care or rehab facilities can analyze these government health records to assess daily operational trends. Since the state reports confirm top-tier nursing hours and steady physical health outcomes alongside historical compliance fines and some specific dietary tracking issues, the documentation shows a small, highly staffed environment.

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.
5h 3m per day
Rank #11 / 65Nurse hours — State benchmarkedThis home is ranked 11th 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

3 of 6 metrics below state avg

Standout metric LPN / LVN is +44% above state avg
Staff typeHours / Day / Residentvs 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. 1h 1m per day ▲ 27% 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. 42m per day ▲ 44% 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 9m per day ▼ 18% 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 55m per day ▼ 12% 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. 1m per day ▼ 54% 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. 43m per day ▲ 39% 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.
229 days
Bed community size
33-bed community
A moderately sized community that may balance personal attention with shared amenities and social activities.
Years in operation
1 year in operation
A newer community that may feature more recent facilities and programs.
Walk Score
Walk Score: 22 / 100
Car-dependent. Most errands require a car, with limited nearby walkable options.

About this community

Occupancy

Occupancy rate
69%
Rank #28 / 34Occupancy rate — State benchmarkedThis home is ranked 28th 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.
Lower than the South Dakota average: 79.9%
Occupied beds
23 / 33
Average occupied beds in South Dakota homes 51 beds

License Details

Facility TypeNursing Home
IssuanceJuly 1, 2025
ExpirationJune 30, 2026 Expired
CountyDay
License Number10673
CMS Certification Number435125
AccreditationsMedicare and Medicaid Certified

Ownership & Operating Entity

Strand-Kjorsvig Community Rest Home is administered by Samuel Van Voorst.

Payment & Insurance

1 service
Accept Medicaid

Therapy & Rehabilitation

3 services
Rehabilitation Services
Respite Care
Short-Term Rehab

Additional Services

2 services
Short Term Rehabilitation
Skilled Nursing Care

Amenities & Lifestyle

Buffet-Style Dining
Cable
Couples' Suites
Telephone Hook Ups In Each Room
Transportation For Medical Appointments
Specific ProgramsVA Qualified

Contact Strand-Kjorsvig Community Rest Home

Health Inspection History

Inspections since 2022
Total health inspections 4

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
5.75 Rank #59 / 65Citations per inspection — State benchmarkedThis home is ranked 59th 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.

21 of 23 citations resulted from standard inspections; and 2 of 23 resulted from complaint investigations.

Breakdown of citation severity (last 4 years)
Critical health citations
0
In line with State average

State average: N/A


Serious health citations
2
In line with State average

State average: N/A

0 critical citations State average: N/A

2 serious citations State average: N/A

21 moderate citations State average: N/A

0 minor citations State average: N/A
Citations history (last 4 years)
Administration moderate citation May 08, 2025
Corrected

Administration moderate citation May 08, 2025
Corrected

Administration moderate citation May 08, 2025
Corrected

Infection Control moderate citation May 08, 2025
Corrected

Staffing Data

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

Total staff 71
Employees 41
Contractors 30
Staff to resident ratio 2.73 : 1
0% compared with State average

State average ratio: 0 : 0

Avg staff/day 18
Average shift 6.4 hours
0% compared with State average

State average: 0 hours

Total staff hours (quarter) 10,547

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 8 total: 7 full-time employees and 1 contractor. 8
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 10.2 hours
Licensed Practical Nurse

Assists with medical care and medications.

LPN Staff Info 7 total: 3 full-time employees and 4 contractors. 7
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 8.8 hours
Certified Nursing Assistant

Helps with daily care and mobility.

CNA Staff Info 26 total: 19 full-time employees and 7 contractors. 26
Average shift length Info Average shift length. Calculated as total hours divided by days worked and average staff per day. 6.6 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

28.1%

2,967 contractor hours this quarter

Certified Nursing Assistant: 7 Licensed Practical Nurse: 4 Speech Language Pathologist: 4 Respiratory Therapy Technician: 4 Physical Therapy Aide: 2 Qualified Social Worker: 2 Administrator: 1 Registered Nurse: 1 Physical Therapy Assistant: 1 Occupational Therapy Aide: 1 Medical Director: 1 Occupational Therapy Assistant: 1 Mental Health Service Worker: 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 Assistant197264,59792100%6.6
Registered Nurse7181,4658997%10.2
Licensed Practical Nurse3471,1317885%8.8
Other Dietary Services Staff4047498289%5.3
Administrator1125907278%7.2
Nurse Practitioner1015096368%8.1
RN Director of Nursing1014157379%5.7
Dietitian2023205155%6.3
Clinical Nurse Specialist1012846571%4.4
Medication Aide/Technician2021714347%4
Speech Language Pathologist0441353942%3.5
Respiratory Therapy Technician044512224%2
Physical Therapy Assistant011472628%1.8
Occupational Therapy Aide0113133%10.2
Physical Therapy Aide022191314%1.4
Occupational Therapy Assistant0111722%8.6
Qualified Social Worker022151516%1
Medical Director011111%1
Mental Health Service Worker011111%1
26 Certified Nursing Assistant
% of Days 100%
8 Registered Nurse
% of Days 97%
7 Licensed Practical Nurse
% of Days 85%
4 Other Dietary Services Staff
% of Days 89%
2 Administrator
% of Days 78%
1 Nurse Practitioner
% of Days 68%
1 RN Director of Nursing
% of Days 79%
2 Dietitian
% of Days 55%
1 Clinical Nurse Specialist
% of Days 71%
2 Medication Aide/Technician
% of Days 47%
4 Speech Language Pathologist
% of Days 42%
4 Respiratory Therapy Technician
% of Days 24%
1 Physical Therapy Assistant
% of Days 28%
1 Occupational Therapy Aide
% of Days 3%
2 Physical Therapy Aide
% of Days 14%
1 Occupational Therapy Assistant
% of Days 2%
2 Qualified Social Worker
% of Days 16%
1 Medical Director
% of Days 1%
1 Mental Health Service Worker
% of Days 1%

Penalties and fines

Includes penalties issued in 2023-2024

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)

Total fines amount $56K Rank #51 / 67Federal fines — State benchmarkedThis home is ranked 51st 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.
40% higher than State average

State average: $40K

Number of fines 8
294% more 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 $56K
State average $40K
Penalty History

Penalties are imposed by CMS for violations of federal nursing home regulations.

8 penalties in the past 3 years

Multiple penalties were reported in the last 3 years.

Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Sep 11, 2024
$18K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Feb 6, 2024
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 8, 2024
$5K
Civil Money Penalty Info Fines imposed for noncompliance, which can be assessed per day or per instance of violation. Jan 2, 2024
$344

Last updated: Jan 2026

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. 10.5
13% better than 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. 20.4
15% better than State average

State average: 23.9

Long-stay resident measures
Above 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 25.5%
14% worse than State average

State average: 22.3%

Walking Ability Worsened Info Percent of long-stay residents whose ability to move independently worsened 13.5%
41% 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 22.2%
17% better than State average

State average: 26.7%

Falls with Major Injury Info Percent of long-stay residents experiencing one or more falls with major injury 1.0%
81% better than State average

State average: 5.0%

High Risk Residents with Pressure Ulcers Info Percent of long-stay high risk residents with pressure ulcers 2.8%
37% better than State average

State average: 4.5%

Urinary Tract Infection Info Percent of long-stay residents with a urinary tract infection 2.0%
42% better than State average

State average: 3.5%

Lost Too Much Weight Info Percent of long-stay residents who lose too much weight 9.6%
75% worse than State average

State average: 5.5%

Depressive Symptoms Info Percent of long-stay residents who have depressive symptoms 5.3%
30% worse than State average

State average: 4.1%

Antipsychotic Use Info Percent of long-stay residents who received an antipsychotic medication 30.0%
23% worse 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 96.6%
In line with State average

State average: 96.9%

Short-stay resident measures
Pneumococcal Vaccine Info Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine 96.7%
15% 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%

Breakdown by payment type

Medicare

22% of new residents, usually for short-term rehab.

Typical stay 2 - 3 months

Private pay

44% of new residents, often for short stays.

Typical stay 3 - 4 months

Medicaid

34% of new residents, often for long-term daily care.

Typical stay 1 - 2 years

Facility Characteristics

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

Total residents 26
Medicare
2
7.7% of residents
Medicaid
13
50% of residents
Private pay or other
11
42.3% of residents
Programs & Services
Residents Group

Residents meet regularly to discuss policies, care quality, and activities

Clinical Research

Conducts clinical research trials to develop and test new treatments

Active Resident Council

Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.

Finances and operations

Based on CMS SNF Cost Report for fiscal year ending in 08/2024.

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."
$2.7M
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."
-$35.2K
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."
$2.7M Rank #61 / 63Revenue — State benchmarkedThis home is ranked 61st 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."
-$35.2K
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.
$99.5K
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 #60 / 63Payroll — State benchmarkedThis home is ranked 60th 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.
$1.4M 49.9% 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 #5 / 63Payroll % — State benchmarkedThis home is ranked 5th 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).
$1.4M
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).
$2.8M

Who this home usually serves

TYPE OF STAY

Mostly long-term care residents

Most residents stay for extended periods and receive ongoing daily care.

New residents most often arrive under private pay (44% of admissions), and a typical private pay stay runs around 3 - 4 months.

Admissions
32 total

Coverage residents most often arrive under.

Medicare 22%
Private pay 44%
Medicaid 34%
Discharges
36 total

Coverage residents most often leave under.

Medicare 17%
Private pay 47%
Medicaid 36%

Places of interest near Strand-Kjorsvig Community Rest Home

Address 0.0 miles from city center Info Estimated distance in miles from Roslyn's city center to Strand-Kjorsvig Community Rest Home's address, calculated via Google Maps.

Calculate Travel Distance to Strand-Kjorsvig Community Rest Home

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Frequently Asked Questions about Strand-Kjorsvig Community Rest Home

What neighborhood is Strand-Kjorsvig Community Rest Home in?

Strand-Kjorsvig Community Rest Home is in the Raritan Township neighborhood of Roslyn.

Is Strand-Kjorsvig Community Rest Home in a walkable area?

Strand-Kjorsvig Community Rest Home has a walk score of 22. Car-dependent. Most errands require a car, with limited nearby walkable options.

What is the license number of Strand-Kjorsvig Community Rest Home?

According to SD state health department records, Strand-Kjorsvig Community Rest Home's license number is 10673.

When does Strand-Kjorsvig Community Rest Home's license expire?

According to SD state health department records, Strand-Kjorsvig Community Rest Home's license expires on June 30, 2026.

What is the occupancy rate at Strand-Kjorsvig Community Rest Home?

Strand-Kjorsvig Community Rest Home's occupancy is 69%.

Does Strand-Kjorsvig Community Rest Home operate as a for-profit or non-profit?

Strand-Kjorsvig Community Rest Home is registered as a non-profit in SD.

Who is the administrator of Strand-Kjorsvig Community Rest Home?

Samuel Van Voorst is the administrator of Strand-Kjorsvig Community Rest Home.

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