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CMS Nursing Home Compare · March 2026

Alcester Care And Rehab Center, Inc

101 Church Street, Alcester, SD 57001

Alcester Care And Rehab Center, Inc, a 42-bed for profit - corporation nursing facility in Alcester, SD, holds a 5-star CMS overall rating - well above the 3.0-star national average, with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

CMS combines health inspections, nurse-staffing levels, and clinical quality measures into the overall star rating, read the components below; they often tell a sharper story than the headline.

Phone: 6059342011

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5 / 5
Much above average · CMS overall · nat'l 3.0
2.95
Well below average · nurse hrs/day · nat'l 3.89
11
Inspection findings · 1 serious
$9K
Federal penalties (1)

Health Inspection

5/5

Staffing

3/5

Quality Measures

2/5

Long-Stay Quality

1/5

Facility Information

Provider Number
435062
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
42
Residents
38
In Hospital
No
County
Union
Last Inspection
Aug 28, 2025

Staffing Data

How the 2.95 total nursing hours per resident-day are staffed:

RN Hours
0.48 (nat'l avg: 0.68)
LPN Hours
0.51
CNA Hours
1.96
Total Nursing Hours
2.95 (nat'l avg: 3.89)
PT Hours
0.03
Nursing Turnover
43.8%

What the CMS Record Reveals About Alcester Care And Rehab Center, Inc

Alcester Care And Rehab Center, Inc operates 42 certified beds in Alcester, SD with approximately 38 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars. The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results (5★), staffing levels (3★), and quality measures (2★). Because CMS caps the overall score at the health-inspection tier and then adjusts up or down based on staffing and quality, the sub-scores often tell a sharper story than the headline star count alone, a 3-star facility with weak inspection history reads differently from one held back by thin staffing.

The inspection file contains 11 deficiency records from recent surveys, of which 1 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 1 penalty totaling $9K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.95 total nursing hours per resident day (national average 3.89), with RN coverage at 0.48 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "For profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Alcester Care And Rehab Center, Inc falls into a category where comparative context matters. National research consistently shows that ownership structure, staffing hours, and turnover are the three operational levers that correlate most strongly with resident outcomes, ratings and fines are lagging indicators of those upstream choices. Reported nursing turnover at this facility is 43.8%, within a range generally associated with stable care teams. For families evaluating this facility, the CMS record should be read alongside a site visit, direct conversation with current residents and their families, and review of the state health department's most recent inspection report, the star rating is a starting point, not a verdict. All data on this page is sourced from CMS Provider Data and the Nursing Home Compare program; always verify details directly with the facility or your state survey agency before making placement decisions.

Deficiency History (11 most recent)

D - Isolated - Minimal harm Jun 11, 2024 Tag: 0689

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 10, 2024

D - Isolated - Minimal harm Apr 30, 2024 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 14, 2024

D - Isolated - Minimal harm Sep 26, 2023 Tag: 0698

Provide safe, appropriate dialysis care/services for a resident who requires such services.

Category: Quality of Life and Care Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Sep 26, 2023 Tag: 0658

Ensure services provided by the nursing facility meet professional standards of quality.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 10, 2023

D - Isolated - Minimal harm Sep 26, 2023 Tag: 0657

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Nov 10, 2023

H - Pattern - Actual harm Jun 6, 2023 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Jun 23, 2023

F - Widespread - Minimal harm Mar 9, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Apr 15, 2023

F - Widespread - Minimal harm Mar 9, 2023 Tag: 0727

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

Category: Nursing and Physician Services Deficiencies

Corrected: Apr 15, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0700

Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0695

Provide safe and appropriate respiratory care for a resident when needed.

Category: Quality of Life and Care Deficiencies

Corrected: Apr 15, 2023

D - Isolated - Minimal harm Mar 9, 2023 Tag: 0578

Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.

Category: Resident Rights Deficiencies

Corrected: Apr 15, 2023

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 26.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 1.3% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 2.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 1.5% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 25.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 3.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 33.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 0.0% Yes
Percentage of long-stay residents who lose too much weight Long Stay 5.9% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.8% No
Percentage of long-stay residents who were physically restrained Long Stay 0.0% No
Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine Long Stay 98.5% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.1% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 100.0% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 32.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 88.8% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 1 penalties totaling $9K

Date Type Amount
Jun 6, 2023 Fine $9K
Mar 9, 2023 Fine $10K

Frequently Asked Questions

What is the overall CMS rating for Alcester Care And Rehab Center, Inc?
Alcester Care And Rehab Center, Inc has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (5★), staffing levels (3★), and quality measures (2★).
What are the staffing levels at Alcester Care And Rehab Center, Inc?
Alcester Care And Rehab Center, Inc reports 2.95 total nursing hours per resident day (national average: 3.89). RN hours are 0.48 per resident day (national average: 0.68). Nursing staff turnover is 43.8%.
How many beds does Alcester Care And Rehab Center, Inc have?
Alcester Care And Rehab Center, Inc has 42 certified beds with approximately 38 residents. The facility is located at 101 Church Street, Alcester, SD 57001.
Does Alcester Care And Rehab Center, Inc have any deficiencies on record?
Yes, Alcester Care And Rehab Center, Inc has 11 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Alcester Care And Rehab Center, Inc received any fines or penalties?
Yes, Alcester Care And Rehab Center, Inc has received 1 penalties totaling $9K.
Who owns Alcester Care And Rehab Center, Inc?
Alcester Care And Rehab Center, Inc is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Alcester Care And Rehab Center, Inc last inspected?
The most recent health inspection for Alcester Care And Rehab Center, Inc was on Aug 28, 2025. The facility received a health inspection rating of 5 out of 5 stars.
What quality measures are tracked for Alcester Care And Rehab Center, Inc?
Alcester Care And Rehab Center, Inc is evaluated on 17 quality measures, of which 8 are used in the CMS star rating calculation. These include measures for both long-stay and short-stay residents covering areas like infections, falls, pressure ulcers, and medication use.

Data Sources

Data source: CMS Nursing Home Compare. Ratings, staffing, deficiency, quality measure, and penalty data are from CMS Provider Data. For informational purposes only. Always verify information directly with the facility or your state health department.

Source: CMS Nursing Home Compare provider data (data.cms.gov). See our methodology for how this page is compiled. Ratings, staffing, health-inspection deficiency, and Civil Money Penalty records are published by the Centers for Medicare & Medicaid Services under a public-domain (CC0) license.

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