PlainNursing
CMS Nursing Home Compare · March 2026

Diamond Care Center

901 N Main Ave, Bridgewater, SD 57319

Diamond Care Center, a 36-bed for profit - corporation nursing facility in Bridgewater, SD, holds a 1-star CMS overall rating - below the 3.0-star national average, with nurse staffing below the national norm. 2 inspection findings 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: 6057292525

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1 / 5
Much below average · CMS overall · nat'l 3.0
2.62
Well below average · nurse hrs/day · nat'l 3.89
25
Inspection findings · 2 serious
$70K
Federal penalties (2)

Health Inspection

1/5

Staffing

1/5

Quality Measures

4/5

Long-Stay Quality

2/5

Facility Information

Provider Number
435114
Ownership
For profit - Corporation
Provider Type
Medicare and Medicaid
Beds
36
Residents
33
In Hospital
No
County
Mc Cook
Last Inspection
Sep 11, 2025

Staffing Data

How the 2.62 total nursing hours per resident-day are staffed:

RN Hours
0.21 (nat'l avg: 0.68)
LPN Hours
0.30
CNA Hours
2.11
Total Nursing Hours
2.62 (nat'l avg: 3.89)
PT Hours
0.00

What the CMS Record Reveals About Diamond Care Center

Diamond Care Center operates 36 certified beds in Bridgewater, SD with approximately 33 residents currently in care, and carries a CMS overall rating of 1 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 (1★), staffing levels (1★), and quality measures (4★). 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 25 deficiency records from recent surveys, of which 2 reached the actual-harm or immediate-jeopardy threshold on the CMS scope-and-severity grid. On the enforcement side, CMS has assessed 2 penalties totaling $70K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 2.62 total nursing hours per resident day (national average 3.89), with RN coverage at 0.21 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, Diamond Care Center 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. 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 (25 most recent)

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Oct 26, 2025

F - Widespread - Minimal harm Sep 11, 2025 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Oct 26, 2025

E - Pattern - Minimal harm Sep 11, 2025 Tag: 0813

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Category: Nutrition and Dietary Deficiencies

Corrected: Oct 26, 2025

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0755

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Category: Pharmacy Service Deficiencies

Corrected: Oct 26, 2025

F - Widespread - Minimal harm Sep 11, 2025 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: Oct 26, 2025

F - Widespread - Minimal harm Sep 11, 2025 Tag: 0725

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Category: Nursing and Physician Services Deficiencies

Corrected: Oct 26, 2025

D - Isolated - Minimal harm Sep 11, 2025 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: Oct 26, 2025

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Oct 26, 2025

D - Isolated - Minimal harm Sep 11, 2025 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: Oct 26, 2025

D - Isolated - Minimal harm Sep 11, 2025 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: Oct 26, 2025

D - Isolated - Minimal harm Sep 11, 2025 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Oct 26, 2025

G - Isolated - Actual harm Jun 21, 2024 Tag: 0686

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Category: Quality of Life and Care Deficiencies

Corrected: Jul 23, 2024

G - Isolated - Actual harm Jun 21, 2024 Tag: 0600

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: Jun 22, 2024

E - Pattern - Minimal harm Jun 21, 2024 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Jul 23, 2024

F - Widespread - Minimal harm Jun 21, 2024 Tag: 0851

Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.

Category: Administration Deficiencies

Corrected: Jul 23, 2024

F - Widespread - Minimal harm Jun 21, 2024 Tag: 0848

Provide a neutral and fair arbitration process and agree to arbitrator and venue.

Category: Administration Deficiencies

Corrected: Jul 23, 2024

E - Pattern - Minimal harm Jun 21, 2024 Tag: 0761

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Category: Pharmacy Service Deficiencies

Corrected: Jul 23, 2024

F - Widespread - Minimal harm Jun 21, 2024 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: Jul 23, 2024

D - Isolated - Minimal harm Jun 21, 2024 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: Aug 12, 2024

D - Isolated - Minimal harm Jun 21, 2024 Tag: 0698

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

Category: Quality of Life and Care Deficiencies

Corrected: Jul 23, 2024

E - Pattern - Minimal harm Jun 21, 2024 Tag: 0658

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

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Aug 12, 2024

E - Pattern - Minimal harm Jun 21, 2024 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: Aug 12, 2024

D - Isolated - Minimal harm Jun 21, 2024 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jul 23, 2024

D - Isolated - Minimal harm Jun 21, 2024 Tag: 0554

Allow residents to self-administer drugs if determined clinically appropriate.

Category: Resident Rights Deficiencies

Corrected: Jul 23, 2024

E - Pattern - Minimal harm May 18, 2023 Tag: 0582

Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.

Category: Resident Rights Deficiencies

Corrected: Jul 2, 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 25.0% Yes
Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay 0.0% Yes
Percentage of long-stay residents with a urinary tract infection Long Stay 1.8% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 9.2% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 18.2% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 6.0% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 21.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 2.9% Yes
Percentage of long-stay residents who lose too much weight Long Stay 9.1% No
Percentage of long-stay residents who have depressive symptoms Long Stay 0.0% 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 90.8% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 17.4% No
Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine Long Stay 93.5% No
Percentage of long-stay residents with new or worsened bowel or bladder incontinence Long Stay 19.5% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 92.5% No
Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine Short Stay N/A No

Penalty History 2 penalties totaling $70K

Date Type Amount
Jun 21, 2024 Fine $64K
Feb 6, 2024 Fine $6K

Frequently Asked Questions

What is the overall CMS rating for Diamond Care Center?
Diamond Care Center has an overall CMS rating of 1 out of 5 stars. This rating combines health inspection results (1★), staffing levels (1★), and quality measures (4★).
What are the staffing levels at Diamond Care Center?
Diamond Care Center reports 2.62 total nursing hours per resident day (national average: 3.89). RN hours are 0.21 per resident day (national average: 0.68).
How many beds does Diamond Care Center have?
Diamond Care Center has 36 certified beds with approximately 33 residents. The facility is located at 901 N Main Ave, Bridgewater, SD 57319.
Does Diamond Care Center have any deficiencies on record?
Yes, Diamond Care Center has 25 deficiencies on record from recent inspections. Of these, 2 are classified as causing actual harm or jeopardy.
Has Diamond Care Center received any fines or penalties?
Yes, Diamond Care Center has received 2 penalties totaling $70K.
Who owns Diamond Care Center?
Diamond Care Center is classified as "For profit - Corporation" ownership. The facility type is "Medicare and Medicaid".
When was Diamond Care Center last inspected?
The most recent health inspection for Diamond Care Center was on Sep 11, 2025. The facility received a health inspection rating of 1 out of 5 stars.
What quality measures are tracked for Diamond Care Center?
Diamond Care Center 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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