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CMS Nursing Home Compare · March 2026

Wakonda Heritage Manor

515 Ohio Street, Wakonda, SD 57073

Wakonda Heritage Manor, a 38-bed non profit - other nursing facility in Wakonda, SD, holds a 4-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: 6052672081

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4 / 5
Above average · CMS overall · nat'l 3.0
3.83
About average · nurse hrs/day · nat'l 3.89
5
Inspection findings · 1 serious
$13K
Federal penalties (1)

Health Inspection

4/5

Staffing

4/5

Quality Measures

4/5

Long-Stay Quality

4/5

Facility Information

Provider Number
435094
Ownership
Non profit - Other
Provider Type
Medicare and Medicaid
Beds
38
Residents
33
In Hospital
No
County
Clay
Last Inspection
Feb 13, 2025

Staffing Data

How the 3.83 total nursing hours per resident-day are staffed:

RN Hours
0.79 (nat'l avg: 0.68)
LPN Hours
0.34
CNA Hours
2.70
Total Nursing Hours
3.83 (nat'l avg: 3.89)
PT Hours
0.01
Nursing Turnover
31.3%
RN Turnover
33.3%

What the CMS Record Reveals About Wakonda Heritage Manor

Wakonda Heritage Manor operates 38 certified beds in Wakonda, SD with approximately 33 residents currently in care, and carries a CMS overall rating of 4 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 (4★), staffing levels (4★), 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 5 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 $13K against this provider, a tangible indicator that regulators moved beyond citation into financial consequence. Staffing is reported at 3.83 total nursing hours per resident day (national average 3.89), with RN coverage at 0.79 per resident day, the single staffing metric most strongly tied to resident outcomes in peer-reviewed literature.

Classified as "Non profit - Other" ownership and operating as a "Medicare and Medicaid" provider, Wakonda Heritage Manor 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 31.3%, 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 (5 most recent)

G - Isolated - Actual harm Feb 13, 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: Mar 13, 2025

F - Widespread - Minimal harm Feb 13, 2025 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Mar 13, 2025

D - Isolated - Minimal harm Jun 24, 2024 Tag: 0803

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Category: Nutrition and Dietary Deficiencies

Corrected: Jul 3, 2024

D - Isolated - Minimal harm Oct 19, 2023 Tag: 0880

Provide and implement an infection prevention and control program.

Category: Infection Control Deficiencies

Corrected: Nov 10, 2023

E - Pattern - Minimal harm Aug 18, 2022 Tag: 0812

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Category: Nutrition and Dietary Deficiencies

Corrected: Sep 22, 2022

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 13.5% 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 2.6% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 0.9% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 12.6% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 1.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 48.1% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay 5.1% Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.8% 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 98.3% No
Percentage of long-stay residents who received an antianxiety or hypnotic medication Long Stay 16.3% 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 30.2% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 85.9% 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 $13K

Date Type Amount
Feb 13, 2025 Fine $13K

Frequently Asked Questions

What is the overall CMS rating for Wakonda Heritage Manor?
Wakonda Heritage Manor has an overall CMS rating of 4 out of 5 stars. This rating combines health inspection results (4★), staffing levels (4★), and quality measures (4★).
What are the staffing levels at Wakonda Heritage Manor?
Wakonda Heritage Manor reports 3.83 total nursing hours per resident day (national average: 3.89). RN hours are 0.79 per resident day (national average: 0.68). Nursing staff turnover is 31.3%.
How many beds does Wakonda Heritage Manor have?
Wakonda Heritage Manor has 38 certified beds with approximately 33 residents. The facility is located at 515 Ohio Street, Wakonda, SD 57073.
Does Wakonda Heritage Manor have any deficiencies on record?
Yes, Wakonda Heritage Manor has 5 deficiencies on record from recent inspections. Of these, 1 are classified as causing actual harm or jeopardy.
Has Wakonda Heritage Manor received any fines or penalties?
Yes, Wakonda Heritage Manor has received 1 penalties totaling $13K.
Who owns Wakonda Heritage Manor?
Wakonda Heritage Manor is classified as "Non profit - Other" ownership. The facility type is "Medicare and Medicaid".
When was Wakonda Heritage Manor last inspected?
The most recent health inspection for Wakonda Heritage Manor was on Feb 13, 2025. The facility received a health inspection rating of 4 out of 5 stars.
What quality measures are tracked for Wakonda Heritage Manor?
Wakonda Heritage Manor 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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