PlainNursing
CMS Nursing Home Compare · August 2026

Wakonda Heritage Manor

515 Ohio Street, Wakonda, SD 57073

Wakonda Heritage Manor, a 38-bed non profit - corporation nursing facility in Wakonda, SD, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #16 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), 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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5 / 5
Much above average · CMS overall · nat'l 3.0
#16 of 93
In-state rank among rated SD homes
3.85
About average · nurse hrs/day · nat'l 3.86
8
Inspection findings · 1 serious

The verdict

Wakonda Heritage Manor, a 38-bed non profit - corporation nursing facility in Wakonda, SD, holds a 5-star CMS overall rating - well above the 3.0-star national average, ranking #16 of 93 rated homes in SD on CMS overall stars (with health+staffing+quality tie-breaks), with nurse staffing below the national norm. 1 inspection finding reached the actual-harm or immediate-jeopardy level.

5 / 5
CMS overall · national 3.0
#16 of 93
In-state rank among rated SD homes
3.85
Nurse hrs/resident-day · national 3.86
8
Inspection findings · 1 serious

CMS force-curves overall stars within each state; read health, staffing, and quality sub-ratings alongside the headline.

In-state ownership mix · peer inventory

How 96 SD nursing homes split by ownership sector

This facility is recorded as Non profit - Corporation. Sector buckets collapse CMS ownership_type into For-profit, Nonprofit, and Government, orthogonal to the RN/LPN/CNA hour bar below.

Health Inspection

4/5

Staffing

5/5

Quality Measures

3/5

Long-Stay Quality

3/5

Facility Information

Provider Number
435094
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
Beds
38
Residents
36
In Hospital
No
County
Clay
Last Inspection
May 7, 2026

Staffing Data

How the 3.85 total nursing hours per resident-day are staffed:

RN Hours
0.66 (nat'l avg: 0.69)
LPN Hours
0.60
CNA Hours
2.59
Total Nursing Hours
3.85 (nat'l avg: 3.86)
PT Hours
0.01
Nursing Turnover
33.3%
RN Turnover
33.3%

What the CMS Record Reveals About Wakonda Heritage Manor

According to CMS Nursing Home Compare, Wakonda Heritage Manor ranks #16 of 93 rated nursing homes in SD on overall stars (tie-broken by health+staffing+quality, then fewer fines). Wakonda Heritage Manor operates 38 certified beds in Wakonda, SD with approximately 36 residents currently in care, and carries a CMS overall rating of 5 out of 5 stars (health inspection 4★ · staffing 5★ · quality 3★).

The inspection file contains 8 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. Per resident day, this facility reports 3.85 total nursing hours (national average 3.86) and 0.66 RN hours.

Classified as "Non profit - Corporation" ownership and operating as a "Medicare and Medicaid" provider, Wakonda Heritage Manor falls into a category where comparative context matters. Reported nursing staff turnover at this facility is 33.3% (CMS payroll-based measure).

Why sub-scores and the CMS methodology matter

The overall score is a composite of three weighted sub-ratings published by the Centers for Medicare & Medicaid Services: health inspection results, staffing levels, and quality measures. 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.

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. The staffing metric in particular is the one most strongly tied to resident outcomes in peer-reviewed literature.

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 the same record on Medicare.gov Care Compare and with the facility or your state survey agency before making placement decisions.

Deficiency History (8 most recent)

D - Isolated - Minimal harm May 7, 2026 Tag: 0921

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Category: Environmental Deficiencies

Corrected: May 29, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0695

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

Category: Quality of Life and Care Deficiencies

Corrected: May 29, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0641

Ensure each resident receives an accurate assessment.

Category: Resident Assessment and Care Planning Deficiencies

Corrected: Jun 19, 2026

D - Isolated - Minimal harm May 7, 2026 Tag: 0604

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

Corrected: May 29, 2026

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

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

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

Quality Measures

Measure Type Score Used in Rating
Percentage of long-stay residents whose need for help with daily activities has increased Long Stay 14.4% 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 2.4% Yes
Percentage of long-stay residents experiencing one or more falls with major injury Long Stay 7.0% Yes
Percentage of long-stay residents whose ability to walk independently worsened Long Stay 20.4% Yes
Percentage of long-stay residents with pressure ulcers Long Stay 0.9% Yes
Percentage of long-stay residents who received an antipsychotic medication Long Stay 40.0% Yes
Percentage of short-stay residents who newly received an antipsychotic medication Short Stay N/A Yes
Percentage of long-stay residents who lose too much weight Long Stay 7.3% 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 99.2% 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 25.9% No
Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine Short Stay 87.5% 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

Nationwide facilities with similar scale or staffing

Two data-derived peer sets for Wakonda Heritage Manor, both outside SD so the neighborhoods are not the same-state geography list below.

What the CMS records show for Wakonda Heritage Manor

The health, staffing, and quality sub-ratings above often diverge from the CMS overall headline. Use those components and the inspection findings to read the full file, not the overall star alone.

  • The SD registry aggregates state averages and the highest-rated homes in this cohort. View SD registry
  • Peer homes near 38 beds show how CMS stars vary at a similar scale in SD. Compare a similar-size peer
  • CMS publishes separate fields for inspections, nurse staffing hours, and quality measures; the guide explains how each star is computed. How CMS ratings work

CMS refreshes Nursing Home Compare quarterly (current extract: August 2026). PlainNursing describes published records; it does not establish suitability, availability, admissions, or individual outcomes.

Frequently Asked Questions

What is the overall CMS rating for Wakonda Heritage Manor?
Wakonda Heritage Manor has an overall CMS rating of 5 out of 5 stars. This rating combines health inspection results (4★), staffing levels (5★), and quality measures (3★).
Where does Wakonda Heritage Manor rank among nursing homes in SD?
According to CMS Nursing Home Compare overall stars (with health+staffing+quality tie-breaks, then fewer fines), Wakonda Heritage Manor ranks 16th among 93 rated nursing homes in SD (#16 of 93). CMS force-curves the overall star within each state, so this peer set is the honest comparison.
What are the staffing levels at Wakonda Heritage Manor?
Wakonda Heritage Manor reports 3.85 total nursing hours per resident day (national average: 3.86). RN hours are 0.66 per resident day (national average: 0.69). Nursing staff turnover is 33.3%.
How many beds does Wakonda Heritage Manor have?
Wakonda Heritage Manor has 38 certified beds with approximately 36 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 8 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 - Corporation" 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 May 7, 2026. 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. Verify the same CCN on Medicare.gov Care Compare and 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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