Alcester Care and Rehab Center, Inc

101 Church Street · Alcester, SD · 57001 · 6059342011

44 certified beds For profit - Corporation

  • No federal fines or payment denials in CMS’s 3-year window.
  • Inspection results have improved across recent cycles.

Red flags

Total nurse staffing below 3.0 hours per resident-day

2.83 reported hours vs the 3.48 minimum CMS's own staffing study recommends.

Score breakdown

Inspection record 30% of score 78
Serious harm & abuse 20% 94
Staffing 20% 51
Federal penalties 15% 100
Trend 10% 92
Context 5% 100

Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.

CMS ratings & staffing

Overall: 5 of 5 Inspections: 5 of 5 Staffing: 3 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day2.833.48 min · 4.1 strong
RN hours / resident-day0.490.55–0.75
Weekend hours / resident-day2.39≈ weekday level
Nursing turnover / year49%median 45%
Fines (3-yr window)none

Inspection citations (11 in the current record)

  • Potential for harm · D June 11, 2024 · found via complaint

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

    Corrected June 10, 2024 · Quality of Life and Care

  • Potential for harm · D April 30, 2024

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

    Corrected June 14, 2024 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2023 · found via complaint

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

    Corrected November 10, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2023 · found via complaint

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

    Corrected November 10, 2023 · Resident Assessment and Care Planning

  • Potential for harm · D September 26, 2023 · found via complaint

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

    Corrected November 10, 2023 · Quality of Life and Care

  • Actual harm · H June 6, 2023 · found via complaint

    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.

    Corrected June 23, 2023 · Quality of Life and Care

  • Potential for harm · D March 9, 2023

    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.

    Corrected April 15, 2023 · Resident Rights

  • Potential for harm · D March 9, 2023

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

    Corrected April 15, 2023 · Quality of Life and Care

  • Potential for harm · D March 9, 2023

    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.

    Corrected April 15, 2023 · Quality of Life and Care

  • Potential for harm · F March 9, 2023

    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.

    Corrected April 15, 2023 · Nursing and Physician Services

  • Potential for harm · F March 9, 2023

    Provide and implement an infection prevention and control program.

    Corrected April 15, 2023 · Infection Control

Family & resident reviews — a separate signal, never mixed into the score

No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435062 · certified since February 1, 1992. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.