Monument Health Sturgis Care Center
2140 Junction Avenue · Sturgis, SD · 57785 · 6057202400
40 certified beds Non profit - Corporation
- Staffing hours comfortably above national benchmarks.
- Inspection results have improved across recent cycles.
Red flags
1 abuse-related citation at the actual-harm level
Inspectors cited failures in the abuse-prevention rules (F600–F610) that resulted in actual harm to a resident.
If someone you love was harmed at a facility with findings like these, you have options — read this.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 3 of 5 Inspections: 3 of 5 Staffing: 4 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 4.91 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.89 | 0.55–0.75 |
| Weekend hours / resident-day | 4.02 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | 2 · $25,958 |
Inspection citations (22 in the current record)
-
Potential for harm · D March 19, 2026
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected May 2, 2026 · Resident Rights
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Potential for harm · D March 19, 2026
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected May 2, 2026 · Resident Assessment and Care Planning
-
Potential for harm · D March 19, 2026
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.
Corrected May 2, 2026 · Pharmacy Service
-
Potential for harm · E March 19, 2026
Provide and implement an infection prevention and control program.
Corrected May 2, 2026 · Infection Control
-
Actual harm · G June 10, 2025 · found via complaint
Respond appropriately to all alleged violations.
Corrected July 10, 2025 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D June 10, 2025 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected June 10, 2025 · Quality of Life and Care
-
Potential for harm · D February 19, 2025 · found via complaint
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
Corrected April 4, 2025 · Freedom from Abuse, Neglect, and Exploitation
-
Potential for harm · E February 19, 2025 · found via complaint
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected April 4, 2025 · Pharmacy Service
-
Potential for harm · E February 19, 2025 · found via complaint
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.
Corrected April 4, 2025 · Pharmacy Service
-
Potential for harm · D October 3, 2024
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected November 15, 2024 · Resident Assessment and Care Planning
-
Potential for harm · D October 3, 2024
Provide care and assistance to perform activities of daily living for any resident who is unable.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · D October 3, 2024
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Corrected November 15, 2024 · Quality of Life and Care
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Potential for harm · F October 3, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected November 15, 2024 · Nutrition and Dietary
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Potential for harm · D October 3, 2024
Provide and implement an infection prevention and control program.
Corrected November 15, 2024 · Infection Control
-
Actual harm · G April 3, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected March 27, 2024 · Resident Assessment and Care Planning
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Potential for harm · E November 15, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 30, 2023 · Quality of Life and Care
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Potential for harm · E July 20, 2023
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Corrected September 1, 2023 · Resident Rights
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Potential for harm · D July 20, 2023
Ensure services provided by the nursing facility meet professional standards of quality.
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · D July 20, 2023
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge.
Corrected September 1, 2023 · Resident Assessment and Care Planning
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Potential for harm · F July 20, 2023
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected September 1, 2023 · Nursing and Physician Services
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Potential for harm · D July 20, 2023
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.
Corrected September 1, 2023 · Administration
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Potential for harm · E July 20, 2023
Provide and implement an infection prevention and control program.
Corrected September 1, 2023 · Infection Control
Federal penalties
| Date | Type | Amount / length |
|---|---|---|
| June 10, 2025 | Fine | $17,940 |
| April 3, 2024 | Fine | $8,018 |
Better-scoring options nearby
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435102 · certified since May 1, 1997. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.