Wakonda Heritage Manor

515 Ohio Street · Wakonda, SD · 57073 · 6052672081

38 certified beds Non profit - Other Chain: Avera Health

Why this verdict

  • Inspection results are getting worse cycle over cycle, not better.

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Red flags

No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.

Score breakdown

Inspection record 30% of score 67
Serious harm & abuse 20% 94
Staffing 20% 71
Federal penalties 15% 75
Trend 10% 18
Context 5% 100

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

CMS ratings & staffing

Overall: 4 of 5 Inspections: 4 of 5 Staffing: 4 of 5 Quality measures: 3 of 5

Total nurse hours / resident-day3.683.48 min · 4.1 strong
RN hours / resident-day0.720.55–0.75
Weekend hours / resident-day2.89≈ weekday level
Nursing turnover / year39%median 45%
Fines (3-yr window)1 · $12,675

Inspection citations (5 in the current record)

  • Actual harm · G February 13, 2025 · found via complaint

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

    Corrected March 13, 2025 · Quality of Life and Care

  • Potential for harm · F February 13, 2025

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

    Corrected March 13, 2025 · Nutrition and Dietary

  • Potential for harm · D June 24, 2024 · found via complaint

    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.

    Corrected July 3, 2024 · Nutrition and Dietary

  • Potential for harm · D October 19, 2023

    Provide and implement an infection prevention and control program.

    Corrected November 10, 2023 · Infection Control

  • Potential for harm · E August 18, 2022

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

    Corrected September 22, 2022 · Nutrition and Dietary

Federal penalties

DateTypeAmount / length
February 13, 2025Fine$12,675

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

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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 435094 · certified since February 1, 1996. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.