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Nursing homes in Union County, South Dakota
Union County, South Dakota, has 2 Medicare-certified nursing homes with 83 certified beds.
50% of them are rated 1 or 2 stars overall, about the same share as the state (45%). Inspectors recorded 37 health deficiencies over three cycles, 44.6 per 100 beds against 27.9 statewide.
Fines in the period covered total $16K across 1 fine.
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. Data processed by CMS on 1 Aug 2026.
| Measure | Union County | South Dakota | US |
|---|---|---|---|
| Facilities | 2 | 96 | 14690 |
| Rated 1–2 stars overall | 50% | 45% | 41% |
| Median overall rating | 5 | 3 | 3 |
| Citations per 100 beds (3 cycles) | 44.6 | 27.9 | 26.8 |
| Median nurse hours per resident day | 3.7 | 3.6 | 3.7 |
| Fines listed | $16K | $3.3M | $457M |
Facilities
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Alcester Care and Rehab Center, Inc | Alcester | 44 | 5 | 5 | 3 | 10 | 22.7 | — | 11 Jun 2024 |
| Bethesda of Beresford | Beresford | 39 | 2 | 2 | 4 | 27 | 69.2 | $16K | 11 Jun 2026 |
Sorted by overall rating. "Citations" are health deficiencies over three survey cycles; "per 100 beds" divides by certified beds.
Most-cited tags in the county
| Tag | Requirement | Citations |
|---|---|---|
| F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 3 |
| F0880 | Provide and implement an infection prevention and control program. | 3 |
| F0695 | Provide safe and appropriate respiratory care for a resident when needed. | 3 |
| F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | 3 |
| F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | 2 |
Ownership
| Type | Facilities |
|---|---|
| For profit | 1 |
| Non profit | 1 |
Questions and answers
How many nursing homes are in Union County, South Dakota?
2 Medicare-certified nursing homes with 83 certified beds.
Which nursing homes in Union County have the highest CMS ratings?
Alcester Care and Rehab Center, Inc (5 stars), Bethesda of Beresford (2 stars)
How do Union County nursing homes compare with South Dakota?
50% are rated 1–2 stars overall against 45% statewide; citations run at 44.6 per 100 beds against 27.9 statewide.