South Dakota › Union County › Alcester
Alcester Care and Rehab Center, Inc
101 Church Street, Alcester, SD 57001
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. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Alcester Care and Rehab Center, Inc is a For-profit, corporation nursing home in Alcester, South Dakota, certified for 44 beds and caring for about 40 residents a day.
CMS gives it 5 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 5, staffing 3 and quality measures 3.
Inspectors recorded 10 health deficiencies across the three most recent survey cycles (0, 1, 9 by cycle, most recent first), none at the actual-harm level. That is 22.7 per 100 beds, about the same as the state median of 23.9.
CMS lists no fines or payment denials against the facility in the period covered.
Reported nurse staffing is 2.7 hours per resident per day (0.4 RN), below the South Dakota median of 3.6; nursing staff turnover is 43.3%.
Compared with county, state and nation
| Measure | This facility | Union Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 5 | 3 | 3.0 |
| Health citations, 3 cycles | 10 | 27 | 16 | 28.7 |
| Citations per 100 beds | 22.7 | 69.2 | 23.9 | 26.8 |
| Total nurse hours per resident day | 2.7 | 3.7 | 3.6 | 3.9 |
| RN hours per resident day | 0.4 | 1.2 | 0.8 | 0.7 |
| Nursing staff turnover | 43.3% | 50.0% | 46.6% | 45.8% |
| Fines listed | $0 | $16,088 | $20,183 | — |
County and state figures are medians across facilities (2 in the county, 96 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 28 Aug 2025, 30 Apr 2024.
Severity mix: D ×8 F ×2
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 11 Jun 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | 10 Jun 2024 |
| 30 Apr 2024 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Standard survey | 14 Jun 2024 |
| 26 Sep 2023 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | D | Complaint investigation | 10 Nov 2023 |
| 26 Sep 2023 | F0658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint investigation | 10 Nov 2023 |
| 26 Sep 2023 | F0698 | Provide safe, appropriate dialysis care/services for a resident who requires such services. | D | Complaint investigation | 10 Nov 2023 |
| 9 Mar 2023 | F0727 | 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. | F | Standard survey | 15 Apr 2023 |
| 9 Mar 2023 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 15 Apr 2023 |
| 9 Mar 2023 | F0578 | 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. | D | Standard survey | 15 Apr 2023 |
| 9 Mar 2023 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 15 Apr 2023 |
| 9 Mar 2023 | F0700 | 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. | D | Standard survey | 15 Apr 2023 |
Penalties
CMS lists no fines or payment denials for this facility in the period covered.
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 43.3%, RNs 60.0%; 0 administrators left in the reporting year.
Quality measures
| Measure | Residents | This facility | South Dakota median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 27.1% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 1.7% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.2% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 0.0% | 4.8% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.0% | 1.5% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 18.5% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 3.8% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 38.5% | 22.4% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: Alcester Care & Rehab Center Inc.
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Caring Professionals Inc | Direct ownership interest | NOT APPLICABLE | 02/01/2015 |
| Caring Professionals Inc | Operational/managerial control | NOT APPLICABLE | 02/01/2015 |
| Caring Professionals Inc | Trustee of the snf | NOT APPLICABLE | 02/01/2015 |
| Caring Professionals Inc | Adp of the snf | NOT APPLICABLE | 02/01/2015 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Union County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bethesda of Beresford | Beresford | 39 | 2 | 2 | 4 | 27 | 69.2 | $16K | 11 Jun 2026 |
All 2 facilities in Union County
Questions and answers
How many deficiencies has Alcester Care and Rehab Center, Inc been cited for?
10 health deficiencies across the three most recent survey cycles, 0 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Alcester Care and Rehab Center, Inc been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Alcester Care and Rehab Center, Inc compare?
Reported total nurse staffing is 2.7 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Alcester Care and Rehab Center, Inc?
Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Caring Professionals Inc and Caring Professionals Inc. Individual owners and managers are not listed on this site.
When was Alcester Care and Rehab Center, Inc last inspected?
The most recent survey or investigation in the CMS record is dated 11 Jun 2024; the most recent standard health survey was 28 Aug 2025.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.