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Custer Care and Rehab Center
1065 Montgomery St, Custer, SD 57730
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.
Certified for 43 beds, Custer Care and Rehab Center serves Custer in Custer County, South Dakota and has taken Medicare and Medicaid residents since 2025.
CMS gives it no overall rating; the health inspection rating is —, staffing — and quality measures —.
Inspectors recorded 17 health deficiencies across the three most recent survey cycles (17, 0, 0 by cycle, most recent first), none at the actual-harm level. That is 39.5 per 100 beds, more than the state median of 23.9.
CMS lists no fines or payment denials against the facility in the period covered.
Compared with county, state and nation
| Measure | This facility | Custer Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | — | — | 3 | 3.0 |
| Health citations, 3 cycles | 17 | 17 | 16 | 28.7 |
| Citations per 100 beds | 39.5 | 39.5 | 23.9 | 26.8 |
| Total nurse hours per resident day | — | — | 3.6 | 3.9 |
| RN hours per resident day | — | — | 0.8 | 0.7 |
| Nursing staff turnover | — | — | 46.6% | 45.8% |
| Fines listed | $0 | $0 | $20,183 | — |
County and state figures are medians across facilities (1 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: 26 Aug 2025, —.
Severity mix: D ×5 E ×7 F ×5
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 |
|---|---|---|---|---|---|
| 26 Aug 2025 | F0628 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | F | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | 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 Nov 2025 |
| 26 Aug 2025 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0865 | Have a plan that describes the process for conducting QAPI and QAA activities. | F | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0637 | Assess the resident when there is a significant change in condition | E | Standard survey | 15 Nov 2025 |
| 26 Aug 2025 | F0641 | Ensure each resident receives an accurate assessment. | E | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | E | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | E | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | E | Standard survey | 16 Oct 2025 |
| 26 Aug 2025 | F0841 | Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | E | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0868 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | E | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0644 | Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | D | Standard survey | 15 Nov 2025 |
| 26 Aug 2025 | F0656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | 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 Nov 2025 |
| 26 Aug 2025 | F0732 | Post nurse staffing information every day. | D | Standard survey | 10 Oct 2025 |
| 26 Aug 2025 | F0909 | Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | D | Standard survey | 10 Oct 2025 |
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 —, RNs —; — 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 | 28.6% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 3.6% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.9% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 6.9% | 4.8% | 2.8% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 8.5% | 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: non-profit, corporation.
No organisations are listed in the CMS ownership record for this facility.
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Questions and answers
How many deficiencies has Custer Care and Rehab Center been cited for?
17 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 Custer Care and Rehab Center been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Custer Care and Rehab Center compare?
CMS does not report staffing hours for this facility.
Who operates Custer Care and Rehab Center?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Custer Care and Rehab Center last inspected?
The most recent survey or investigation in the CMS record is dated 26 Aug 2025; the most recent standard health survey was 26 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.