South Dakota › Hyde County › Highmore
Highmore Health
410 8th Street Se, Highmore, SD 57345
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.
Highmore Health, in Highmore, South Dakota, is certified for 39 beds under non-profit, corporation ownership.
CMS gives it 3 of 5 stars overall, equal to the South Dakota median; the health inspection rating is 3, staffing 3 and quality measures 2.
Inspectors recorded 24 health deficiencies across the three most recent survey cycles (5, 11, 8 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 61.5 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.
Reported nurse staffing is 3.1 hours per resident per day (0.7 RN), close to the South Dakota median of 3.6; nursing staff turnover is 51.6%.
Compared with county, state and nation
| Measure | This facility | Hyde Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 3 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 24 | 24 | 16 | 28.7 |
| Citations per 100 beds | 61.5 | 61.5 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.1 | 3.1 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.7 | 0.8 | 0.7 |
| Nursing staff turnover | 51.6% | 51.6% | 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: 8 May 2025, 28 Feb 2024.
Severity mix: J ×1 G ×3 D ×11 E ×7 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 |
|---|---|---|---|---|---|
| 21 Jan 2026 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Complaint investigation | Past Non-Compliance |
| 8 May 2025 | F0880 | Provide and implement an infection prevention and control program. | F | Standard survey | 13 Jun 2025 |
| 8 May 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 13 Jun 2025 |
| 8 May 2025 | F0583 | Keep residents' personal and medical records private and confidential. | D | Standard survey | 13 Jun 2025 |
| 8 May 2025 | F0610 | Respond appropriately to all alleged violations. | D | Standard survey | 13 Jun 2025 |
| 28 Feb 2024 | F0851 | Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | F | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | F0565 | Honor the resident's right to organize and participate in resident/family groups in the facility. | E | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | 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 | 25 Mar 2024 |
| 28 Feb 2024 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | E | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | F0761 | 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. | E | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | F0880 | Provide and implement an infection prevention and control program. | E | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | F0661 | Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | D | Standard survey | 25 Mar 2024 |
| 28 Feb 2024 | 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 | 25 Mar 2024 |
| 2 Mar 2023 | F0610 | Respond appropriately to all alleged violations. | J | Standard survey | 23 Mar 2023 |
| 2 Mar 2023 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | G | Standard survey | 23 Mar 2023 |
| 2 Mar 2023 | F0609 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | G | Standard survey | 23 Mar 2023 |
| 2 Mar 2023 | F0686 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. | G | Standard survey | 23 Mar 2023 |
| 2 Mar 2023 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard survey | 23 Mar 2023 |
| 2 Mar 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 | Standard survey | 23 Mar 2023 |
| 2 Mar 2023 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | D | Standard survey | 23 Mar 2023 |
| 2 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 | 23 Mar 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 51.6%, RNs 50.0%; 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 | 12.1% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 2.4% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 6.3% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 9.3% | 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 | 19.8% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 1.6% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 26.1% | 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. Legal business name: Hh Holdings, Inc..
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 Highmore Health been cited for?
24 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Highmore Health been fined?
CMS lists no fines against the facility in the period covered.
How does staffing at Highmore Health compare?
Reported total nurse staffing is 3.1 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Highmore Health?
Ownership type is non-profit, corporation. Individual owners and managers are not listed on this site.
When was Highmore Health last inspected?
The most recent survey or investigation in the CMS record is dated 21 Jan 2026; the most recent standard health survey was 8 May 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.