South Dakota › Clay County › Wakonda
Wakonda Heritage Manor
515 Ohio Street, Wakonda, SD 57073
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.
Wakonda Heritage Manor is a Non-profit, corporation nursing home in Wakonda, South Dakota, certified for 38 beds and caring for about 36 residents a day.
CMS gives it 5 of 5 stars overall, above the South Dakota median of 3; the health inspection rating is 4, staffing 5 and quality measures 3.
Inspectors recorded 8 health deficiencies across the three most recent survey cycles (4, 2, 2 by cycle, most recent first), 1 of them at the actual-harm or immediate-jeopardy level. That is 21.1 per 100 beds, about the same as the state median of 23.9.
CMS lists 1 penalty in the period covered: fines totalling $13K.
Reported nurse staffing is 3.8 hours per resident per day (0.7 RN), close to the South Dakota median of 3.6; nursing staff turnover is 33.3%.
Compared with county, state and nation
| Measure | This facility | Clay Co. median | South Dakota median | US average |
|---|---|---|---|---|
| Overall star rating | 5 | 2 | 3 | 3.0 |
| Health citations, 3 cycles | 8 | 11 | 16 | 28.7 |
| Citations per 100 beds | 21.1 | 21.1 | 23.9 | 26.8 |
| Total nurse hours per resident day | 3.8 | 3.8 | 3.6 | 3.9 |
| RN hours per resident day | 0.7 | 0.8 | 0.8 | 0.7 |
| Nursing staff turnover | 33.3% | 45.5% | 46.6% | 45.8% |
| Fines listed | $12,675 | $40,596 | $20,183 | — |
County and state figures are medians across facilities (3 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: 7 May 2026, 13 Feb 2025.
Severity mix: G ×1 D ×6 F ×1
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 |
|---|---|---|---|---|---|
| 7 May 2026 | F0604 | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | D | Standard survey | 29 May 2026 |
| 7 May 2026 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 19 Jun 2026 |
| 7 May 2026 | F0695 | Provide safe and appropriate respiratory care for a resident when needed. | D | Standard survey | 29 May 2026 |
| 7 May 2026 | F0921 | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | D | Standard survey | 29 May 2026 |
| 13 Feb 2025 | F0689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint investigation | 13 Mar 2025 |
| 13 Feb 2025 | F0812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | F | Standard survey | 13 Mar 2025 |
| 24 Jun 2024 | F0803 | 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. | D | Complaint investigation | 3 Jul 2024 |
| 19 Oct 2023 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 10 Nov 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 13 Feb 2025 | Fine | $12,675 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 33.3%, RNs 33.3%; 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 | 14.4% | 20.7% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 1.7% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 2.4% | 2.2% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 7.0% | 4.8% | 2.8% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.4% | 19.6% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 0.9% | 3.9% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 40.0% | 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: Wakonda Heritage Manor. Chain: Avera Health (13 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Sacred Heart Health Services | Operational/managerial control | NOT APPLICABLE | 01/17/1994 |
| Wakonda Heritage Manor | Operational/managerial control | NOT APPLICABLE | 01/17/1994 |
| Sacred Heart Health Services | Adp of the snf | NOT APPLICABLE | 09/04/2025 |
| Wakonda Heritage Manor | Adp of the snf | NOT APPLICABLE | 07/17/2025 |
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 Clay County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Sanford Care Center Vermillion | Vermillion | 66 | 2 | 2 | 4 | 11 | 16.7 | $45K | 29 Jan 2026 |
| Sunset Manor Avera Healthabuse icon | Irene | 58 | 2 | 2 | 4 | 17 | 29.3 | $41K | 5 May 2026 |
All 3 facilities in Clay County
Questions and answers
How many deficiencies has Wakonda Heritage Manor been cited for?
8 health deficiencies across the three most recent survey cycles, 1 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.
Has Wakonda Heritage Manor been fined?
Yes. CMS lists fines totalling $13K in the period covered.
How does staffing at Wakonda Heritage Manor compare?
Reported total nurse staffing is 3.8 hours per resident per day against a South Dakota median of 3.6 and a national average of 3.9.
Who operates Wakonda Heritage Manor?
It is part of the Avera Health chain. Ownership type is non-profit, corporation. Organisations in the CMS ownership record include Sacred Heart Health Services and Wakonda Heritage Manor. Individual owners and managers are not listed on this site.
When was Wakonda Heritage Manor last inspected?
The most recent survey or investigation in the CMS record is dated 7 May 2026; the most recent standard health survey was 7 May 2026.
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.