Elder Care Record

South Dakota › Marshall County › Britton

Wheatcrest Hills Healthcare Center

1311 Vander Horck St, Britton, SD 57430

CCN 435105 · For-profit, corporation · 60 certified beds · chain Evergreen Healthcare Group

Overall★★★★★
Health inspection★★★★★
Staffing★★★★★
Quality measures★★★★★

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.

Wheatcrest Hills Healthcare Center is a For-profit, corporation nursing home in Britton, South Dakota, certified for 60 beds and caring for about 44 residents a day.

CMS gives it 3 of 5 stars overall, equal to the South Dakota median; the health inspection rating is 3, staffing 4 and quality measures 3.

Inspectors recorded 14 health deficiencies across the three most recent survey cycles (4, 6, 4 by cycle, most recent first), 3 of them at the actual-harm or immediate-jeopardy level. That is 23.3 per 100 beds, about the same as the state median of 23.9.

CMS lists 4 penalties in the period covered: fines totalling $38K.

Reported nurse staffing is 2.7 hours per resident per day (0.6 RN), below the South Dakota median of 3.6; nursing staff turnover is 32.4%.

14health deficiencies, 3 survey cycles3 at actual harm or worse
$38Kfines listed by CMS4 penalties in period
2.7nurse hours per resident per daystate median 3.6
73%occupancy (residents ÷ beds)44 residents a day

Compared with county, state and nation

MeasureThis facilityMarshall Co. medianSouth Dakota medianUS average
Overall star rating3333.0
Health citations, 3 cycles14141628.7
Citations per 100 beds23.323.323.926.8
Total nurse hours per resident day2.72.73.63.9
RN hours per resident day0.60.60.80.7
Nursing staff turnover32.4%32.4%46.6%45.8%
Fines listed$37,553$37,553$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

Cycle 1 (latest)4
Cycle 26
Cycle 34

Dark bar: this facility. Grey bar: South Dakota average per facility for the same cycle, as published by CMS. Standard health survey dates: 4 Dec 2025, 10 Jul 2024.

Severity mix: G ×3 D ×3 E ×8

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)
Isolated
Pattern
Widespread
Immediate jeopardy
J
K
L
Actual harm
G
H
I
Potential for more than minimal harm
D
E
F
Potential for minimal harm
A
B
C

Survey dateTagWhat the tag requiresSeverityTypeCorrected
4 Dec 2025F0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.GStandard survey6 Dec 2025
4 Dec 2025F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.EStandard survey6 Dec 2025
4 Dec 2025F0880Provide and implement an infection prevention and control program.EStandard survey6 Dec 2025
4 Dec 2025F0700Try 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.DStandard survey6 Dec 2025
18 Jun 2025F0688Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.EComplaint investigation11 Jul 2025
30 Oct 2024F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.GComplaint investigation22 Oct 2024
10 Jul 2024F0550Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.EStandard survey26 Aug 2024
10 Jul 2024F0725Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.EStandard survey26 Aug 2024
10 Jul 2024F0806Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.EStandard survey26 Aug 2024
10 Jul 2024F0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.DStandard survey26 Aug 2024
10 Jul 2024F0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.GComplaint investigation26 Aug 2024
28 Mar 2024F0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.EComplaint investigation14 May 2024
17 Oct 2023F0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.DComplaint investigation4 Dec 2023
19 Jul 2023F0761Ensure 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.EStandard survey15 Aug 2023

Penalties

DateTypeAmountDetail
4 Dec 2025Fine$5,541
30 Oct 2024Fine$8,338
10 Jul 2024Fine$15,643
10 Jul 2024Fine$8,031

Staffing

Total nursing2.69 h
Nurse aides1.9 h
LPN0.16 h
RN0.64 h
Weekend total2.42 h

Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the South Dakota average. Turnover: nursing staff 32.4%, RNs 20.0%; 0 administrators left in the reporting year.

Quality measures

MeasureResidentsThis facilitySouth Dakota medianUS median
Percentage of long-stay residents whose need for help with daily activities has increasedLong Stay6.4%20.7%12.6%
Percentage of long-stay residents with a catheter inserted and left in their bladderLong Stay1.8%1.7%0.3%
Percentage of long-stay residents with a urinary tract infectionLong Stay0.0%2.2%0.9%
Percentage of long-stay residents experiencing one or more falls with major injuryLong Stay10.2%4.8%2.8%
Percentage of short-stay residents who newly received an antipsychotic medicationShort Stay4.8%1.5%1.0%
Percentage of long-stay residents whose ability to walk independently worsenedLong Stay4.6%19.6%12.5%
Percentage of long-stay residents with pressure ulcersLong Stay0.0%3.9%4.2%
Percentage of long-stay residents who received an antipsychotic medicationLong Stay20.8%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: Wheatcrest Hills Snf Operations, Llc. Chain: Evergreen Healthcare Group (44 facilities).

OrganisationRole in the CMS recordInterestSince
Pacific Northwest SNF Operations Holdings (Sd) LLC5% or greater direct ownership interest100%08/31/2023
Couve Financial Services LLCOperational/managerial controlNOT APPLICABLE08/31/2023
Couve Healthcare Consulting LLCOperational/managerial controlNOT APPLICABLE08/31/2023
Pacific Northwest Opco Management LLCOperational/managerial controlNOT APPLICABLE08/31/2023
South Dakota SNF Consulting LLCOperational/managerial controlNOT APPLICABLE08/31/2023
Wheatcrest Hills SNF Operations, LLCOperational/managerial controlNOT APPLICABLE08/31/2023
Ch Pacific Northwest Holdings LLCAdp of the snfNOT APPLICABLE08/31/2023
Couve Financial Services LLCAdp of the snfNOT APPLICABLE03/19/2025
Couve Healthcare Consulting LLCAdp of the snfNOT APPLICABLE03/19/2025
Pacific Northwest Opco Management LLCAdp of the snfNOT APPLICABLE03/19/2025
South Dakota SNF Consulting LLCAdp of the snfNOT APPLICABLE03/19/2025
Wheatcrest Hills SNF Operations, LLCAdp of the snfNOT APPLICABLE07/31/2025
Witzcorp Global LLCAdp of the snfNOT APPLICABLE08/31/2023

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 Wheatcrest Hills Healthcare Center been cited for?

14 health deficiencies across the three most recent survey cycles, 3 at the actual-harm or immediate-jeopardy level. The South Dakota median is 16 per facility.

Has Wheatcrest Hills Healthcare Center been fined?

Yes. CMS lists fines totalling $38K in the period covered.

How does staffing at Wheatcrest Hills Healthcare Center 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 Wheatcrest Hills Healthcare Center?

It is part of the Evergreen Healthcare Group chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Pacific Northwest SNF Operations Holdings (Sd) LLC, Couve Financial Services LLC and Couve Healthcare Consulting LLC. Individual owners and managers are not listed on this site.

When was Wheatcrest Hills Healthcare Center last inspected?

The most recent survey or investigation in the CMS record is dated 4 Dec 2025; the most recent standard health survey was 4 Dec 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.