GoodStanding

Nursing home report

Alcester Care And Rehab Center, Inc

ALCESTER, SD · Medicare-certified · 44 beds

In good standing
For-profit
5 of 5 overall

Alcester Care And Rehab Center, Inc has an overall 5-star rating, with 5 stars for health inspections but only 3 stars for staffing and quality measures. Reported nurse staffing is 2.83 hours per resident per day, below the federal benchmark of 4.1, and there were no fines in the last 24 months.

Facility ratings

Health inspections

Staffing

2.8287 hrs/resident/day

Quality measures

Last inspection: August 28, 2025Penalties, last 24 months: $0

Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.8287.

Staffing detail

Registered nurses
0.49
Licensed practical nurses
0.51
Nurse aides
1.82
Weekend nursing
2.39

Hours per resident per day.

Total staff turnover: 49%
Registered nurse turnover: 40%

Resident outcomes

Each measure compares a year ago with the most recent quarter. Green means the facility moved the right way; red means the wrong way.

Negative outcomes

Lower is better — fewer affected residents. A decrease is good (green); an increase is concerning (red).

Long-stay residents on antipsychotic medication

30%38.5%Worsening

Residents with a fall causing major injury

0%0%No change

Residents with pressure ulcers (bedsores)

3.7%3.7%No change

Residents with a urinary tract infection

3%5.6%Worsening

Residents who lost too much weight

6.7%2.8%Improving

Residents who were physically restrained

0%0%No change

Residents needing more help with daily activities

25.8%33.3%Worsening

Residents whose ability to walk got worse

17.5%

Long-stay residents on antianxiety or sleep medication

16.1%19.4%Worsening

Short-stay residents newly given an antipsychotic

0%

Residents with a long-term catheter

2.6%2.1%No change

Residents with new or worsening incontinence

35.8%29.7%Improving

Residents with depressive symptoms

0%3%Worsening

Positive outcomes

Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).

Long-stay residents given the seasonal flu vaccine

100%

Long-stay residents given the pneumonia vaccine

97.1%100%Improving

Short-stay residents given the pneumonia vaccine

86.4%83.3%Worsening

What the inspectors found

The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited June 2023 — limited pattern, actual harm.

View the original federal record

F-Tag 700 — 42 CFR §483.25(n) — S/S: H

The home failed to have a registered nurse on duty enough hours each day and to keep a registered nurse as the full-time director of nursing. Cited March 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 727 — 42 CFR §483.35 — S/S: F

The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited March 2023 — widespread issue, potential for harm.

View the original federal record

F-Tag 880 — 42 CFR §483.80(a) — S/S: F

The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 689 — 42 CFR §483.25(d) — S/S: D

The nursing home failed to provide services that met professional standards of quality. Cited April 2024 — isolated incident, potential for harm.

View the original federal record

F-Tag 658 — 42 CFR §483.21(b)(3) — S/S: D

Recent history

  1. STAFFING

    Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.

  2. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  3. INSPECTION

    Health inspection found 1 health deficiency.

    See what inspectors found
  4. INSPECTION

    Health inspection found 3 health deficiencies.

    See what inspectors found

Penalties & enforcement

On record with Medicare: 1 fine · $9,116 in total fines.

  • Federal fine

    Jun 6, 2023

    $9,116

Operator & ownership

Ownership
For profit - Corporation
Occupancy
37.9 residents on an average day (86% of 44 beds)
Resident voice
Resident council
Medicare history
Certified for 34 years

Things at a nursing home change — inspections, staffing, ownership, news.

Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.