Overall rating: not rated. Custer Care and Rehab Center has no recent fines reported, but its recent inspection cited documentation/notification issues, RN coverage/director-of-nursing requirements, and staffing data submission problems.
Last inspection: August 26, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports not reported.
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).
Last yrNowTrend
Long-stay residents on antipsychotic medication
—38.5%—
Residents with a fall causing major injury
—6.9%—
Residents with pressure ulcers (bedsores)
—8.5%—
Residents with a urinary tract infection
—6.9%—
Residents who lost too much weight
—6.9%—
Residents who were physically restrained
—0%—
Residents needing more help with daily activities
—28.6%—
Long-stay residents on antianxiety or sleep medication
—41.4%—
Residents with a long-term catheter
—3.6%—
Residents with new or worsening incontinence
—30.5%—
Residents with depressive symptoms
—22.2%—
Positive outcomes
Higher is better — e.g. vaccinations. An increase is good (green); a decrease is concerning (red).
Last yrNowTrend
Long-stay residents given the seasonal flu vaccine
—95.7%—
Long-stay residents given the pneumonia vaccine
—62.1%—
What the inspectors found
The nursing home failed to provide the required notice or documentation about a resident’s needs, appeal rights, or bed-hold policy. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 628 — 42 CFR §483.15(c)(2) — S/S: F
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 August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 727 — 42 CFR §483.35 — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to have a plan for how it would carry out quality improvement and oversight activities. Cited August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — 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 August 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
Recent history
INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
Operator & ownership
Ownership
Non profit - Corporation
Resident voice
Resident council
Medicare history
Certified for 0 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.