The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited January 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
DELLS NURSING AND REHAB CENTER INC
DELL RAPIDS, SD · Medicare-certified · 50 beds
Needs attention
For-profit
4 of 5 overall
DELLS NURSING AND REHAB CENTER INC in Dell Rapids, SD has a 4 out of 5 star overall rating, with 4-star health inspection and staffing ratings and a 3-star quality rating. Its reported nurse staffing is 3.09 hours per resident per day, below the 4.1 federal benchmark, and it had $133,077 in fines in the last 24 months plus a recent federal penalty.
Facility ratings
Health inspections
Staffing
3.0903 hrs/resident/day
Quality measures
Last inspection: December 11, 2025Penalties, last 24 months: $133,077recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.0903.
Staffing detail
- Registered nurses
- 0.78
- Licensed practical nurses
- 0.20
- Nurse aides
- 2.11
- Weekend nursing
- 2.69
Hours per resident per day.
Total staff turnover: 38%
Registered nurse turnover: 29%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
40.9%Improving
Residents with a fall causing major injury
24.2%Improving
Residents with pressure ulcers (bedsores)
1.9%Worsening
Residents with a urinary tract infection
3.3%Steady
Residents who lost too much weight
7.7%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
19.4%Improving
Residents whose ability to walk got worse
31.6%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
15.2%Worsening
Short-stay residents newly given an antipsychotic
0%Steady
Residents with a long-term catheter
3.4%Steady
Residents with new or worsening incontinence
24.4%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
86.4%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
84.8%Steady
What the inspectors found
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 January 2025 — widespread issue, potential for harm.
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F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to submit complete and accurate staffing information based on verifiable records. Cited January 2025 — widespread issue, potential for harm.
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F-Tag 851 — 42 CFR §483.70 — S/S: F
The home failed to give residents clear notice about what Medicare or Medicaid would cover and what costs they might have to pay themselves. Cited June 2025 — limited pattern, potential for harm.
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F-Tag 582 — 42 CFR §483.10 — S/S: E
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: E
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- PENALTY
A federal fine of $107,933 was recorded.
- PENALTY
A federal fine of $25,144 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $173,010 in total fines.
- $107,933
Federal fine
Jan 16, 2025
- $25,144
Federal fine
Aug 8, 2024
- $39,933
Federal fine
Feb 12, 2024
Operator & ownership
- Ownership
- For profit - Corporation
- Occupancy
- 41.3 residents on an average day (83% of 50 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 13 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.