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
Data as of July 1, 2026
4 of 5 overall
DELLS NURSING AND REHAB CENTER INC in Dell Rapids, SD has a 4-star overall rating, with 4 stars for health inspections, 3 stars for staffing, and 3 stars for quality measures. It reports 3.00 nurse staffing hours per resident per day versus the 4.1 federal benchmark, and it had $133,077 in fines in the last 24 months along with a recent federal penalty.
Facility ratings
Health inspections
Staffing
2.9991 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 2.9991.
Staffing detail
- Registered nurses
- 0.52
- Licensed practical nurses
- 0.31
- Nurse aides
- 2.17
- Weekend nursing
- 2.71
Hours per resident per day.
Total staff turnover: 42%
Registered nurse turnover: 29%
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
43.3%37.9%Improving
Residents with a fall causing major injury
31.7%5.1%Improving
Residents with pressure ulcers (bedsores)
2.4%0%Improving
Residents with a urinary tract infection
2.4%0%Improving
Residents who lost too much weight
14.7%6.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
23.5%9.4%Improving
Residents whose ability to walk got worse
—39.9%—
Long-stay residents on antianxiety or sleep medication
17.6%18.8%Worsening
Short-stay residents newly given an antipsychotic
—0%—
Residents with a long-term catheter
4.7%2%Improving
Residents with new or worsening incontinence
21.5%22.7%Worsening
Residents with depressive symptoms
0%0%No change
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
—86.4%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
73.9%91.3%Improving
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.
View the original federal record
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.
View the original federal record
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.
View the original federal record
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
- 45.4 residents on an average day (91% 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.