The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited February 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
Wakonda Heritage Manor
WAKONDA, SD · Medicare-certified · 38 beds
Needs attention
Non-profitChain member
4 of 5 overall
Wakonda Heritage Manor in Wakonda, SD has a 4 out of 5 overall rating, with 4-star health inspection and staffing ratings and a 3-star quality rating. It reported 3.68 nurse staffing hours per resident per day versus the 4.1 federal benchmark, had $12,675 in fines in the last 24 months, and has a recent federal penalty; cited issues included accident hazards/supervision and food and menu standards.
Facility ratings
Health inspections
Staffing
3.6789 hrs/resident/day
Quality measures
Last inspection: February 13, 2025Penalties, last 24 months: $12,675recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.6789.
Staffing detail
- Registered nurses
- 0.72
- Licensed practical nurses
- 0.38
- Nurse aides
- 2.58
- Weekend nursing
- 2.89
Hours per resident per day.
Total staff turnover: 39%
Registered nurse turnover: 33%
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
35%40%Worsening
Residents with a fall causing major injury
0%11.8%Worsening
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%3%Worsening
Residents who lost too much weight
11.5%3.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
12.5%13.8%Worsening
Residents whose ability to walk got worse
—14.4%—
Long-stay residents on antianxiety or sleep medication
23.1%12.5%Improving
Short-stay residents newly given an antipsychotic
—7.4%—
Residents with a long-term catheter
0%0%No change
Residents with new or worsening incontinence
34.4%30.7%Improving
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
—100%—
Long-stay residents given the pneumonia vaccine
100%100%No change
Short-stay residents given the pneumonia vaccine
—87.8%—
What the inspectors found
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited February 2025 — widespread issue, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: F
The home failed to ensure meals and menus were planned, updated, and followed to meet residents’ nutritional needs. Cited June 2024 — isolated incident, potential for harm.
View the original federal record
F-Tag 803 — 42 CFR §483.60 — S/S: D
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 October 2023 — isolated incident, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: D
Recent history
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $12,675 was recorded.
- 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 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 1 fine · $12,675 in total fines.
- $12,675
Federal fine
Feb 13, 2025
Operator & ownership
- Ownership
- Non profit - Other
- Chain
- Part of AVERA HEALTH · 13 homes · 3.5 stars avg
- Occupancy
- 34.3 residents on an average day (90% of 38 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 30 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.