The nursing home failed to provide proper pressure ulcer care and failed to prevent new pressure sores from developing. Cited December 2025 — isolated incident, actual harm.
View the original federal record
F-Tag 686 — 42 CFR §483.25(b) — S/S: G
Nursing home report
Wheatcrest Hills
Registered name: Wheatcrest Hills Healthcare Center
BRITTON, SD · Medicare-certified · 60 beds
Needs attention
For-profitChain member
Data as of July 1, 2026
3 of 5 overall
Wheatcrest Hills has a 3 out of 5 star overall rating, with 3-star health inspection and quality ratings and a 4-star staffing rating, but reported nurse staffing is 2.69 hours per resident per day versus the 4.1 federal benchmark. It also has $37,553 in fines in the last 24 months and a recent federal penalty, with recent inspection citations involving pressure ulcer care, accident hazards, and following treatment and care orders.
Facility ratings
Health inspections
Staffing
2.6949 hrs/resident/day
Quality measures
Last inspection: December 4, 2025Penalties, last 24 months: $37,553recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 2.6949.
Staffing detail
- Registered nurses
- 0.64
- Licensed practical nurses
- 0.16
- Nurse aides
- 1.90
- Weekend nursing
- 2.42
Hours per resident per day.
Total staff turnover: 32%
Registered nurse turnover: 20%
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
17.2%21.9%Worsening
Residents with a fall causing major injury
10.5%9.5%Improving
Residents with pressure ulcers (bedsores)
0%0%No change
Residents with a urinary tract infection
0%0%No change
Residents who lost too much weight
0%2.6%Worsening
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
11.1%7.7%Improving
Residents whose ability to walk got worse
4.5%4.2%No change
Long-stay residents on antianxiety or sleep medication
16.2%20%Worsening
Short-stay residents newly given an antipsychotic
—4.8%—
Residents with a long-term catheter
0%2.5%Worsening
Residents with new or worsening incontinence
15.9%23.3%Worsening
Residents with depressive symptoms
0%2.4%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
100%100%No change
Short-stay residents given the seasonal flu vaccine
—95.2%—
Short-stay residents given the pneumonia vaccine
—90.9%—
What the inspectors found
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
The nursing home failed to provide appropriate treatment and care according to residents' orders, preferences, and goals. Cited July 2024 — isolated incident, actual harm.
View the original federal record
F-Tag 684 — 42 CFR §483.25 — S/S: G
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
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 December 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: E
Recent history
- PENALTY
A federal fine of $5,541 was recorded.
- STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
- PENALTY
A federal fine of $8,525 was recorded.
- INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $8,338 was recorded.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $15,643 was recorded.
- PENALTY
A federal fine of $8,031 was recorded.
Penalties & enforcement
On record with Medicare: 4 fines · $37,553 in total fines.
- $5,541
Federal fine
Dec 4, 2025
- $8,338
Federal fine
Oct 30, 2024
- $15,643
Federal fine
Jul 10, 2024
- $8,031
Federal fine
Jul 10, 2024
Operator & ownership
Recent ownership change · Aug 31, 2023
Now operated by Wheatcrest Hills Healthcare, previously Wheatcrest Hills Healthcare Center.
- Ownership
- For profit - Corporation
- Chain
- Part of EVERGREEN HEALTHCARE GROUP · 44 homes · 2.5 stars avg
- Occupancy
- 43.7 residents on an average day (73% of 60 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 29 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.