The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited June 2026 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: K
Nursing home report
WINNER REGIONAL HEALTHCARE CENTER
WINNER, SD · Medicare-certified · 40 beds
Needs attention
Special Focus candidateAbuse citationNon-profit
Data as of September 1, 2026
1 of 5 overall
Winner Regional Healthcare Center in Winner, SD has an overall 1-star rating, with 1-star health inspection and quality measures but 4-star staffing; it is a special focus candidate/facility, had $81,510 in fines in the last 24 months, and reports 4.99 nurse staffing hours per resident day versus the 4.1 federal benchmark.
Facility ratings
Health inspections
Staffing
4.9872 hrs/resident/day
Quality measures
Last inspection: July 23, 2026Penalties, last 24 months: $81,510special focus facility
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.9872.
Staffing detail
- Registered nurses
- 0.75
- Licensed practical nurses
- 0.71
- Nurse aides
- 3.53
- Weekend nursing
- 3.98
Hours per resident per day.
Total staff turnover: 68%
Registered nurse turnover: 67%
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
42.9%47.6%Worsening
Residents with a fall causing major injury
3.4%3.8%No change
Residents with pressure ulcers (bedsores)
0%3.4%Worsening
Residents with a urinary tract infection
0%3.8%Worsening
Residents who lost too much weight
8%4.2%Improving
Residents who were physically restrained
0%0%No change
Residents needing more help with daily activities
44%31.8%Improving
Residents whose ability to walk got worse
—42.3%—
Long-stay residents on antianxiety or sleep medication
7.7%4.2%Improving
Residents with a long-term catheter
0%4.1%Worsening
Residents with new or worsening incontinence
20.2%28.3%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
—84.4%—
Long-stay residents given the pneumonia vaccine
37.9%57.7%Improving
Short-stay residents given the pneumonia vaccine
—48.9%—
What the inspectors found
The nursing home failed to protect residents from abuse and neglect by others. Cited June 2026 — isolated incident, actual harm.
View the original federal record
F-Tag 600 — 42 CFR §483.12 — S/S: G
The home failed to run its operations effectively and efficiently using its available resources. Cited June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 835 — 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 June 2026 — widespread issue, potential for harm.
View the original federal record
F-Tag 865 — 42 CFR §483.75 — S/S: F
The home failed to make sure residents fully understood their health status, care, and treatments. Cited June 2026 — limited pattern, potential for harm.
View the original federal record
F-Tag 552 — 42 CFR §483.10 — S/S: E
Recent history
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- PENALTY
A federal fine of $59,285 was recorded.
- PENALTY
A federal fine of $22,225 was recorded.
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 17 health deficiencies.
See what inspectors found
- STAFFING
Reported nurse staffing met or exceeded the federal recommendation.
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
- INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
- INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
Penalties & enforcement
On record with Medicare: 2 fines · $81,510 in total fines.
- $59,285
Federal fine
Jun 2, 2026
- $22,225
Federal fine
Jun 2, 2026
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 25.1 residents on an average day (63% of 40 beds)
- Resident voice
- Resident council
- Medicare history
- Certified for 35 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.