The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited August 2023 — isolated incident, actual harm.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: G
Nursing home report
WINNER REGIONAL HEALTHCARE CENTER
WINNER, SD · Medicare-certified · 40 beds
In good standing
Non-profit
2 of 5 overall
Winner Regional Healthcare Center in Winner, SD has an overall 2-star rating, with stronger staffing (4 stars and 4.50 hours/resident/day versus the 4.1 federal benchmark) but weak quality measures (1 star) and a 3-star health inspection rating. It had no fines in the last 24 months; cited issues included accident hazards/supervision, bed rail use, and staff education on dementia care and abuse reporting.
Facility ratings
Health inspections
Staffing
4.4984 hrs/resident/day
Quality measures
Last inspection: May 21, 2025Penalties, last 24 months: $0
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 4.4984.
Staffing detail
- Registered nurses
- 0.69
- Licensed practical nurses
- 0.58
- Nurse aides
- 3.23
- Weekend nursing
- 3.62
Hours per resident per day.
Total staff turnover: 75%
Registered nurse turnover: 57%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
47.3%Steady
Residents with a fall causing major injury
5.6%Improving
Residents with pressure ulcers (bedsores)
1%Improving
Residents with a urinary tract infection
1.9%Worsening
Residents who lost too much weight
4%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
41.1%Improving
Residents whose ability to walk got worse
35.8%Steady
Show all measures
Long-stay residents on antianxiety or sleep medication
6.9%Worsening
Short-stay residents newly given an antipsychotic
10%Steady
Residents with a long-term catheter
0%Steady
Residents with new or worsening incontinence
18.8%Improving
Residents with depressive symptoms
0%Steady
Long-stay residents given the seasonal flu vaccine
84.4%Steady
Long-stay residents given the pneumonia vaccine
41.1%Improving
Short-stay residents given the pneumonia vaccine
34.7%Steady
What the inspectors found
The home failed to assess bed rail safety, review the risks and benefits, get informed consent, or properly install and maintain the rail. Cited December 2024 — limited pattern, potential for harm.
View the original federal record
F-Tag 700 — 42 CFR §483.25(n) — S/S: E
The home failed to properly train staff about dementia care and how to recognize and report abuse, neglect, and exploitation. Cited November 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 943 — 42 CFR §483.95 — S/S: E
The home failed to complete and keep the resident’s care plan properly prepared, reviewed, and updated by the right health professionals. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 657 — 42 CFR §483.21(b)(2) — S/S: E
The home failed to ensure residents had a safe, clean, comfortable, homelike environment and daily care supports were provided safely. Cited August 2023 — limited pattern, potential for harm.
View the original federal record
F-Tag 584 — 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
- 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 · $13,039 in total fines.
- $9,311
Federal fine
Aug 24, 2023
- $3,728
Federal fine
Aug 24, 2023
Operator & ownership
- Ownership
- Non profit - Corporation
- Occupancy
- 28.4 residents on an average day (71% 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.