Home›South Dakota›Union County›Alcester Care And Rehab Center, Inc
D
Poor

Alcester Care And Rehab Center, Inc

101 CHURCH STREET · ALCESTER, SD 57001

6059342011 · For profit - Corporation

40 beds38.3 residents102 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
C
Below Standard
RN Staff
D
Poor
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

Alcester Care And Rehab Center, Inc receives an overall staffing grade of D (Poor). With 2.9565 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.4795 HPRD, below the recommended 0.75. It is 0.94 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.68% compared to weekdays. The facility uses a moderate level of agency staff (13.42% of hours), suggesting some reliance on temporary workers.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

⚠️Had 3 days with zero registered nurse hours this quarter. While below the 4-day threshold for an auto 1-star rating, any zero-RN day is a concern.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.9565 HPRD — needs 0.52 more hours per resident per day.
⚠️RN staffing (0.4795 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
2.9565hrs/resident/day▼ 0.94
CMS benchmark: 3.48
RN HPRD
0.4795hrs/resident/day▼ 0.20
Recommended: 0.75
Weekend Drop-off
20.68%
3.1401 weekday → 2.4905 weekend
⚠ Significant weekend reduction
Agency Staff
13.42%
5.86% of RN hours from contractors
Days with Zero RN
3days this quarter
4+ days = auto 1-star
CNA HPRD
1.9617hrs/resident/day
Direct care aides
LPN HPRD
0.5101hrs/resident/day
Licensed practical nurses
Consistency
0.4207std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Union County Average-0.34 HPRD
3.30
02.96 HPRD
vs. South Dakota State Average-0.87 HPRD
3.83
02.96 HPRD
vs. National Average-0.94 HPRD
3.90
02.96 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
Alcester Care And Rehab Center, Inc ★
ALCESTER · This facility
—
D
2.95650.4795★★★★★
Bethesda Of Beresford
BERESFORD
9.1 mi
B
3.63391.0591★★★☆☆
Centerville Care and Rehab Center Inc
CENTERVILLE
18 mi
B
3.52070.5556★★☆☆☆
GOOD SAMARITAN SOCIETY CANTON
CANTON
20.1 mi
C
3.17920.6762★★☆☆☆
SANFORD CARE CENTER VERMILLION
VERMILLION
22.3 mi
C
3.39760.7819★★☆☆☆
Wakonda Heritage Manor
WAKONDA
24.1 mi
B
3.83590.7865★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
11
Total Deficiencies
$18,866
Fines Assessed
Jun 11, 2024Health
1 deficiency cited
▼
Apr 30, 2024Health
1 deficiency cited
▼
Sep 26, 2023Health
3 deficiencies cited
▼
Jun 6, 2023Health
1 deficiency cited· Includes actual harm
▼
Mar 9, 2023Health
5 deficiencies cited
▼

Penalty History

Jun 6, 2023Fine
$9,116
Mar 9, 2023Fine
$9,750
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.