Home›South Dakota›Custer County›CUSTER CARE AND REHAB CENTER
C
Below Standard

CUSTER CARE AND REHAB CENTER

1065 MONTGOMERY ST · CUSTER, SD 57730

6056732115 · Non profit - Corporation

35 beds30.3 residents37 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
B
Good
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

CUSTER CARE AND REHAB CENTER receives an overall staffing grade of C (Below Standard). With 3.4596 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.6934 HPRD, below the recommended 0.75. It is 0.39 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.31% compared to weekdays. The facility relies heavily on temporary agency staff (26.24% of hours), suggesting potential workforce instability.

Staffing levels have remained relatively stable over recent quarters.

🔍 Areas of Concern (4)

🚨Had 6 days with zero RN hours this quarter — CMS automatically assigns a 1-star staffing rating for 4+ days.
🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.4596 HPRD — needs 0.02 more hours per resident per day.
⚠️RN staffing (0.6934 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️26.24% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (0)

Limited strengths identified for this quarter.

Total Nurse HPRD
3.4596hrs/resident/day▼ 0.39
CMS benchmark: 3.48
RN HPRD
0.6934hrs/resident/day▲ 0.01
Recommended: 0.75
Weekend Drop-off
20.31%
3.6752 weekday → 2.9288 weekend
⚠ Significant weekend reduction
Agency Staff
26.24%
0% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
6days this quarter
4+ days = auto 1-star
⚠ Auto 1-star triggered
CNA HPRD
1.5197hrs/resident/day
Direct care aides
LPN HPRD
0.7054hrs/resident/day
Licensed practical nurses
Consistency
0.5352std 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. Custer County Average+0.00 HPRD
3.46
03.46 HPRD
vs. South Dakota State Average-0.32 HPRD
3.78
03.46 HPRD
vs. National Average-0.39 HPRD
3.85
03.46 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q1 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
CUSTER CARE AND REHAB CENTER ★
CUSTER · This facility
—
C
3.45960.6934★☆☆☆☆
Michael J Fitzmaurice South Dakota Veterans Home
HOT SPRINGS
23.6 mi
A+
6.64441.1088★★☆☆☆
SEVEN SISTERS LIVING CENTER
HOT SPRINGS
24.9 mi
B
4.34310.6643★★★☆☆
CLARKSON HEALTH CARE
RAPID CITY
25.3 mi
B
3.71170.7275★★★★★
AVANTARA ARROWHEAD
RAPID CITY
25.5 mi
C
3.27660.7397★☆☆☆☆
Westhills Village Health Care Facility
RAPID CITY
26.6 mi
A
4.3421.0651★★★★☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

2
Inspections
20
Total Deficiencies
$0
Fines Assessed
Aug 26, 2025Health
17 deficiencies cited
▼
Apr 23, 2025Health
3 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q1 · 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.