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C
Below Standard

DELLS NURSING AND REHAB CENTER INC

1400 THRESHER DR · DELL RAPIDS, SD 57022

6054285478 · For profit - Corporation

48 beds39.2 residents81 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
A
Very 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

DELLS NURSING AND REHAB CENTER INC receives an overall staffing grade of C (Below Standard). With 3.2316 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has adequate registered nurse (RN) coverage. It is 0.66 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 18.2% compared to weekdays. The facility relies heavily on temporary agency staff (37.39% of hours), suggesting potential workforce instability.

Staffing levels have been trending upward over recent quarters.

🔍 Areas of Concern (2)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.2316 HPRD — needs 0.25 more hours per resident per day.
⚠️37.39% 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 (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
3.2316hrs/resident/day▼ 0.66
CMS benchmark: 3.48
RN HPRD
0.8024hrs/resident/day▲ 0.12
Recommended: 0.75
Weekend Drop-off
18.2%
3.4068 weekday → 2.7867 weekend
Agency Staff
37.39%
20.33% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.0021hrs/resident/day
Direct care aides
LPN HPRD
0.1594hrs/resident/day
Licensed practical nurses
Consistency
0.3962std 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. Minnehaha County Average-1.00 HPRD
4.24
03.23 HPRD
vs. South Dakota State Average-0.60 HPRD
3.83
03.23 HPRD
vs. National Average-0.66 HPRD
3.90
03.23 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
DELLS NURSING AND REHAB CENTER INC ★
DELL RAPIDS · This facility
—
C
3.23160.8024☆☆☆☆☆
PALISADE HEALTHCARE CENTER
GARRETSON
13.3 mi
C
3.4630.4409★☆☆☆☆
FLANDREAU SANTEE SIOUX TRIBE CARE CENTER
FLANDREAU
15.3 mi
A+
7.16631.7896★★★☆☆
RIVERVIEW HEALTHCARE CENTER
FLANDREAU
16.2 mi
B
3.65790.695★☆☆☆☆
DOW RUMMEL VILLAGE
SIOUX FALLS
18.9 mi
A
5.06380.8622★★★★☆
Bethany Home - Brandon
BRANDON
18.9 mi
A
4.93230.8899★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
16
Total Deficiencies
$176,155
Fines Assessed
Dec 11, 2025Health
2 deficiencies cited
▼
Nov 24, 2025Health
1 deficiency cited
▼
Jun 26, 2025Health
2 deficiencies cited
▼
Jan 16, 2025Health
10 deficiencies cited· Includes actual harm
▼
Nov 26, 2024Health
1 deficiency cited
▼

Penalty History

Jan 16, 2025Fine
$107,933
Aug 8, 2024Fine
$25,144
Feb 12, 2024Fine
$39,933
Apr 17, 2023Fine
$3,145
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.