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D
Poor

HIGHMORE HEALTH

410 8TH STREET SE · HIGHMORE, SD 57345

6058522255 · Non profit - Corporation

41 beds33.8 residents62 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
D
Poor
Total Staff
A
Very Good
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

HIGHMORE HEALTH receives an overall staffing grade of D (Poor). With 2.961 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 0.94 HPRD below the national average.

Weekend staffing decreases noticeably — dropping 20.64% compared to weekdays. The facility uses a moderate level of agency staff (14.17% of hours), suggesting some reliance on temporary workers.

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

🔍 Areas of Concern (1)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 2.961 HPRD — needs 0.52 more hours per resident per day.

✨ Strengths (2)

✅Meets the research-recommended RN staffing level (≥ 0.75 HPRD)
✅No days with zero registered nurse hours this quarter
Total Nurse HPRD
2.961hrs/resident/day▼ 0.94
CMS benchmark: 3.48
RN HPRD
0.875hrs/resident/day▲ 0.19
Recommended: 0.75
Weekend Drop-off
20.64%
3.1445 weekday → 2.4954 weekend
⚠ Significant weekend reduction
Agency Staff
14.17%
21.25% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.7941hrs/resident/day
Direct care aides
LPN HPRD
0.1912hrs/resident/day
Licensed practical nurses
Consistency
0.4162std 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. Hyde County Average+0.00 HPRD
2.96
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
HIGHMORE HEALTH ★
HIGHMORE · This facility
—
D
2.9610.875★★★☆☆
Good Samaritan Society Miller
MILLER
22.4 mi
B
3.80970.8802★☆☆☆☆
FAULKTON SENIOR LIVING
FAULKTON
38.8 mi
C
3.09980.4785★★★★★
AVERA OAHE MANOR
GETTYSBURG
42.7 mi
B
4.02040.7343★★★☆☆
AVERA MARYHOUSE LONG TERM CARE
PIERRE
45.6 mi
A
4.45261.0781★★★★★
AVANTARA PIERRE
PIERRE
45.6 mi
D
2.93060.716★★☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
23
Total Deficiencies
$13,136
Fines Assessed
May 8, 2025Health
4 deficiencies cited
▼
Feb 28, 2024Health
11 deficiencies cited
▼
Mar 2, 2023Health
8 deficiencies cited· Includes actual harm
▼

Penalty History

Mar 2, 2023Fine
$13,136
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.