Home›South Dakota›Mellette County›White River Health Care Center
B
Good

White River Health Care Center

515 E 8TH STREET · WHITE RIVER, SD 57579

6052593161 · Non profit - Corporation

52 beds34.9 residents52 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
A
Very Good
Total Staff
B
Good
RN Staff
B
Good
Overall
✓CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✓Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

White River Health Care Center receives an overall staffing grade of B (Good). With 4.6453 total nurse hours per resident per day, this facility meets the CMS staffing benchmark and has RN staffing of 0.6098 HPRD, below the recommended 0.75. It is 0.75 HPRD above the national average.

Weekend staffing decreases noticeably — dropping 21.5% compared to weekdays. The facility has low agency staff usage (0% of hours), suggesting a mostly permanent workforce.

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

🔍 Areas of Concern (1)

⚠️RN staffing (0.6098 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.

✨ Strengths (3)

✅Meets the CMS staffing benchmark (≥ 3.48 HPRD)
✅No days with zero registered nurse hours this quarter
✅Low agency staff usage (0%) — mostly permanent, familiar staff
Total Nurse HPRD
4.6453hrs/resident/day▲ 0.75
CMS benchmark: 3.48
RN HPRD
0.6098hrs/resident/day▼ 0.07
Recommended: 0.75
Weekend Drop-off
21.5%
4.9459 weekday → 3.8823 weekend
⚠ Significant weekend reduction
Agency Staff
0%
0% of RN hours from contractors
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
2.9959hrs/resident/day
Direct care aides
LPN HPRD
0.9119hrs/resident/day
Licensed practical nurses
Consistency
0.7435std 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. Mellette County Average+0.00 HPRD
4.65
04.65 HPRD
vs. South Dakota State Average+0.82 HPRD
3.83
04.65 HPRD
vs. National Average+0.75 HPRD
3.90
04.65 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
White River Health Care Center ★
WHITE RIVER · This facility
—
B
4.64530.6098★★★★★
Kadoka Nursing Home
KADOKA
42.1 mi
B
3.78530.6988★★★☆☆
WINNER REGIONAL HEALTHCARE CENTER
WINNER
47.2 mi
B
4.7550.5704★★☆☆☆
SCOTCHMAN LIVING CENTER
PHILIP
56.1 mi
A
4.63371.0383★★★☆☆
AVANTARA PIERRE
PIERRE
58 mi
D
2.93060.716★★☆☆☆
AVERA MARYHOUSE LONG TERM CARE
PIERRE
58.1 mi
A
4.45261.0781★★★★★

Inspection History & Penalties

Health inspection results from state surveys — most recent first

3
Inspections
3
Total Deficiencies
$6,168
Fines Assessed
Nov 18, 2024Health
1 deficiency cited· Includes actual harm
▼
Dec 13, 2023Health
1 deficiency cited
▼
Dec 8, 2022Health
1 deficiency cited
▼

Penalty History

Nov 18, 2024Fine
$6,168
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.