Nursing home · Top rated by CMS
Alcester Care And Rehab Center
101 Church Street, Alcester, SD 57001 · Map
For profit - Corporation · 42 certified beds
Alcester Care And Rehab Center is a Medicare-certified nursing home in Alcester, South Dakota. CMS rates it 5 out of 5 stars overall (3/5 for staffing, 5/5 for health inspections). Nurse staffing is 2.95 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on Aug 28, 2025 cited 0 deficiencies.
- 1 fine totaling $9,116In CMS records: 1 total penalty.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Alcester Care And Rehab Center compares
This facility vs. the South Dakota and national averages, from CMS data. For staffing, higher is generally better; for turnover and deficiencies, lower is better.
| Metric | This facility | South Dakota avg | National avg | Compared with the state |
|---|---|---|---|---|
| Total nurse staffing (hrs/resident/day) | 2.95 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.48 | 0.80 | 0.68 | below avg |
| Aide staffing (hrs/resident/day) | 1.96 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 43.8% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 0.0 | 6.8 | 9.5 | below avg |
Staffing
Hours per resident per day as reported to CMS. Higher numbers indicate more direct care time.
Staff turnover
Lower turnover typically indicates better working conditions and continuity of care. National average for nursing staff is 46.4%.
Recent health inspection
CMS inspects nursing facilities regularly. Deficiencies are categorized by severity.
- No health deficiencies cited at the last standard inspection (August 2025)
Penalties in CMS records: 1 fine totaling $9,116, 1 total penalty.
What inspectors found at Alcester Care And Rehab Center
Specific deficiencies cited in recent CMS health inspections, most recent first. Severity follows the CMS scope/severity scale. Source: CMS Care Compare.
- Potential for harm
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Quality of Life and Care Deficiencies · Jun 11, 2024 · Full report (PDF) - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Apr 30, 2024 · Full report (PDF) - Potential for harm
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · Sep 26, 2023 - Potential for harm
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · Sep 26, 2023 - Potential for harm
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Resident Assessment and Care Planning Deficiencies · Sep 26, 2023
Show all 11 deficiencies
- Actual harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Jun 6, 2023 - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Mar 9, 2023 - Potential for harm
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Nursing and Physician Services Deficiencies · Mar 9, 2023 - Potential for harm
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Quality of Life and Care Deficiencies · Mar 9, 2023 - Potential for harm
Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · Mar 9, 2023 - Potential for harm
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Resident Rights Deficiencies · Mar 9, 2023
Read the full inspection reports on Medicare.gov Each inspection there has a “Read the full report” link with the inspectors’ written findings.
About this facility
- Address
- 101 Church Street
Alcester, SD 57001 - CMS certification #
- 435062
- Ownership
- For profit - Corporation
- Certified beds
- 42
- Avg residents/day
- 38.3
- Provider type
- Medicare and Medicaid
- First certified
- 1992-02-01
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Alcester Care And Rehab Center using Google Maps.
Other public records
Full public records, with dates and sources
Location and nearby care
- Nearest hospital with an emergency room
- Hawarden Regional Healthcare, Hawarden. 7.5 miles away, straight line.
- Nearest Medicare nursing home
- Hillcrest Health Care Center, Hawarden. 7.4 miles away, straight line.
- Nearest home health agency office
- Hegg Home Health Care, Rock Valley. 21.3 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis Drug. 9.2 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57001 as rural (rural area).
- Hospice
- 6 Medicare hospices tell CMS they serve ZIP code 57001.
Sioux Center Health Home Care And Hospice, office in Sioux Center, 23.4 miles away, straight line - Nearest geriatric medicine practice
- Physicians Clinic Inc, Omaha. 125.3 miles away, straight line. 1 geriatric medicine doctor listed there.
Distances are straight lines from the community, not driving distance. Hospitals, home health, dialysis, hospice and doctors come from CMS provider data (CMS, hospital list updated Jul 22, 2026). Star ratings are CMS’s own.
Emergency and natural hazard risk
Public hazard maps for this location. Ask the community about its emergency plan, its generator and where residents would go in an evacuation.
- Flood zone
- Outside the high and moderate risk flood areas on FEMA's flood map (Zone X, minimal flood hazard, or not studied). (FEMA flood map)
- FEMA National Risk Index
- Overall: relatively high. By hazard: inland flooding relatively high, wildfire relatively low, tornado very high, heat wave relatively moderate, earthquake very low. These are FEMA’s ratings for the census tract, compared with tracts nationwide. (FEMA, December 2025)
A flood zone describes the map at this point, not the building's elevation. In an emergency, follow the local emergency management agency.
What we checked
Every public source we searched for this community. “Nothing on record” means we found no record that matched it. A record can be missed when a name or address differs.
| Source | Data as of | What we found |
|---|---|---|
| U.S. Department of Labor wage and hour cases | Oct 15, 2026 | Nothing on record |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | Nothing on record |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | Not shown: FEMA rates wildfire risk here relatively low |
| FEMA National Risk Index | See above | |
| CMS hospitals, home health, dialysis, hospice and doctors; OpenStreetMap pharmacies | See above | |
| HUD Multifamily Properties - Assisted | Jul 6, 2026 | Nothing on record |
| State Veterans Homes (NASVH directory) | Sep 20, 2026 | Nothing on record |
| CMS Hospice - General Information | Aug 19, 2026 | Nothing on record |
| CMS Home Health Care Agencies | May 27, 2026 | Nothing on record |
| The community’s own website | Could not read the site |
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Frequently asked questions
Is Alcester Care And Rehab Center a good nursing home?
CMS gives Alcester Care And Rehab Center an overall rating of 5 out of 5 stars, including 3/5 for staffing and 5/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Alcester Care And Rehab Center staffed?
Alcester Care And Rehab Center reports 2.95 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Alcester Care And Rehab Center had inspection problems?
Its most recent CMS inspection cited 0 deficiencies.
How many beds does Alcester Care And Rehab Center have?
Alcester Care And Rehab Center is certified for 42 beds.