Nursing home
Custer Care and Rehab Center
1065 Montgomery St, Custer, SD 57730 · Map
Non profit - Corporation · 35 certified beds
Custer Care and Rehab Center is a Medicare-certified nursing home in Custer, South Dakota. CMS rates it 1 out of 5 stars overall (1/5 for staffing, 1/5 for health inspections). Its most recent inspection on Aug 26, 2025 cited 20 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Custer 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) | — | 3.89 | 3.89 | — |
| RN staffing (hrs/resident/day) | — | 0.80 | 0.68 | — |
| Aide staffing (hrs/resident/day) | — | 2.61 | 2.34 | — |
| Nursing staff turnover | —% | 49.7% | 46.4% | — |
| Deficiencies cited, last inspection | 20.0 | 6.8 | 9.5 | above 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.
What inspectors found at Custer 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
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Have a plan that describes the process for conducting QAPI and QAA activities.
Administration Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data.
Administration Deficiencies · Aug 26, 2025 · Full report (PDF) - 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 · Aug 26, 2025 · Full report (PDF) - Potential for harm
Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
Resident Rights Deficiencies · Aug 26, 2025 · Full report (PDF)
Show all 12 deficiencies
- Potential for harm
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
Administration Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility.
Nursing and Physician Services Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Pharmacy Service Deficiencies · Aug 26, 2025 · Full report (PDF) - 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 · Aug 26, 2025 · Full report (PDF) - Potential for harm
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
Resident Assessment and Care Planning Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Ensure each resident receives an accurate assessment.
Resident Assessment and Care Planning Deficiencies · Aug 26, 2025 · Full report (PDF) - Potential for harm
Assess the resident when there is a significant change in condition
Resident Assessment and Care Planning Deficiencies · Aug 26, 2025 · Full report (PDF)
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
- 1065 Montgomery St
Custer, SD 57730 - CMS certification #
- 43A140
- Ownership
- Non profit - Corporation
- Certified beds
- 35
- Avg residents/day
- 30.3
- Provider type
- Medicaid
- First certified
- 2024-03-29
- Setting
- Urban
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Custer Care and Rehab Center using Google Maps.
Other public records
- Website says Nurse 24 hours a day
- Workplace safety 1 OSHA workplace safety inspection since 2021, no violations cited
Full public records, with dates and sources
Care and services
From the community’s website
What Custer Care and Rehab Center says about itself, quoted from its own site. We have not checked these claims against licensing records. Ask about each one on a tour.
- Nurse on site: 24 hours a day.
24-Hour Nursing Care
(page, checked Oct 15, 2026)
Staff pay and workplace safety
Federal records about how the employer here treats its staff.
OSHA workplace safety inspections
OSHA inspects workplaces for staff safety, such as lifting, needles, chemicals and workplace violence. It does not inspect resident care.
- Jan 11, 2021: referral inspection, partial (health). Case closed Jun 14, 2021. No violations cited. OSHA record. OSHA recorded the employer as Monument Health Custer Care Center.
Source: U.S. Department of Labor OSHA enforcement data, as of Oct 15, 2026, inspections since 2016. Penalties can change while a case is open or contested.
Location and nearby care
- Nearest hospital with an emergency room
- Monument Health Custer Hospital, Custer. 4.3 miles away, straight line. Location approximate.
- Nearest Medicare nursing home
- Michael J Fitzmaurice South Dakota Veterans Home, Hot Springs. 23.6 miles away, straight line.
- Nearest home health agency office
- Westhills Village Home Health, Rapid City. 26.5 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Carson Drug. 0.6 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57730 as rural (rural area).
- Hospice
- 3 Medicare hospices tell CMS they serve ZIP code 57730.
- Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 27.2 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)
- Wildfire risk to homes
- In Custer, SD, risk to homes is greater than 88% of communities in South Dakota and 87% of communities nationwide. USDA rates the whole town or city, not this address. (USDA Forest Service, Wildfire Risk to Communities, April 2026)
- FEMA National Risk Index
- Overall: relatively moderate. By hazard: inland flooding relatively moderate, wildfire relatively high, tornado relatively moderate, earthquake relatively 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 | Only cases that look tied to an earlier operator (not shown) |
| OSHA workplace safety inspections since 2016 | Oct 15, 2026 | See above |
| FEMA flood map | See above | |
| USDA wildfire risk | Apr 15, 2026 | See above |
| 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 | See above |
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Frequently asked questions
Is Custer Care and Rehab Center a good nursing home?
CMS gives Custer Care and Rehab Center an overall rating of 1 out of 5 stars, including 1/5 for staffing and 1/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
Has Custer Care and Rehab Center had inspection problems?
Its most recent CMS inspection cited 20 deficiencies.
How many beds does Custer Care and Rehab Center have?
Custer Care and Rehab Center is certified for 35 beds.