Nursing home
Highmore Health
410 8Th Street Se, Highmore, SD 57345 · Map
Non profit - Corporation · 41 certified beds
Highmore Health is a Medicare-certified nursing home in Highmore, South Dakota. CMS rates it 3 out of 5 stars overall (3/5 for staffing, 3/5 for health inspections). Nurse staffing is 2.96 hours per resident per day, below the South Dakota average of 3.89. Its most recent inspection on May 8, 2025 cited 5 deficiencies.
CMS quality ratings
Ratings from the Centers for Medicare & Medicaid Services (CMS), updated monthly. 5 stars is the highest quality.
How Highmore Health 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) | 2.96 | 3.89 | 3.89 | below avg |
| RN staffing (hrs/resident/day) | 0.88 | 0.80 | 0.68 | above avg |
| Aide staffing (hrs/resident/day) | 1.90 | 2.61 | 2.34 | below avg |
| Nursing staff turnover | 45.7% | 49.7% | 46.4% | below avg |
| Deficiencies cited, last inspection | 5.0 | 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.
What inspectors found at Highmore Health
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 · Jan 21, 2026 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Respond appropriately to all alleged violations.
Freedom from Abuse, Neglect, and Exploitation Deficiencies · May 8, 2025 · Full report (PDF) - Potential for harm
Keep residents' personal and medical records private and confidential.
Resident Rights Deficiencies · May 8, 2025 · Full report (PDF)
Show all 12 deficiencies
- 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 · Feb 28, 2024 · Full report (PDF) - Potential for harm
Provide and implement an infection prevention and control program.
Infection Control Deficiencies · Feb 28, 2024 · Full report (PDF) - Potential for harm
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Nutrition and Dietary Deficiencies · Feb 28, 2024 · Full report (PDF) - Potential for harm
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Pharmacy Service Deficiencies · Feb 28, 2024 · Full report (PDF) - 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 · Feb 28, 2024 · 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 · Feb 28, 2024 · Full report (PDF) - Potential for harm
Honor the resident's right to organize and participate in resident/family groups in the facility.
Resident Rights Deficiencies · Feb 28, 2024 · 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
- 410 8Th Street Se
Highmore, SD 57345 - CMS certification #
- 435092
- Ownership
- Non profit - Corporation
- Certified beds
- 41
- Avg residents/day
- 33.8
- Provider type
- Medicare and Medicaid
- First certified
- 1995-12-01
- Setting
- Rural
Not SLA enrolled. This facility hasn’t enrolled in resident survey verification. Learn about enrollment →
Location and nearby
Explore the area around Highmore Health using Google Maps.
Other public records
- Website says Nurse 24 hours a day
Full public records, with dates and sources
Care and services
From the community’s website
What Highmore Health 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.
With our around-the-clock nursing care, your loved ones will be in good hands.
(page, checked Oct 15, 2026)
Location and nearby care
- Nearest hospital with an emergency room
- Avera Hand County Memorial Hospital And Clinic, Miller. 22.0 miles away, straight line.
- Nearest Medicare nursing home
- Good Samaritan Society Miller, Miller. 22.5 miles away, straight line.
- Nearest home health agency office
- Avera @ Home, Pierre. 45.9 miles away, straight line. Agencies travel to clients, so ask which ones serve this address.
- Nearest pharmacy
- Lewis Family Drug. 48.7 miles away, straight line. From OpenStreetMap, which does not list every pharmacy, so one may be closer.
- Area
- USDA classes ZIP code 57345 as rural (rural area).
- Hospice
- 1 Medicare hospice tells CMS it serves ZIP code 57345.
- Nearest geriatric medicine practice
- Monument Health Rapid City Hospital Inc, Rapid City. 189.2 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
- Area not mapped by FEMA. (FEMA flood map)
- Wildfire risk to homes
- In Highmore, SD, risk to homes is greater than 68% of communities in South Dakota and 71% 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 high. By hazard: inland flooding relatively high, wildfire relatively high, tornado relatively moderate, heat wave relatively low, 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 | 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 Highmore Health a good nursing home?
CMS gives Highmore Health an overall rating of 3 out of 5 stars, including 3/5 for staffing and 3/5 for health inspections. These ratings come from the Centers for Medicare & Medicaid Services and are updated monthly.
How is Highmore Health staffed?
Highmore Health reports 2.96 total nurse hours per resident per day, compared with the South Dakota average of 3.89.
Has Highmore Health had inspection problems?
Its most recent CMS inspection cited 5 deficiencies.
How many beds does Highmore Health have?
Highmore Health is certified for 41 beds.