nursing home in Alcester, SD
Alcester Care and Rehab Center, INC
101 Church Street, Alcester, SD 57001 · (605) 934-2011
CMS overall star rating
- Health inspections★★★★★5
- Staffing★★★★★3
- Quality measures★★★★★3
Source: Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. We refresh our information from this source. About our data
Alcester Care and Rehab Center, INC at a glance
Alcester Care and Rehab Center, INC is a 44-bed for-profit nursing home in Alcester, South Dakota (Union County).
CMS gives it 5 out of 5 stars on its overall star rating, better than the South Dakota average of 2.9.
Residents receive about 2.7 hours of nursing care per day (0.4 of them from registered nurses), worse than the state average of 3.8 hours.
Its most recent standard health inspection (August 28, 2025) found 0 health citations. The South Dakota average is 6.7.
It has not received a federal fine in the past three years.
Nursing staff turnover is 43.3% per year (state average 48.2%).
Facility details
- Type
- Nursing home
- Ownership
- For Profit - Corporation
- Beds
- 44
- Certified for
- Medicare and Medicaid
- Medicare-certified since
- February 1, 1992
- Resident/family council
- Resident
- County
- Union County
- CMS Certification Number
- 435062
Ratings
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Overall star rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 3 / 5 | Better |
| Health inspection rating ⓘ (higher is better) | 5 / 5 | 2.9 / 5 | 2.8 / 5 | Better |
| Staffing rating ⓘ (higher is better) | 3 / 5 | 3.5 / 5 | 2.9 / 5 | Average |
| Quality measures rating ⓘ (higher is better) | 3 / 5 | 2.7 / 5 | 3.6 / 5 | Worse |
| Long-stay quality rating (higher is better) | 1 / 5 | 2.6 / 5 | 3.8 / 5 | Worse |
| Short-stay (rehab) quality rating (higher is better) | 4 / 5 | 3.3 / 5 | 3.3 / 5 | Better |
Staffing
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Total nurse staff hours per resident per day ⓘ (higher is better) | 2.74 hrs | 3.79 hrs | 3.86 hrs | Worse |
| Registered nurse hours per resident per day (higher is better) | 0.45 hrs | 0.80 hrs | 0.69 hrs | Worse |
| Nurse aide hours per resident per day (higher is better) | 1.73 hrs | 2.52 hrs | 2.32 hrs | Worse |
| Weekend nurse staff hours per resident per day (higher is better) | 2.32 hrs | 3.26 hrs | 3.42 hrs | Worse |
| Nursing staff turnover (yearly) (lower is better) | 43.3% | 48.2% | 45.8% | Better |
| Registered nurse turnover (yearly) (lower is better) | 60% | 34.7% | 42.9% | Worse |
| Administrators who left in the past year (lower is better) | 0 | 0 | 1 | Better |
Inspections
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Health citations in the most recent inspection (lower is better) | 0 | 7 | 9 | Better |
| Citations from complaint investigations (latest cycle) (lower is better) | 0 | 2 | 3 | Better |
| Weighted health inspection score ⓘ (lower is better) | 5 | 72.2 | 80.6 | Better |
Penalties
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Fines in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
| Total fines in the past 3 years (lower is better) | $0 | $40,815 | $30,972 | Better |
| All federal penalties in the past 3 years (lower is better) | 0 | 2 | 1 | Better |
Size
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Certified beds | 44 | 61 | 107 | |
| Average residents per day | 40 | 52 | 86 | |
| Occupancy | 91.1% | 85.2% | 80.9% |
Long-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Long-stay residents with a fall causing major injury (lower is better) | 0% | 5.5% | 3.2% | Better |
| Long-stay residents with pressure ulcers (lower is better) | 3.8% | 4.6% | 4.6% | Better |
| Long-stay residents given antipsychotic medication (lower is better) | 38.5% | 24.6% | 15.4% | Worse |
| Long-stay residents with a urinary tract infection (lower is better) | 2.2% | 2.9% | 1.6% | Worse |
| Long-stay residents with a catheter left in the bladder (lower is better) | 1.7% | 2.1% | 0.8% | Worse |
| Long-stay residents needing more help with daily activities (lower is better) | 27.1% | 21.3% | 13.9% | Worse |
| Long-stay residents whose walking worsened (lower is better) | 18.5% | 19.4% | 14.1% | Worse |
| Long-stay residents who lose too much weight (lower is better) | 7.6% | 5.6% | 5.2% | Worse |
| Long-stay residents with depressive symptoms (lower is better) | 4% | 5.7% | 12.8% | Better |
| Long-stay residents who were physically restrained (lower is better) | 0% | 0% | 0.1% | Better |
| Long-stay residents given anti-anxiety or sleep medication (lower is better) | 17.8% | 17.4% | 19.5% | Better |
| Long-stay residents with new or worse incontinence (lower is better) | 32.1% | 25.4% | 19% | Worse |
| Long-stay residents given a flu vaccine (higher is better) | 100% | 96.9% | 95.5% | Average |
| Long-stay residents given a pneumonia vaccine (higher is better) | 100% | 94.9% | 93.6% | Better |
Short-stay residents
| Measure | This facility | South Dakota avg. | U.S. avg. | vs. U.S. |
|---|---|---|---|---|
| Short-stay residents newly given antipsychotic medication (lower is better) | 0% | 2% | 1.6% | Better |
| Short-stay residents given a pneumonia vaccine (higher is better) | 90.6% | 83.5% | 82% | Better |
Inspection citations
State inspectors cited this home for 10 health deficiencies and 5 fire safety deficiencies in the inspection records CMS currently publishes. None were rated as causing actual harm to residents.
| Date | Citation | Severity | Status |
|---|---|---|---|
| August 28, 2025 Fire safety | Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Egress Deficiencies · Tag K0222 | D Potential harm, isolated | Corrected October 10, 2025 |
| June 11, 2024 Complaint | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Tag F0689 | D Potential harm, isolated | Corrected June 10, 2024 |
| April 30, 2024 Fire safety | Inspect, test, and maintain automatic sprinkler systems. Smoke Deficiencies · Tag K0353 | D Potential harm, isolated | Corrected June 14, 2024 |
| April 30, 2024 Standard | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected June 14, 2024 |
| September 26, 2023 Complaint | Provide safe, appropriate dialysis care/services for a resident who requires such services. Quality of Life and Care Deficiencies · Tag F0698 | D Potential harm, isolated | Corrected November 10, 2023 |
| September 26, 2023 Complaint | 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 · Tag F0657 | D Potential harm, isolated | Corrected November 10, 2023 |
| September 26, 2023 Complaint | Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Tag F0658 | D Potential harm, isolated | Corrected November 10, 2023 |
| March 9, 2023 Fire safety | Keep aisles, corridors, and exits free of obstruction in case of emergency. Egress Deficiencies · Tag K0211 | D Potential harm, isolated | Corrected May 17, 2023 |
| March 9, 2023 Fire safety | Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Smoke Deficiencies · Tag K0321 | D Potential harm, isolated | Corrected April 15, 2023 |
| March 9, 2023 Fire safety | Have generator or other power source capable of supplying service within 10 seconds. Gas, Vacuum, and Electrical Systems Deficiencies · Tag K0918 | D Potential harm, isolated | Corrected April 15, 2023 |
| March 9, 2023 Standard | Provide and implement an infection prevention and control program. Infection Control Deficiencies · Tag F0880 | F Potential harm, widespread | Corrected April 15, 2023 |
| March 9, 2023 Standard | 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 · Tag F0727 | F Potential harm, widespread | Corrected April 15, 2023 |
| March 9, 2023 Standard | 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 · Tag F0700 | D Potential harm, isolated | Corrected April 15, 2023 |
| March 9, 2023 Standard | Provide safe and appropriate respiratory care for a resident when needed. Quality of Life and Care Deficiencies · Tag F0695 | D Potential harm, isolated | Corrected April 15, 2023 |
| March 9, 2023 Standard | 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 · Tag F0578 | D Potential harm, isolated | Corrected April 15, 2023 |
Severity letters follow the CMS scope-and-severity grid: A–C no actual harm with potential for minimal harm; D–F potential for more than minimal harm; G–I actual harm; J–L immediate jeopardy to resident health or safety. How to read inspection citations.
Fines and payment denials
CMS reports no federal fines or payment denials in the past three years.
Owners and managers
Individuals and organizations reported to CMS as owning or operating this nursing home.
| Name | Role | Share | Since |
|---|---|---|---|
| STROSCHEIN, CHAD Individual | 5% or greater direct ownership interest | — | 02/01/2015 |
| STROSCHEIN PROPERTIES III LLC Organization | 5% or greater direct ownership interest | — | 02/01/2015 |
| CARING PROFESSIONALS INC Organization | adp of the snf | NOT APPLICABLE | 02/01/2015 |
| MILLER, TIFFANY Individual | adp of the snf | NOT APPLICABLE | 12/30/2020 |
| ROHLFS, KARSTEN Individual | adp of the snf | NOT APPLICABLE | 10/01/2024 |
| STROSCHEIN, CHAD Individual | adp of the snf | NOT APPLICABLE | 02/01/2015 |
| STROSCHEIN PROPERTIES III LLC Organization | adp of the snf | NOT APPLICABLE | 02/01/2015 |
| MILLER, TIFFANY Individual | corporate director | NOT APPLICABLE | 12/30/2020 |
| CARING PROFESSIONALS INC Organization | direct ownership interest | NOT APPLICABLE | 02/01/2015 |
| MILLER, TIFFANY Individual | managing control - governing body | NOT APPLICABLE | 12/30/2020 |
| CARING PROFESSIONALS INC Organization | operational/managerial control | NOT APPLICABLE | 02/01/2015 |
| MILLER, TIFFANY Individual | operational/managerial control | NOT APPLICABLE | 12/30/2020 |
| STROSCHEIN, CHAD Individual | operational/managerial control | NOT APPLICABLE | 02/01/2015 |
| CARING PROFESSIONALS INC Organization | trustee of the snf | NOT APPLICABLE | 02/01/2015 |
| STROSCHEIN, CHAD Individual | trustee of the snf | NOT APPLICABLE | 02/01/2015 |
| STROSCHEIN PROPERTIES III LLC Organization | trustee of the snf | NOT APPLICABLE | 02/01/2015 |
Other nursing homes near Alcester Care and Rehab Center, INC
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Frequently asked questions
What is Alcester Care and Rehab Center, INC's rating?
Alcester Care and Rehab Center, INC has 5 out of 5 stars on the CMS overall star rating. The average for South Dakota nursing homes is 2.9 stars.
How many inspection citations did Alcester Care and Rehab Center, INC receive?
Its most recent standard health inspection found 0 citations, compared with a South Dakota average of 6.7. Every citation is listed on this page with its severity.
Does Alcester Care and Rehab Center, INC accept Medicare and Medicaid?
CMS lists it as certified for: Medicare and Medicaid. Call the facility to confirm bed availability and whether it accepts your specific plan.
Who owns Alcester Care and Rehab Center, INC?
It is for profit - corporation. The ownership section on this page lists the owners and managers reported to CMS.
Where is Alcester Care and Rehab Center, INC and how do I contact it?
Alcester Care and Rehab Center, INC is at 101 Church Street, Alcester, SD 57001. Phone: (605) 934-2011.
About this data
Ratings and measures come from the Centers for Medicare & Medicaid Services (CMS), Medicare Care Compare. They're based on state inspections, patient surveys and facility reports, and they describe the past. Facilities change, so visit in person and confirm details directly. About our data · Spotted an error? Let us know.