CUSTER CARE AND REHAB CENTER — Nursing Home in CUSTER, SD
CMS Five-Star Rating
Based on health inspections, staffing, and quality measures
Facility Overview
| Certified Beds | 10 |
|---|---|
| Average Residents/Day | 26.6 |
| CMS Certification Number | 43A140 |
Staffing Levels
Hours Per Resident Day (HPRD)
| Total Nurse Staffing | N/A HPRD |
|---|---|
| RN Staffing | N/A HPRD |
Health Inspection Findings & Deficiencies
CUSTER CARE AND REHAB CENTER had 17 health inspection deficiencies on its most recent inspection (August 26, 2025).
Inspection Findings — August 26, 2025
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Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. (Level D)Corrected — October 10, 2025
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Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. (Level F)Corrected — October 10, 2025
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Assess the resident when there is a significant change in condition (Level E)Corrected — November 15, 2025
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Ensure each resident receives an accurate assessment. (Level E)Corrected — October 10, 2025
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Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Level D)Corrected — November 15, 2025
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Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Level E)Corrected — October 10, 2025
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Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Level D)Corrected — October 10, 2025
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Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. (Level E)Corrected — October 10, 2025
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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. (Level D)Corrected — November 15, 2025
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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. (Level F)Corrected — November 15, 2025
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Post nurse staffing information every day. (Level D)Corrected — October 10, 2025
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Ensure each resident’s drug regimen must be free from unnecessary drugs. (Level E)Corrected — October 16, 2025
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Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. (Level E)Corrected — October 10, 2025
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Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. (Level F)Corrected — October 10, 2025
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Have a plan that describes the process for conducting QAPI and QAA activities. (Level F)Corrected — October 10, 2025
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Have the Quality Assessment and Assurance group have the required members and meet at least quarterly (Level E)Corrected — October 10, 2025
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Provide and implement an infection prevention and control program. (Level F)Corrected — October 10, 2025
Custer Care and Rehab Center is a 10-bed nursing home in Custer, South Dakota. It holds a 1-star CMS overall rating. Its most recent inspection, in August 2025, cited 17 deficiencies, none of them severe. It is on CMS's Special Focus Facility list, a designation for persistently poor-performing nursing homes.
Being a very small facility may allow for more individualized attention, but it also has a Special Focus Facility designation signaling ongoing quality concerns. Ask what concrete steps management has taken to correct the recent inspection findings—especially those involving resident assessments, admission planning, and bed/bed-rail safety—and how they are measuring sustained improvement.
Frequently Asked Questions
Is CUSTER CARE AND REHAB CENTER Medicare and Medicaid certified?
CUSTER CARE AND REHAB CENTER is not Medicare certified and Medicaid certified according to CMS data.
What is CUSTER CARE AND REHAB CENTER's CMS star rating?
CUSTER CARE AND REHAB CENTER has an overall CMS rating of 1 out of 5 stars.
Has CUSTER CARE AND REHAB CENTER had health inspection deficiencies?
On its most recent inspection, CUSTER CARE AND REHAB CENTER had 17 total deficiencies, including 0 classified as severe.
How many beds does CUSTER CARE AND REHAB CENTER have?
CUSTER CARE AND REHAB CENTER has 10 certified beds.
Data Source
This information is sourced from official CMS (Centers for Medicare & Medicaid Services) public datasets.
CMS Provider Information updated May 1, 2026.
CMS Survey Summary updated May 1, 2026.
CMS Health Deficiencies updated May 1, 2026.
CareQED last updated June 22, 2026.