facebook tracking Alcester Care and Rehab Center, Alcester SD: CMS Ratings
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Alcester Care and Rehab Center

All states › South Dakota › Alcester › Alcester Care and Rehab Center

101 Church Street Alcester, SD 57001 · Union County

(605) 934-2011

Accepts Medicare Accepts Medicaid 44 certified beds For profit

CMS certification number 435062 · See this home on Medicare Care Compare

Ratings come from CMS and are updated monthly; these are from October 2026. Check the latest inspection report and visit in person before you decide.

Is Alcester Care and Rehab Center a good nursing home? Reviews, ratings and inspection record

There are no official resident reviews of nursing homes: Medicare's Care Compare publishes inspections, staffing and quality data instead. Here is what that record shows for Alcester Care and Rehab Center as of October 2026.

CMS rates it 4 out of 5 stars overall, above the South Dakota average of 3.0. Inspectors issued 7 citations in the last three years. CMS reports no fines or payment denials in that time.

Online reviews from families and residents are on Google Maps and other sites; they reflect individual experiences and aren't checked by CMS. The full inspection reports, including what inspectors observed, are on Medicare Care Compare.

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Staffing

Nursing staff spend about 2.61 hours per resident per day at Alcester Care and Rehab Center, below the South Dakota median of 3.69 (US median: 3.72). About 0.39 of those hours are from registered nurses. On weekends it falls to 2.20 hours, 15% below its all-week average. Ask how weekends are staffed. 43.8% of nursing staff left within a year (South Dakota median 46.5%).

Nursing care per resident per day 2.61 hours
Below the South Dakota median of 3.69 Registered nurses, licensed practical nurses and aides combined, from payroll records.
Registered nurse hours 0.39 per resident a day RNs handle assessments, medications and changes in condition.
Weekend nursing care 2.20 hours Per resident a day. A big drop from weekdays can mean thin weekend staffing.
Nursing staff turnover 43.8% a year Share of nursing staff who left over a year. Lower usually means steadier care.
Registered nurse turnover 60% a year Share of registered nurses who left over a year.
Administrators who left 0 in the past year Frequent leadership changes are worth asking about on a visit.

About this nursing home

Certified beds44
Residents per day 41 About 93% of beds filled, on average
OwnershipFor profit - Corporation
Payment acceptedMedicare and Medicaid
Certified sinceFebruary 1992
Legal business nameALCESTER CARE & REHAB CENTER INC

Paying for care at Alcester Care and Rehab Center: Medicare and Medicaid

Alcester Care and Rehab Center is certified for both Medicare and Medicaid. Medicare Part A can cover a short skilled-nursing or rehab stay here after a qualifying hospital stay of at least three inpatient days (observation days don't count), for up to 100 days per benefit period. Medicaid can pay for long-term care for residents who meet South Dakota's income and asset rules. Being certified doesn't guarantee a Medicaid bed is open, so ask whether the home accepts residents whose Medicaid application is still pending.

In 2026 Medicare covers days 1–20 in full after the Part A deductible ($1,736 per benefit period); for days 21–100 you pay $217 a day; after day 100 you pay all costs. Medicare doesn't pay for long-term custodial care. Medicare's coverage rules.

Health inspections

The most recent standard inspection was on August 28, 2025 and found 0 deficiencies. In total, inspectors issued 7 citations in the last three years.

Each citation has a scope and severity letter from A to L. A–C: 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.

What the inspections found

Over the last three years, inspectors issued 7 citations at Alcester Care and Rehab Center across 3 inspection dates, 1 of them from complaint investigations. None were at the actual-harm or immediate-jeopardy levels; 7 were "potential for more than minimal harm" (D–F) and 0 were minimal (A–C). The most common areas cited were quality of life and care (3) and infection control (1). The most serious was cited under the CMS rule to "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" (tag F0727, level F, March 9, 2023).

June 11, 2024 · 1 citation · includes complaint inspection

DEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0689 · Complaint inspection · Past Non-Compliance (Jun 10, 2024)

April 30, 2024 · 1 citation

DEnsure services provided by the nursing facility meet professional standards of quality.

Potential for more than minimal harm · Resident Assessment and Care Planning Deficiencies · Tag F0658 · Deficient, Provider has date of correction (Jun 14, 2024)

March 9, 2023 · 5 citations

FHave 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.

Potential for more than minimal harm · Nursing and Physician Services Deficiencies · Tag F0727 · Deficient, Provider has date of correction (Apr 15, 2023)

FProvide and implement an infection prevention and control program.

Potential for more than minimal harm · Infection Control Deficiencies · Tag F0880 · Deficient, Provider has date of correction (Apr 15, 2023)

DHonor 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.

Potential for more than minimal harm · Resident Rights Deficiencies · Tag F0578 · Deficient, Provider has date of correction (Apr 15, 2023)

DProvide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0695 · Deficient, Provider has date of correction (Apr 15, 2023)

DTry 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.

Potential for more than minimal harm · Quality of Life and Care Deficiencies · Tag F0700 · Deficient, Provider has date of correction (Apr 15, 2023)

Questions to ask on a tour of Alcester Care and Rehab Center

  1. CMS rates staffing 2 out of 5. How many residents does each nurse aide care for on day, evening and night shifts?
  2. Weekend staffing is 15% below the all-week average. Who is on duty on Saturday nights?
  3. Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
  4. When is the first care-plan meeting, and can family attend?

Questions come from this home's CMS data: its inspections, staffing and ownership record.

Fines and payment denials

CMS reports no fines or payment denials for this home in the last three years.

Rating history

CMS monthOverallInspectionStaffingQuality
October 2026 4/5 5/5 2/5 1/5
August 2026 5/5 5/5 3/5 3/5
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Location

Hospitals near Alcester Care and Rehab Center

The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.

Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.

Nearby nursing homes

Bethesda of Beresford Beresford · 9.1 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 39 beds · Medicaid
Centerville Care and Rehab Center Centerville · 18.0 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 42 beds · Medicaid
Good Samaritan Society Canton Canton · 20.1 mi away ★★★★★ Inspection 5/5 · Staffing 4/5 56 beds · Medicaid
Sanford Care Center Vermillion Vermillion · 22.4 mi away ★★☆☆☆ Inspection 2/5 · Staffing 4/5 66 beds · Medicaid
Wakonda Heritage Manor Wakonda · 24.1 mi away ★★★★☆ Inspection 4/5 · Staffing 4/5 38 beds · Medicaid

More nursing homes near Alcester Care and Rehab Center ›   All nursing homes in Alcester ›

Compare Alcester Care and Rehab Center with the 3 closest homes side by side ›

Source: CMS Provider Data Catalog (provider information, health deficiencies, penalties), October 2026. Inspection citations and penalties cover the last three years. Nursing Homes In Each State is independent and not affiliated with CMS or Medicare. About the data · Report a problem with this listing. Is this your nursing home? Feature it here.

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https://www.nursinghomesineachstate.com/south-dakota/alcester/alcester-care-and-rehab-center/ · Data: CMS, October 2026 · Nursing Homes In Each State, not affiliated with CMS or Medicare.