All states › South Dakota › Wakonda › Wakonda Heritage Manor
515 Ohio Street Wakonda, SD 57073 · Clay County
CMS certification number 435094 · See this home on Medicare Care Compare
Is Wakonda Heritage Manor 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 Wakonda Heritage Manor as of October 2026.
CMS rates it 4 out of 5 stars overall, above the South Dakota average of 3.0.
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.
Staffing
Nursing staff spend about 3.89 hours per resident per day at Wakonda Heritage Manor, above the South Dakota median of 3.69 (US median: 3.72). About 0.63 of those hours are from registered nurses. On weekends it falls to 3.08 hours, 21% below its all-week average. Ask how weekends are staffed. 31.3% of nursing staff left within a year (South Dakota median 46.5%). That is lower than most homes in South Dakota, a sign of a steadier team.
About this nursing home
Paying for care at Wakonda Heritage Manor: Medicare and Medicaid
Wakonda Heritage Manor 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 May 7, 2026 and found 4 deficiencies. In total, inspectors issued 8 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 8 citations at Wakonda Heritage Manor across 4 inspection dates, 2 of them from complaint investigations. 1 was at the actual-harm level (G–I), most recently on February 13, 2025. The most common areas cited were nutrition and dietary (2) and quality of life and care (2). The most serious was cited under the CMS rule to "ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents" (tag F0689, level G, February 13, 2025). 1 citation was under CMS's abuse, neglect and exploitation rules.
May 7, 2026 · 4 citations
DEnsure that each resident is free from the use of physical restraints, unless needed for medical treatment.
DEnsure each resident receives an accurate assessment.
DProvide safe and appropriate respiratory care for a resident when needed.
DMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
February 13, 2025 · 2 citations, includes actual harm · includes complaint inspection
GEnsure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
FProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
June 24, 2024 · 1 citation · includes complaint inspection
DEnsure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.
October 19, 2023 · 1 citation
DProvide and implement an infection prevention and control program.
Questions to ask on a tour of Wakonda Heritage Manor
- Inspectors cited the home at the actual-harm level on February 13, 2025 under the rule on quality of life and care. What changed afterwards, and can I see the plan of correction?
- CMS cited the home under its abuse and neglect rules on May 7, 2026. How are staff trained, and how are concerns reported?
- Weekend staffing is 21% below the all-week average. Who is on duty on Saturday nights?
- Do you have a Medicaid bed open now, and will you admit someone whose Medicaid application is still pending?
- 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
1 penalty in the last three years, including $12,675 in fines.
| Date | Type | Amount or length |
|---|---|---|
| Feb 13, 2025 | Fine | $12,675 |
Rating history
| CMS month | Overall | Inspection | Staffing | Quality |
|---|---|---|---|---|
| October 2026 | 4/5 | 4/5 | 4/5 | 2/5 |
| August 2026 | 5/5 | 4/5 | 5/5 | 3/5 |
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Location
Hospitals near Wakonda Heritage Manor
The Medicare-certified hospitals closest to this nursing home, with their CMS data. Ask the home which hospital it usually sends residents to.
-
11.8 mi
Pioneer Memorial Hospital - CAH ViborgEmergency roomMedian ER visit 2h 1m for patients treated and sent home
- 16.2 mi
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17.9 mi
Avera Sacred Heart Hospital YanktonEmergency room ★★★☆☆ Medicare overall 3 of 5Median ER visit 1h 57m for patients treated and sent home
Hospital ratings, ER visit times and more at Hospitals In Each State
Source: CMS Care Compare. Distances are approximate.
Nearby nursing homes
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Other Avera Health nursing homes in South Dakota
- Avera Brady Health and Rehab · Mitchell · 5 stars
- Avera Maryhouse Long Term Care · Pierre · 5 stars
- Avera Sister James Care Center · Yankton · 5 stars
- Avera Eureka Health Care Center · Eureka · 5 stars
- Avera Prince of Peace · Sioux Falls · 4 stars
- Avera Rosebud Country Care Center · Gregory · 4 stars
Affiliation comes from CMS's affiliated-entity data, October 2026. All 13 Avera Health nursing homes ›
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.