Nursing Care Index

Alcester Care And Rehab Center, Inc.

Alcester, Union County, South Dakota · CCN 435062 · For-profit (Corporation) · not part of a chain

CMS rates Alcester Care And Rehab Center, Inc. 5 of 5 overall as of August 2026. 44 certified beds, 40 residents a day on average. 10 citations on record from the current inspection cycles; no fines on record.

CMS’s ratings

The Five-Star Quality Rating System, as CMS publishes it. Where CMS gives no rating, the reason CMS gives is printed instead.

Overall★★★★★ 5 of 5
Health inspections★★★★★ 5 of 5
Staffing★★★☆☆ 3 of 5
Quality measures★★★☆☆ 3 of 5
Quality: long-stay / short-stay1 / 4 of 5

Staffing

Total nurse staffing2.73749 hours per resident per day
Registered nurses0.44749 hours per resident per day
Weekend total2.317 hours per resident per day
Nursing staff turnover43.3% (registered nurses 60%)
Administrators who left0

Citations from health inspections

Each is a finding by a state surveyor on the date shown, in CMS’s words. The severity is CMS’s scope-and-severity grid, spelled out: harm on the left, how widespread on the right.

SurveyFindingSeverityStatus
2024-06-11
complaint survey
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 No actual harm, with potential for more than minimal harm; isolated Past Non-Compliance
2024-06-10
2024-04-30 Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2024-06-14
2023-09-26
complaint survey
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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-10
2023-09-26
complaint survey
Ensure services provided by the nursing facility meet professional standards of quality.
Resident Assessment and Care Planning Deficiencies · tag F0658
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-10
2023-09-26
complaint survey
Provide safe, appropriate dialysis care/services for a resident who requires such services.
Quality of Life and Care Deficiencies · tag F0698
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-11-10
2023-03-09 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 No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-04-15
2023-03-09 Provide and implement an infection prevention and control program.
Infection Control Deficiencies · tag F0880
F No actual harm, with potential for more than minimal harm; widespread Deficient, Provider has date of correction
2023-04-15
2023-03-09 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-15
2023-03-09 Provide safe and appropriate respiratory care for a resident when needed.
Quality of Life and Care Deficiencies · tag F0695
D No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-15
2023-03-09 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 No actual harm, with potential for more than minimal harm; isolated Deficient, Provider has date of correction
2023-04-15

Fines and payment denials

No fines or payment denials on record since 2023.

Who owns and runs it

Every owner, officer and manager CMS lists, as filed. These are the names in CMS’s ownership record; anyone named in the ownership record can ask about it on the about page.

NameRoleShareSince
Stroschein Properties III LLC
Organization
5% or greater direct ownership interest2015-02-01
Caring Professionals Inc.
Organization
adp of the snf2015-02-01
Stroschein Properties III LLC
Organization
adp of the snf2015-02-01
Caring Professionals Inc.
Organization
direct ownership interest2015-02-01
Caring Professionals Inc.
Organization
operational/managerial control2015-02-01
Caring Professionals Inc.
Organization
trustee of the snf2015-02-01
Stroschein Properties III LLC
Organization
trustee of the snf2015-02-01
Stroschein, Chad
Individual
5% or greater direct ownership interest2015-02-01
Miller, Tiffany
Individual
adp of the snf2020-12-30
Rohlfs, Karsten
Individual
adp of the snf2024-10-01
Stroschein, Chad
Individual
adp of the snf2015-02-01
Miller, Tiffany
Individual
corporate director2020-12-30
Miller, Tiffany
Individual
managing control - governing body2020-12-30
Miller, Tiffany
Individual
operational/managerial control2020-12-30
Stroschein, Chad
Individual
operational/managerial control2015-02-01
Stroschein, Chad
Individual
trustee of the snf2015-02-01

What changed

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Source: Centers for Medicare & Medicaid Services, Provider Data Catalog (public domain), files dated 2026-08-01. Ratings are CMS’s; citations are state surveyors’ findings; nothing here is estimated or a recommendation. Every nursing home in Union County.