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Alcester Care and Rehab Center, INC
101 Church Street, Alcester, SD 57001 (opens Google Maps) · Union County · (605) 934-2011· 44 certified beds · avg 40 residents/day · certified since Feb 1, 1992 · Medicare and Medicaid certified
Certified for both programmes. Certification means the facility can bill Medicaid — it does not mean a Medicaid-funded bed is free right now, so ask directly. Who pays for nursing home care →
5/5
Health inspection rating (on-site)
inspected Aug 28, 2025
0
Serious findings on record
$0
Fines, last 3 years
3.67
Nurse hours/resident/day (adjusted)
Every record stays on this page.
What health inspectors found (on-site government inspections — the most independent evidence available)
New to these records? How to read an inspection report →
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5 · how star ratings work →
The health inspection star above is graded on a curve within each state — a set share of each state's facilities gets each star level — so a facility can have few citations and still rate 2–3 stars if others in its state did even better. The overall rating combines that inspection score with staffing and quality measures from resident assessments and claims.
Inspection findings in the public record
Showing the latest 3 of 10 inspection findings. Open the full record below to read every finding.
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint F-0689
The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. F-0658
The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint F-0657
View all 10 inspection findingsShow only the latest 3 findings
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed — that window is CMS's, not ours. Within it, every citation CMS publishes for this facility is listed here: none excluded.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 11, 2024 | D · Potential for more than minimal harm, isolated | The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls. · from a complaint · F-0689 |
| Apr 30, 2024 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · F-0658 |
| Sep 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not develop a resident's complete plan of care within 7 days of the full assessment, or the plan wasn't prepared, reviewed, and updated by a team of health professionals as required. · from a complaint · F-0657 |
| Sep 26, 2023 | D · Potential for more than minimal harm, isolated | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. · from a complaint · F-0658 |
| Sep 26, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe, appropriate care for residents who need dialysis — the treatment that filters the blood when kidneys fail. · from a complaint · F-0698 |
| Mar 9, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have a registered nurse on duty at least 8 hours a day, or did not have a registered nurse serving full-time as director of nursing. · F-0727 |
| Mar 9, 2023 | F · Potential for more than minimal harm, widespread | The facility did not have or follow an effective program to prevent and control infections — such as proper hand washing, cleaning, and isolation practices. This is the most commonly cited deficiency nationwide. · F-0880 |
| Mar 9, 2023 | D · Potential for more than minimal harm, isolated | The facility did not honor residents' rights to request, refuse, or stop treatment, to decline participation in medical research, or to make an advance directive — a written statement of their wishes for future medical care. · F-0578 |
| Mar 9, 2023 | D · Potential for more than minimal harm, isolated | The facility did not provide safe and appropriate respiratory care — such as oxygen, breathing treatments, or care for residents on breathing equipment — for residents who needed it. · F-0695 |
| Mar 9, 2023 | D · Potential for more than minimal harm, isolated | The facility used bed rails without first trying safer alternatives, or without assessing the resident's safety risk, discussing the risks and benefits with the resident or family, getting consent, and installing the rails correctly. · F-0700 |
Inspection trend by year
All citationsSerious citations (G–L)
2023
All citations: 8
Serious citations (G–L): 0
2024
All citations: 2
Serious citations (G–L): 0
All bars start at zero. Exact values and supporting details remain below.
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 8 | 0 | F |
| 2024 | 2 | 0 | D |
Counts reflect the current CMS public record (~3 inspection cycles plus complaint investigations); years with no surveys show no row. Inspection frequency varies, so compare severity as well as counts.
Fines and enforcement (last 3 years)
Nurse staffing (from payroll records, adjusted for how much care residents need)
What these staffing numbers mean →
This facilitySouth Dakota averageU.S. average
Total nurse staffing (hours per resident per day)
This facility: 3.67
South Dakota average: 4.32
U.S. average: 3.95
Registered Nurse hours
This facility: 0.60
South Dakota average: 0.91
U.S. average: 0.69
Weekend total nurse staffing
This facility: 3.10
South Dakota average: 3.71
U.S. average: 3.50
All bars start at zero. Exact values and supporting details remain below.
| Measure | This facility | South Dakota avg | U.S. avg | Where it stands |
|---|---|---|---|---|
| Total nurse staffing (hours per resident per day) | 3.67 | 4.32 | 3.95 | bottom 32% in South Dakota; bottom 45% in the U.S. |
| Registered Nurse hours | 0.60 | 0.91 | 0.69 | bottom 17% in South Dakota; top 48% in the U.S. |
| Weekend total nurse staffing | 3.10 | 3.71 | 3.50 | bottom 29% in South Dakota; bottom 36% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.26 | 0.51 | 0.48 | bottom 9% in South Dakota; bottom 23% in the U.S. |
| Total nursing staff turnover (%) | 43.3 | 48.2 | 45.8 | top 37% in South Dakota; top 45% in the U.S. |
| RN turnover (%) | 60.0 | 34.7 | 42.9 | bottom 16% in South Dakota; bottom 22% in the U.S. |
Hours are per resident per day for the most recent quarter of payroll data in this CMS release (2026-08-01) — the same quarter for every facility — case-mix adjusted by CMS so facilities caring for sicker residents can be compared fairly (same basis as the CMS staffing star). "Top X%" means better than most facilities: more staffing hours, or lower turnover. Raw (unadjusted) reported hours: total 2.74, RN 0.45, weekend 2.32.Comparing with Medicare Care Compare? Care Compare shows the raw figure (2.74 here, displayed there as hours and minutes), not the adjusted one above. Both are correct; they answer different questions. Staffing rating: 3/5.
Quality measures: assessments & claims
Note: CMS combines facility-reported resident assessments (MDS) with claims-based measures. These are different sources from on-site inspection findings. Read the measures alongside inspection and staffing records; a high QM rating does not establish that a home is safe.
Quality measures rating: 3/5 · long-stay residents: 1/5 · short-stay residents: 4/5
Costs & payment
Price evidence · separate from quality
No verified facility-specific private-pay price is available in our data for Alcester Care and Rehab Center, INC. CMS inspection and staffing records do not tell us what this home will charge you.
Calculate a stay from a quote you receive
Use a written private-pay quote. This worksheet adds only the amounts you enter; it does not calculate Medicare, Medicaid or insurance benefits.
Formula: (room rate + daily extras) × days + one-time charges. A 30-day scenario is not a calendar-month quote. Refundable deposits, rate changes and charges you omit are not automatically included. Entries are not saved or sent to our server.
Before you compare prices
- Request the room type, effective date and itemized daily rate in writing.
- Ask about therapy, medicines, supplies, care-level charges, deposits, refunds and annual increases.
- Confirm insurance or Medicaid eligibility and bed availability directly; certification alone does not guarantee either.
Understand who pays for care · How we handle price evidence · Report an incorrect price
Who owns this facility
How to read ownership records →
Ownership records as published by CMS on 2026-08-01. CMS records when an owner joined but not when they left. Listed here and no longer involved? Tell us →
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Caring Professionals INC | Organization | Direct Ownership Interest | NOT APPLICABLE | 02/01/2015 |
| Stroschein Properties III LLC | Organization | 5% or Greater Direct Ownership Interest | — | 02/01/2015 |
| Stroschein, Chad | Individual | 5% or Greater Direct Ownership Interest | — | 02/01/2015 |
| Caring Professionals INC | Organization | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Caring Professionals INC | Organization | Trustee of the SNF | NOT APPLICABLE | 02/01/2015 |
| Caring Professionals INC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2015 |
| Miller, Tiffany | Individual | Managing Control - Governing Body | NOT APPLICABLE | 12/30/2020 |
| Miller, Tiffany | Individual | Corporate Director | NOT APPLICABLE | 12/30/2020 |
| Miller, Tiffany | Individual | Operational/Managerial Control | NOT APPLICABLE | 12/30/2020 |
| 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 Properties III LLC | Organization | Trustee of the SNF | NOT APPLICABLE | 02/01/2015 |
| Stroschein Properties III LLC | Organization | ADP of the SNF | NOT APPLICABLE | 02/01/2015 |
| Stroschein, Chad | Individual | Operational/Managerial Control | NOT APPLICABLE | 02/01/2015 |
| Stroschein, Chad | Individual | Trustee of the SNF | NOT APPLICABLE | 02/01/2015 |
| Stroschein, Chad | Individual | ADP of the SNF | NOT APPLICABLE | 02/01/2015 |
All 16 owning or managing parties CMS has on file are shown — none excluded.
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "Can you tell me what this citation involved and what steps you took to bring care back up to standard?"
- "Who is on the team that builds each resident's care plan, and how quickly is it in place after admission?"
- "How do you coordinate and monitor care for residents who receive dialysis?"
- "How many hours a day is a registered nurse physically in the building, including weekends?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "How do you record and honor each resident's treatment wishes and advance directives, and how do staff know about them?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
Also worth asking anywhere
- "Your weekend nurse staffing is reported below the South Dakota midpoint — how does the weekend schedule differ from a weekday?"
- "Can I see the plan of correction for the findings in your most recent state inspection?"
- "CMS reports 43% total nursing staff turnover here — who on the care team has been with you longest?"
- "The ownership record on file lists 16 owning or managing parties — who makes the decisions about staffing levels?"
- "Can I visit again unannounced, at a mealtime or on a weekend?"
Nearby facilities (within 20 miles)
| Facility | Distance | City | Overall | Inspection | Flags |
|---|---|---|---|---|---|
| Hillcrest Health Care Center | 7.4 mi | Hawarden, IA | ★☆☆☆☆ | 1/5 | abuse |
| Bethesda of Beresford | 9.1 mi | Beresford, SD | ★★☆☆☆ | 2/5 | |
| Akron Care Center, INC | 14.6 mi | Akron, IA | ★★★★☆ | 4/5 | |
| Centerville Care and Rehab Center INC | 18.0 mi | Centerville, SD | ★☆☆☆☆ | 1/5 | abuse |
Facility data as of CMS processing date 2026-08-01. CCN 435062.