Alcester Care and Rehab Center, INC
101 Church Street, Alcester, SD 57001 · Union County · 44 certified beds · avg 40 residents/day · certified since Feb 1, 1992
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★★5/5 · CMS overall rating: 5/5
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 self-reported quality measures.
All citations in the current public record (10)
CMS publishes roughly the last three inspection cycles plus recent complaint investigations. Older surveys drop out of the record as new ones are completed.
| Date | Severity | What the facility was cited for |
|---|---|---|
| Jun 11, 2024 | D · Potential for harm, one-off | 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 |
| Apr 30, 2024 | D · Potential for harm, one-off | The facility provided care that did not meet professional standards of quality — the accepted standards that nurses and other clinicians are expected to follow. |
| Sep 26, 2023 | D · Potential for harm, one-off | 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 |
| Sep 26, 2023 | D · Potential for harm, one-off | 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 |
| Sep 26, 2023 | D · Potential for harm, one-off | 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 |
| Mar 9, 2023 | F · Potential for harm, facility-wide | 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. |
| Mar 9, 2023 | F · Potential for harm, facility-wide | 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. |
| Mar 9, 2023 | D · Potential for harm, one-off | 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. |
| Mar 9, 2023 | D · Potential for harm, one-off | 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. |
| Mar 9, 2023 | D · Potential for harm, one-off | 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. |
Inspection trend by year
| 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)
No fines or payment denials in the published 3-year window.
Nurse staffing (from payroll records, adjusted for how much care residents need)
| 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, 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. Staffing rating: 3/5.
Self-reported quality measures
Note: these ratings are based on data the facility reports about itself to CMS. They are not independently verified by inspectors, and can look better than inspection findings. Give more weight to the inspection results above.
Quality measures rating: 3/5 · long-stay residents: 1/5 · short-stay residents: 4/5
Who owns this facility
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 |
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?"
- "What is your current ratio of nursing staff to residents on day, evening, and weekend shifts?"
- "Can I see the results and plan of correction from your most recent state inspection?"
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 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435062.