Bowdle Nursing Home
8001 W 5th Street, Bowdle, SD 57428 · Edmunds County · 27 certified beds · avg 23 residents/day · certified since Sep 1, 1997
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · CMS overall rating: 4/5
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 (5)
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 |
|---|---|---|
| Jul 25, 2025 | 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. |
| Jul 25, 2025 | E · Potential for harm, repeated | 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. |
| Feb 8, 2024 | E · Potential for harm, repeated | The facility did not get its food from approved, safe sources, or did not store, prepare, and serve food according to professional food safety standards. |
| Feb 8, 2024 | D · Potential for harm, one-off | The facility did not provide pharmacy services that meet each resident's needs, or did not employ or contract with a licensed pharmacist. |
| Feb 8, 2024 | D · Potential for harm, one-off | 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. |
Inspection trend by year
Citations from standard inspections decreased between the last two inspection cycles (3 → 2).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2024 | 3 | 0 | E |
| 2025 | 2 | 0 | F |
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) | 4.60 | 4.32 | 3.95 | top 31% in South Dakota; top 20% in the U.S. |
| Registered Nurse hours | 0.47 | 0.91 | 0.69 | bottom 2% in South Dakota; bottom 34% in the U.S. |
| Weekend total nurse staffing | 4.19 | 3.71 | 3.50 | top 24% in South Dakota; top 18% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.27 | 0.51 | 0.48 | bottom 12% in South Dakota; bottom 26% in the U.S. |
| Total nursing staff turnover (%) | 34.8 | 48.2 | 45.8 | top 16% in South Dakota; top 24% in the U.S. |
| RN turnover (%) | 0.0 | 34.7 | 42.9 | — |
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 3.80, RN 0.39, weekend 3.46. Staffing rating: 4/5.
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: 3/5 · short-stay residents: —/5
Who owns this facility
Government - City
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| City of Bowdle | Organization | 5% or Greater Direct Ownership Interest | 100% | 02/01/1987 |
| Barnhardt, Darryn | Individual | Corporate Director | NOT APPLICABLE | 09/01/2022 |
| Bobby, Margaret | Individual | Corporate Director | NOT APPLICABLE | 05/01/2022 |
| Boschee, Rick | Individual | Corporate Director | NOT APPLICABLE | 05/01/2000 |
| Gab, Rex | Individual | Corporate Director | NOT APPLICABLE | 09/01/2022 |
| Gunderson, Michael | Individual | Corporate Director | NOT APPLICABLE | 05/01/2017 |
| Kessler, Lacey | Individual | W-2 Managing Employee | NOT APPLICABLE | 08/21/2017 |
| Kessler, Lacey | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/19/2024 |
| Kessler, Lacey | Individual | ADP of the SNF | NOT APPLICABLE | 12/10/2024 |
| Kleffman, Darwyn | Individual | W-2 Managing Employee | NOT APPLICABLE | 05/20/2019 |
| Kleffman, Darwyn | Individual | Corporate Officer | NOT APPLICABLE | 05/20/2019 |
| Kleffman, Darwyn | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/19/2024 |
| Kleffman, Darwyn | Individual | ADP of the SNF | NOT APPLICABLE | 12/10/2024 |
| Maier, Russell | Individual | Corporate Director | NOT APPLICABLE | 05/01/2023 |
| Shaykett, Amber | Individual | Corporate Director | NOT APPLICABLE | 09/01/2022 |
Questions to ask on your visit
Generated from this facility's actual citation record — bring them to a tour and ask the administrator directly.
- "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?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "How does your pharmacist review residents' medications, and how quickly can you fill new or urgent prescriptions?"
- "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 |
|---|---|---|---|---|---|
| Walworth County Care Center, INC | 18.4 mi | Selby, SD | ★★★★★ | 5/5 |
Compare this facility with the 1 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435107.