Wakonda Heritage Manor
515 Ohio Street, Wakonda, SD 57073 · Clay County · 38 certified beds · avg 36 residents/day · certified since Feb 1, 1996
Part of chain: AVERA HEALTH (13 facilities, chain avg rating 3.7★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★★☆4/5 · 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.
Most serious findings (actual harm or immediate jeopardy)
▲ Actual harm, one-off · Feb 13, 2025 · F-0689 · triggered by a complaint
The facility did not keep the environment free of accident hazards, or did not provide enough supervision to prevent accidents like falls.
Why it matters: This is one of the most common citations and directly relates to falls and injuries, which can be devastating for older adults.
Severity (G): One or a few residents were actually harmed — physically or emotionally — though not put in immediate danger of serious injury or death.
Corrected: Mar 13, 2025 (Deficient, Provider has date of correction)
All citations in the current public record (8)
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 |
|---|---|---|
| May 7, 2026 | D · Potential for harm, one-off | The facility used physical restraints — devices that limit a resident's movement — when they weren't needed for medical treatment. |
| May 7, 2026 | D · Potential for harm, one-off | The facility did not accurately assess a resident's health and needs. Assessments are the foundation for all the care a resident receives. |
| May 7, 2026 | 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. |
| May 7, 2026 | D · Potential for harm, one-off | The facility did not keep its building and grounds safe, functional, clean, and comfortable for residents, staff, and visitors. |
| Feb 13, 2025 | ▲ G · Actual 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 |
| Feb 13, 2025 | F · Potential for harm, facility-wide | 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. |
| Jun 24, 2024 | D · Potential for harm, one-off | The facility's menus did not meet residents' nutritional needs, or were not prepared in advance, followed as written, kept up to date, or reviewed by a dietician. · from a complaint |
| Oct 19, 2023 | 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 increased between the last two inspection cycles (2 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 1 | 0 | D |
| 2024 | 1 | 0 | D |
| 2025 | 2 | 1 | G ▲ |
| 2026 | 4 | 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)
1 fine totaling $12,675.
| Date | Type | Amount / length |
|---|---|---|
| Feb 13, 2025 | Fine | $12,675 |
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) | 4.61 | 4.32 | 3.95 | top 30% in South Dakota; top 20% in the U.S. |
| Registered Nurse hours | 0.79 | 0.91 | 0.69 | bottom 42% in South Dakota; top 28% in the U.S. |
| Weekend total nurse staffing | 3.74 | 3.71 | 3.50 | top 40% in South Dakota; top 31% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.35 | 0.51 | 0.48 | bottom 21% in South Dakota; bottom 43% in the U.S. |
| Total nursing staff turnover (%) | 33.3 | 48.2 | 45.8 | top 14% in South Dakota; top 20% in the U.S. |
| RN turnover (%) | 33.3 | 34.7 | 42.9 | bottom 48% in South Dakota; top 33% 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 3.85, RN 0.66, weekend 3.12. Staffing rating: 5/5.
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
Non profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Davis, Brittani | Individual | Corporate Officer | NOT APPLICABLE | 11/02/2015 |
| Davis, Brittani | Individual | ADP of the SNF | NOT APPLICABLE | 11/02/2015 |
| Fitzgerald, Helen | Individual | Corporate Officer | NOT APPLICABLE | 05/25/2025 |
| Ganschow, Darby | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2014 |
| Girard, Ken | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Henriksen, Donna | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Huot, Ron | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2013 |
| Johnsen, Jill | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2012 |
| Knudson, Cheryl | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2011 |
| McCue, Margo | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2009 |
| Nelsen, Julie | Individual | Corporate Officer | NOT APPLICABLE | 04/26/2017 |
| Peterson, Ronald | Individual | Corporate Officer | NOT APPLICABLE | 01/01/2008 |
| Sacred Heart Health Services | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/17/1994 |
| Sacred Heart Health Services | Organization | ADP of the SNF | NOT APPLICABLE | 09/04/2025 |
| Stockland, Robin | Individual | Corporate Officer | NOT APPLICABLE | 11/30/2017 |
| Stockland, Robin | Individual | Operational/Managerial Control | NOT APPLICABLE | 11/30/2017 |
| Stockland, Robin | Individual | ADP of the SNF | NOT APPLICABLE | 11/30/2017 |
| Wakonda Heritage Manor | Organization | Operational/Managerial Control | NOT APPLICABLE | 01/17/1994 |
| Wakonda Heritage Manor | Organization | ADP of the SNF | NOT APPLICABLE | 07/17/2025 |
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?"
- "What is your policy on physical restraints, and what alternatives do you try first?"
- "Who completes resident assessments here, and how do you check them for accuracy?"
- "How many residents here use oxygen or breathing equipment, and who checks that equipment each shift?"
- "Can we tour the whole building today, including resident bathrooms and common areas, not just the lobby?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who reviews your menus, and can I see this week's menu and join my family member for a meal?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "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 |
|---|---|---|---|---|---|
| Sunset Manor Avera Health | 6.0 mi | Irene, SD | ★★☆☆☆ | 2/5 | abuse |
| Centerville Care and Rehab Center INC | 10.8 mi | Centerville, SD | ★☆☆☆☆ | 1/5 | abuse |
| Pioneer Memorial Nursing Home | 11.7 mi | Viborg, SD | ★★★★★ | 5/5 | |
| SD Human Services Center - Geriatric Program | 16.2 mi | Yankton, SD | ★★★★★ | 4/5 | |
| Bethesda of Beresford | 17.0 mi | Beresford, SD | ★★☆☆☆ | 2/5 | |
| Sanford Care Center Vermillion | 18.3 mi | Vermillion, SD | ★★☆☆☆ | 2/5 | |
| Avera Sister James Care Center | 18.6 mi | Yankton, SD | ★★★★★ | 4/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435094.