Wheatcrest Hills Healthcare Center
1311 Vander Horck St, Britton, SD 57430 · Marshall County · 60 certified beds · avg 44 residents/day · certified since Aug 1, 1997
Part of chain: EVERGREEN HEALTHCARE GROUP (44 facilities, chain avg rating 2.5★)
What health inspectors found (on-site government inspections — the most independent evidence available)
Health inspection rating: ★★★☆☆3/5 · CMS overall rating: 3/5
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 · Dec 4, 2025 · F-0686
The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving.
Why it matters: Bedsores are painful, can become deeply infected, and in serious cases can be life-threatening.
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: Dec 6, 2025 (Deficient, Provider has date of correction)
▲ Actual harm, one-off · Oct 30, 2024 · 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: Oct 22, 2024 (Past Non-Compliance)
▲ Actual harm, one-off · Jul 10, 2024 · F-0684 · triggered by a complaint
The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals.
Why it matters: Care that strays from doctor's orders or ignores the resident's wishes can lead to declining health and avoidable harm.
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: Aug 26, 2024 (Deficient, Provider has date of correction)
All citations in the current public record (14)
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 |
|---|---|---|
| Dec 4, 2025 | ▲ G · Actual harm, one-off | The facility did not provide proper care for pressure ulcers (bedsores) or did not do enough to prevent new ones from forming. Bedsores develop when residents stay in one position too long without help moving. |
| Dec 4, 2025 | 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. |
| Dec 4, 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. |
| Dec 4, 2025 | 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. |
| Jun 18, 2025 | E · Potential for harm, repeated | The facility did not provide the care needed to maintain or improve residents' movement and flexibility — such as range-of-motion exercises — leading to avoidable decline. · from a complaint |
| Oct 30, 2024 | ▲ 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 |
| Jul 10, 2024 | ▲ G · Actual harm, one-off | The facility did not provide treatment and care that follows the doctor's orders and matches the resident's own preferences and goals. · from a complaint |
| Jul 10, 2024 | E · Potential for harm, repeated | The facility did not treat residents with dignity and respect, or did not honor their rights to make their own decisions and communicate freely. This is one of the most fundamental resident rights. |
| Jul 10, 2024 | E · Potential for harm, repeated | The facility did not have enough nursing staff each day to meet every resident's needs, or did not have a licensed nurse in charge on each shift. Adequate staffing is one of the strongest predictors of good care. |
| Jul 10, 2024 | E · Potential for harm, repeated | The facility did not provide food that accounts for each resident's allergies, intolerances, and personal preferences, or did not offer appealing alternatives. |
| Jul 10, 2024 | D · Potential for harm, one-off | 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. |
| Mar 28, 2024 | E · Potential for harm, repeated | The facility did not develop or follow a complete care plan for each resident — the written roadmap covering all of a resident's needs, with measurable goals and timelines. · from a complaint |
| Oct 17, 2023 | 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 |
| Jul 19, 2023 | E · Potential for harm, repeated | The facility did not label drugs according to professional standards or did not store them in locked compartments, with controlled drugs (medications with a high risk of misuse) kept under a separate lock. |
Inspection trend by year
Citations from standard inspections stayed about the same across the last two inspection cycles (4 → 4).
| Year | Citations | Serious (G–L) | Worst severity that year |
|---|---|---|---|
| 2023 | 2 | 0 | E |
| 2024 | 7 | 2 | G ▲ |
| 2025 | 5 | 1 | G ▲ |
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)
4 fines totaling $37,553.
| Date | Type | Amount / length |
|---|---|---|
| Dec 4, 2025 | Fine | $5,541 |
| Oct 30, 2024 | Fine | $8,338 |
| Jul 10, 2024 | Fine | $8,031 |
| Jul 10, 2024 | Fine | $15,643 |
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) | 3.40 | 4.32 | 3.95 | bottom 13% in South Dakota; bottom 31% in the U.S. |
| Registered Nurse hours | 0.80 | 0.91 | 0.69 | bottom 44% in South Dakota; top 27% in the U.S. |
| Weekend total nurse staffing | 3.05 | 3.71 | 3.50 | bottom 24% in South Dakota; bottom 33% in the U.S. |
| Weekend RN hours (not acuity-adjusted) | 0.37 | 0.51 | 0.48 | bottom 28% in South Dakota; bottom 46% in the U.S. |
| Total nursing staff turnover (%) | 32.4 | 48.2 | 45.8 | top 10% in South Dakota; top 19% in the U.S. |
| RN turnover (%) | 20.0 | 34.7 | 42.9 | top 24% in South Dakota; top 13% 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 2.69, RN 0.64, weekend 2.42. 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: 4/5 · short-stay residents: 2/5
Who owns this facility
For profit - Corporation
| Owner / manager | Type | Role | Stake | Since |
|---|---|---|---|---|
| Herzka, Yisroel | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest SNF Operations Holdings (SD) LLC | Organization | 5% or Greater Direct Ownership Interest | 100% | 08/31/2023 |
| Yenowitz, Yitzchok | Individual | Indirect Ownership Interest | NOT APPLICABLE | 08/31/2023 |
| CH Pacific Northwest Holdings LLC | Organization | ADP of the SNF | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/31/2023 |
| Couve Financial Services LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2025 |
| Couve Healthcare Consulting LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/31/2023 |
| Couve Healthcare Consulting LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2025 |
| Herzka, Yisroel | Individual | ADP of the SNF | NOT APPLICABLE | 08/31/2023 |
| Holland, Autumn | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/31/2023 |
| Holland, Autumn | Individual | ADP of the SNF | NOT APPLICABLE | 08/31/2023 |
| Lowe, Leonor | Individual | Managing Control - Governing Body | NOT APPLICABLE | 08/31/2023 |
| Lowe, Leonor | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/31/2023 |
| Lowe, Leonor | Individual | ADP of the SNF | NOT APPLICABLE | 08/31/2023 |
| Mundt, Ada | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/31/2023 |
| Mundt, Ada | Individual | ADP of the SNF | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest Opco Management LLC | Organization | Operational/Managerial Control | NOT APPLICABLE | 08/31/2023 |
| Pacific Northwest Opco Management LLC | Organization | ADP of the SNF | NOT APPLICABLE | 03/19/2025 |
| Purintun, Scott | Individual | Operational/Managerial Control | NOT APPLICABLE | 08/31/2023 |
| Purintun, Scott | Individual | ADP of the SNF | NOT APPLICABLE | 08/31/2023 |
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 do you prevent bedsores for residents who can't move themselves, and how often are at-risk residents repositioned?"
- "What is your falls rate, and what specific steps do you take to prevent falls and supervise residents at risk?"
- "How do you make sure each resident's care follows the doctor's orders, and what changed after this citation?"
- "What did your most recent kitchen inspection find, and can I see how food is stored and prepared?"
- "Who leads your infection prevention program, and how do you make sure staff follow practices like hand hygiene every day?"
- "What alternatives do you try before using bed rails, and how do you involve families in that decision?"
- "What do you do daily to keep residents moving, and how do you help residents at risk of losing mobility?"
- "Can you give me examples of how your staff protect residents' dignity in everyday care, like bathing and dressing?"
- "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 |
|---|---|---|---|---|---|
| Four Seasons Health Care INC | 22.4 mi | Forman, ND | ★☆☆☆☆ | 1/5 | |
| Strand-Kjorsvig Community Rest Home | 24.3 mi | Roslyn, SD | ★★☆☆☆ | 1/5 | |
| Avantara Groton | 28.4 mi | Groton, SD | ★★☆☆☆ | 3/5 | |
| Good Samaritan Society - Oakes | 28.8 mi | Oakes, ND | ★★☆☆☆ | 2/5 | abuse |
| Sun Dial Manor | 30.9 mi | Bristol, SD | ★★★☆☆ | 2/5 | |
| Bethesda Home | 33.0 mi | Webster, SD | ★★★★★ | 4/5 | |
| Tekakwitha Living Center | 35.3 mi | Sisseton, SD | ★★☆☆☆ | 2/5 | |
| Prince of Peace Care Center | 39.8 mi | Ellendale, ND | ★★★★☆ | 3/5 |
Compare this facility with the 3 closest →
Facility data as of CMS processing date 2026-08-01. CCN 435105.