Home / South Dakota / Alcester
Alcester Care and Rehab Center, Inc
101 Church Street, Alcester, SD 57001 · Union County · (605) 934-2011
44 certified beds, about 40 residents a day · For profit - Corporation · Medicare and Medicaid since 1992
Certified for Medicaid Certified for Medicare
Overall
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
3 of 5
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435062 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on August 28, 2025, inspectors cited 0 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
None of its 10 health citations since March 2023 was rated as actual harm or immediate jeopardy.
CMS lists no fines against this home in the last three years.
Nurses and nurse aides worked 2.74 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.45 of those hours.
43.3% of nursing staff left within the year CMS measured (South Dakota average 48.2%).
Health inspections
Federal rules call for a standard inspection at least every 15 months, plus a visit whenever a complaint is filed. Each mark below is one citation, colored by how serious inspectors rated it. How to read a citation.
Under each citation, the quoted text is the inspector's own summary from the federal statement of deficiencies (CMS form 2567), word for word apart from a privacy scrub; CMS removes residents' and staff names before it publishes the text. The full notes are on Medicare.gov.
503/23
309/23
104/24
106/24
008/25
Potential for minimal harm Potential for more than minimal harm Actual harm Immediate jeopardy Found on a complaint visit
Where its citations fall on CMS's grid
CMS rates every citation by how much harm it caused (rows) and how many residents it touched (columns). The count in each box is this home's, across all 10 health citations on file.
Severity
Isolated
Pattern
Widespread
Immediate jeopardy
0J
0K
0L
Actual harm
0G
0H
0I
Potential for more than minimal harm
8D
0E
2F
Potential for minimal harm
0A
0B
0C
August 28, 2025Standard inspection · 0 citations
June 11, 2024Complaint inspection · 1 citation
- D Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Inspectors wroteBased on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), record review, interview, and observation, the provider failed to ensure the safety of one of one sampled resident (1) who eloped (left the facility without staff knowledge) and was outside of the building approximately 18 minutes when a basement door was left unalarmed. Failure to ensure the alarm was activated may have contributed to his elopement. This citation is considered past non-compliance based on review of the corrective actions the provider implemented immediately following the incident.
April 30, 2024Standard inspection · 1 citation
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review, interview, and policy review the provider failed to follow physician orders for one of one sampled resident (237).
September 26, 2023Complaint inspection · 3 citations
- D Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure one of one sampled resident (1) had an updated care plan that reflected the following: *Interventions for missed dialysis treatments. *Current individualized care needs regarding activities of daily living and how to appropriately care for the resident.
- D Ensure services provided by the nursing facility meet professional standards of quality.
Inspectors wroteBased on record review, interview, and policy review, the provider failed to ensure one of one sampled resident (1) who had a witnessed fall had the following completed: *A thorough head to toe assessment completed by the nurse at the time of the fall. *A fall assessment. *Vital signs obtained every shift for 72 hours after the fall. *Physician and family notification of the fall. *An update to the care plan to include new interventions to prevent another fall.
- D Provide safe, appropriate dialysis care/services for a resident who requires such services.
Inspectors wroteBased on observation, interview, record review, and policy review, the provider failed to ensure one of one sampled resident (1) who required dialysis three times a week at an off-site contracted end stage renal disease facility: *Had the appropriate transportation arrangements set up to ensure dialysis was completed as ordered by the physician. *Had ongoing assessments and monitoring of the residents condition for complications related to missed dialysis treatments. *Physician was notified of the missed dialysis treatments. 1. Observation and interview on 9/26/23 at 9:00 a.m. with resident 1 in his room revealed: *He was lying in bed on his back. *The CNA D and an unidentified CNA had just performed peri care due to a bowel movement. *There was a 16 ounce can of beer with a straw, a can of soda with a straw, and a clear plastic mug of water that was on his bedside table. [...]
March 9, 2023Standard inspection · 5 citations
- F Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.
Inspectors wroteBased on interview and staff schedule review the provider failed to ensure a registered nurse (RN) had been scheduled for eight hours of coverage for two of four weekends in February 2023.
- F Provide and implement an infection prevention and control program.
Inspectors wroteA. Based on observation, interview, and policy review, the provider failed to ensure appropriate disinfection after resident use for of one of one whirlpool and furnishings in the one of one tub room by one of one certified nursing assistant (CNA) E.
- D Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Inspectors wroteBased on interview, record review, and policy review the provider failed to ensure one of one sampled resident's (4) advanced directives had been followed.
- D Provide safe and appropriate respiratory care for a resident when needed.
Inspectors wroteBased on record review, observation, interview, and policy review the provider failed to ensure oxygen tubing had been changed per facility policy every two weeks for one of three samples residents (12).
- D Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
Inspectors wroteBased on observation, record review, interview, and policy review the provider failed to ensure safety assessments had been completed and documented for three of eight sampled residents (8, 20, and 23) who had half side rails attached onto their beds.
Fire safety inspections
5 fire safety citations on file: 1 on August 28, 2025, 1 on April 30, 2024, 3 on March 9, 2023.
Every fire safety citation5 citations
- D Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
- D Inspect, test, and maintain automatic sprinkler systems.
- D Keep aisles, corridors, and exits free of obstruction in case of emergency.
- D Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
- D Have generator or other power source capable of supplying service within 10 seconds.
Fines and payment denials
CMS lists no fines or payment denials against this home in the last three years. The national average is 0.9 fines per home.
Staffing
Hours of care per resident per day, from the payroll records every home sends CMS. Higher means more staff time with each resident.
| Measure | This home | South Dakota | United States |
|---|---|---|---|
| All nursing staff (RN, LPN and aides) | 2.74 | 3.79 | 3.86 |
| Registered nurses | 0.45 | 0.80 | 0.69 |
| All nursing staff on weekends | 2.32 | 3.26 | 3.42 |
| Nurse aides | 1.73 | ||
| Licensed practical nurses | 0.56 | ||
| Nursing staff turnover (share who left in a year) | 43.3% | 48.2% | 45.8% |
| Registered nurse turnover | 60.0% | 34.7% | 42.9% |
| Administrators who left | 0 |
CMS expects 2.86 hours a day for residents as sick as this home's (its case-mix figure). The staffing star compares the two.
Staffing by quarter, from daily payroll records
Every nursing home sends CMS its staff hours for each day (the Payroll Based Journal). Here they are added up by quarter. The latest quarter is the one behind the figures above. In January to March 2026, nursing staff hours per resident were 2.91 on weekdays and 2.32 on weekends, 20% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 10.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 3.09 in April to June 2025 to 2.74 in January to March 2026.
| Quarter | All nursing staff | Registered nurses | Weekdays | Weekends | Contract staff share | Days with no RN hours | Residents a day |
|---|---|---|---|---|---|---|---|
| Jan to Mar 2026 | 2.74 | 0.45 | 2.91 | 2.32 | 10.9% | 1 of 90 | 40 |
| Oct to Dec 2025 | 2.83 | 0.49 | 3.00 | 2.39 | 11.7% | 0 of 92 | 38 |
| Jul to Sep 2025 | 2.95 | 0.48 | 3.14 | 2.49 | 13.4% | 3 of 92 | 38 |
| Apr to Jun 2025 | 3.09 | 0.57 | 3.31 | 2.55 | 17.7% | 0 of 91 | 37 |
| United States, Jan to Mar 2026 | 3.75 | 0.62 | 3.92 | 3.33 | 5.3% | 0.5% of days | |
| South Dakota, Jan to Mar 2026 | 3.76 | 0.79 | 3.97 | 3.25 | 9.1% | 1.1% of days |
Hours per resident per day: staff hours in the quarter divided by resident days (the daily census CMS derives from resident assessments). Registered nurses include the director of nursing and RNs with administrative duties; aides include nurse aides in training and medication aides, as in CMS's own staffing measure. How these are calculated.
Quality measures
The measures CMS uses for the quality star. Lower is better for every one of them.
| Measure | This home | South Dakota | US |
|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased Long Stay residents, 2025Q2-2026Q1 | 27.1 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 1.7 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 2.2 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 0.0 | 5.5 | 3.2 |
| Percentage of short-stay residents who newly received an antipsychotic medication Short Stay residents, 2025Q2-2026Q1 | 0.0 | 2.0 | 1.6 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 18.5 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 3.8 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 38.5 | 24.6 | 15.4 |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission Short Stay residents, 20250101-20251231 | 6.6 | 19.9 | 23.8 |
| Percentage of short-stay residents who had an outpatient emergency department visit Short Stay residents, 20250101-20251231 | 11.3 | 12.0 | 12.0 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.1 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 3.8 | 1.8 | 1.8 |
Owners and operators
Legal business name: ALCESTER CARE & REHAB CENTER INC.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| Stroschein Properties III LLC | 5% or greater direct ownership interest | Organization | 02/01/2015 | |
| Stroschein, Chad | 5% or greater direct ownership interest | Individual | 02/01/2015 | |
| Caring Professionals Inc | Direct ownership interest | Organization | 02/01/2015 | |
| Miller, Tiffany | Managing control - governing body | Individual | 12/30/2020 | |
| Miller, Tiffany | Corporate director | Individual | 12/30/2020 | |
| Caring Professionals Inc | Operational/managerial control | Organization | 02/01/2015 | |
| Miller, Tiffany | Operational/managerial control | Individual | 12/30/2020 | |
| Stroschein, Chad | Operational/managerial control | Individual | 02/01/2015 | |
| Caring Professionals Inc | Trustee of the SNF | Organization | 02/01/2015 | |
| Stroschein Properties III LLC | Trustee of the SNF | Organization | 02/01/2015 | |
| Stroschein, Chad | Trustee of the SNF | Individual | 02/01/2015 | |
| Caring Professionals Inc | Adp of the SNF | Organization | 02/01/2015 | |
| Stroschein Properties III LLC | Adp of the SNF | Organization | 02/01/2015 | |
| Miller, Tiffany | Adp of the SNF | Individual | 12/30/2020 | |
| Rohlfs, Karsten | Adp of the SNF | Individual | 10/01/2024 | |
| Stroschein, Chad | Adp of the SNF | Individual | 02/01/2015 |
As listed in the CMS ownership file, which names owners with a 5% or greater stake and the people and companies with operational or managerial control.
Questions to ask on a visit
Chosen from this home's own inspection record.
- How do you prevent falls and pressure injuries, and how are families told when one happens?Inspectors cited 4 problems in this area, most recently on June 11, 2024: "Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents."
- When is the care plan meeting, and can family attend it?Inspectors cited 3 problems in this area, most recently on April 30, 2024: "Ensure services provided by the nursing facility meet professional standards of quality."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on March 9, 2023: "Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis."
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 1 problem in this area, most recently on March 9, 2023: "Provide and implement an infection prevention and control program."
- Who is on the floor on Saturday and Sunday, and how many residents does each aide care for?Weekend nurse staffing here was 2.32 hours per resident per day, below the South Dakota average of 3.26.
Other nursing homes nearby
- Hillcrest Health Care Center Hawarden, 7.4 mi · 1 of 5 stars · 72 citations
- Bethesda of Beresford Beresford, 9.1 mi · 2 of 5 stars · 27 citations
- Akron Care Center, Inc Akron, 14.6 mi · 4 of 5 stars · 6 citations
- Centerville Care and Rehab Center Inc Centerville, 18 mi · 1 of 5 stars · 20 citations
- Good Samaritan Society Canton Canton, 20.1 mi · 4 of 5 stars · 7 citations
- Hegg Memorial Health Center Rock Valley, 21.4 mi · 5 of 5 stars · 11 citations
- Fellowship Village Inwood, 22.2 mi · 4 of 5 stars · 6 citations
- Sanford Care Center Vermillion Vermillion, 22.4 mi · 2 of 5 stars · 11 citations
South Dakota contacts for a concern about a nursing home
These are the official offices in South Dakota. NursingHomeClear cannot take or act on complaints.
- Inspections and complaints: South Dakota Department of Health, Office of Health Facilities Licensure and Certification, the state agency that inspects nursing homes for CMS and takes complaints about care.
- Resident advocate: South Dakota Long-Term Care Ombudsman Program, Department of Human Services. The long-term care ombudsman is a free, confidential advocate for residents and families, set up under the federal Older Americans Act.
- State inspection reports: South Dakota Department of Health Nursing Facility Reports, where South Dakota publishes its own records on licensed homes.
Common questions
- What is Alcester Care and Rehab Center, Inc's Medicare star rating?
- CMS rates Alcester Care and Rehab Center, Inc 5 out of 5 stars overall, with 5 for health inspections, 3 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Alcester Care and Rehab Center, Inc get at its last inspection?
- 0 health deficiencies at the standard inspection on August 28, 2025. The South Dakota average is 6.7.
- Has Alcester Care and Rehab Center, Inc been fined?
- CMS lists no fines in the last three years.
- Does Alcester Care and Rehab Center, Inc accept Medicaid?
- It is certified to take Medicaid (CMS lists it as "Medicare and Medicaid"). Certification does not mean a Medicaid bed is open: ask the admissions office.
- Who owns Alcester Care and Rehab Center, Inc?
- CMS lists 16 owners and managers. Legal business name: ALCESTER CARE & REHAB CENTER INC.
Sources
- Ratings, staffing and fines: CMS Provider Information, released September 30, 2026, data as of September 1, 2026.
- Citations: CMS Health Deficiencies and Fire Safety Deficiencies.
- Owners: CMS Ownership. Penalties: CMS Penalties.
- Staffing by quarter: CMS Payroll Based Journal Daily Nurse Staffing, April 2025 to March 2026, summed by NursingHomeClear.
- Inspector summaries: CMS Full Statement of Deficiencies (CMS-2567 text), data as of September 1, 2026. Each quote is the part of the statement before the detailed findings.
- Inspection reports with the inspectors' full notes are on this home's Medicare.gov page.
- Something wrong on this page? Ask for a correction. We fix errors in our copy of the data; findings themselves can only be changed by CMS and the state.
- NursingHomeClear is independent and not affiliated with CMS, Medicare or any state agency. This page reports federal records; it does not rate, recommend or endorse any home, and it is not medical or legal advice.