Home / South Dakota / Bowdle
Bowdle Nursing Home
8001 W 5th Street, Bowdle, SD 57428 · Edmunds County · (605) 285-6146
27 certified beds, about 23 residents a day · Government - City · Medicare and Medicaid since 1997
CMS Care Compare ratings, data as of September 1, 2026 · CCN 435107 · See it on Medicare.gov · Compare with other homes
The record in brief
At its most recent standard inspection, on July 25, 2025, inspectors cited 2 health deficiencies (the South Dakota average is 6.7, the national average 9.2).
None of its 5 health citations since April 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 3.80 hours per resident per day, against 3.79 across South Dakota and 3.86 nationally. Registered nurses accounted for 0.39 of those hours.
34.8% 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.
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 5 health citations on file.
July 25, 2025Standard inspection · 2 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 payroll-based journal (PBJ) day review and interview, the provider failed to ensure eight hours of registered nurse (RN) coverage seven days per week for two consecutive quarters during July, August, and September 2024 and October, November, and December 2025. This citation is considered past non-compliance based on review of the corrective action the provider implemented following the inability to ensure eight hour of RN coverage seven days per week.
- E Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and policy reviews the provider failed to ensure:*One of one whirlpool tub had been disinfected according to the manufactures recommendations by one of one observed certified nursing assistant (CNA) (G).*Fifteen of fifteen observed air conditioning units located in residents' (1, 3, 4, 5, 6, 7, 8, 10, 12, 15, 16, 17, 18, and 20) rooms had been maintained and cleaned routinely to prevent the accumulation of dust and residue.
February 8, 2024Standard inspection · 3 citations
- E Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Inspectors wroteBased on observation, interview, and policy review provider failed to ensure their food storage policy had been maintained by dating open food packages in one of one kitchens.
- D Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Inspectors wroteBased on observation, interview, and policy review the provider failed to ensure they had followed their policy for counting controlled medications in one of one medication storage room waiting for destruction.
- D Provide and implement an infection prevention and control program.
Inspectors wroteBased on observation, interview, and policy review the provider failed to ensure the following: *Appropriate hand hygiene with glove use for one of one certified nursing assistant (CNA) I with one of one sampled (8) resident while providing personal care. *Changing the oxygen concentrator humidifier bottles for three of three (6, 7, and 21) sampled residents.
April 26, 2023Standard inspection · 0 citations
Fire safety inspections
3 fire safety citations on file: 1 on April 26, 2023, 2 on November 3, 2021.
Every fire safety citation3 citations
- D Have properly located and lighted "Exit" signs.
- F 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 Meet requirements for the installation and maintenance of electrical systems.
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) | 3.80 | 3.79 | 3.86 |
| Registered nurses | 0.39 | 0.80 | 0.69 |
| All nursing staff on weekends | 3.46 | 3.26 | 3.42 |
| Nurse aides | 2.63 | ||
| Licensed practical nurses | 0.78 | ||
| Nursing staff turnover (share who left in a year) | 34.8% | 48.2% | 45.8% |
| Registered nurse turnover | not reported | 34.7% | 42.9% |
| Administrators who left | not reported |
CMS expects 3.16 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 3.93 on weekdays and 3.46 on weekends, 12% lower on weekends (nationally, weekends ran 15% lower). Contract or agency staff worked 16.9% of nursing hours, against 5.3% nationally. Total nursing hours per resident went from 4.29 in April to June 2025 to 3.80 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 | 3.80 | 0.39 | 3.93 | 3.46 | 16.9% | 20 of 90 | 23 |
| Oct to Dec 2025 | 3.52 | 0.40 | 3.65 | 3.20 | 9.4% | 17 of 92 | 24 |
| Jul to Sep 2025 | 4.28 | 0.42 | 4.42 | 3.93 | 11.0% | 23 of 92 | 21 |
| Apr to Jun 2025 | 4.29 | 0.41 | 4.39 | 4.03 | 10.6% | 20 of 91 | 20 |
| 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.
Staff pay reports
Staff pay at this home
No staff pay figure for this home has passed review yet. A figure appears only after at least 5 reports from at least 3 different people, sent over at least 60 days, have passed review. If you work here, your report helps start one.
Official wage estimates for South Dakota
| Job | Median | Middle half | Employed |
|---|---|---|---|
| South Dakota, all employers | |||
| CNAs (nursing assistants) | $18.65 | $17.71 to $21.12 | 6,860 |
| LPNs and LVNs | $25.36 | $23.88 to $29.47 | 2,050 |
| Registered nurses | $37.53 | $31.29 to $40.52 | 14,710 |
| United States, nursing care facilities | |||
| CNAs (nursing assistants) | $20.67 | $17.91 to $22.55 | 534,270 |
| LPNs and LVNs | $33.86 | $30.05 to $37.40 | 188,210 |
| Registered nurses | $41.11 | $37.85 to $47.68 | 142,270 |
Hourly wages; the middle half runs from the 25th to the 75th percentile. Source: U.S. Bureau of Labor Statistics, Occupational Employment and Wage Statistics, May 2025. BLS has no separate estimate for medication aides. These are survey estimates for whole occupations, not figures for any one home.
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 | 18.8 | 21.4 | 13.9 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder Long Stay residents, 2025Q2-2026Q1 | 4.1 | 2.1 | 0.8 |
| Percentage of long-stay residents with a urinary tract infection Long Stay residents, 2025Q2-2026Q1 | 1.2 | 2.9 | 1.6 |
| Percentage of long-stay residents experiencing one or more falls with major injury Long Stay residents, 2025Q2-2026Q1 | 6.0 | 5.5 | 3.2 |
| Percentage of long-stay residents whose ability to walk independently worsened Long Stay residents, 2025Q2-2026Q1 | 15.1 | 19.4 | 14.1 |
| Percentage of long-stay residents with pressure ulcers Long Stay residents, 2025Q2-2026Q1 | 0.8 | 4.6 | 4.6 |
| Percentage of long-stay residents who received an antipsychotic medication Long Stay residents, 2025Q2-2026Q1 | 6.3 | 24.6 | 15.4 |
| Number of hospitalizations per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 1.9 | 1.5 | 1.9 |
| Number of outpatient emergency department visits per 1000 long-stay resident days Long Stay residents, 20250101-20251231 | 2.2 | 1.8 | 1.8 |
Short-term rehab results
For a stay to recover after a hospital visit, these are the results CMS publishes for Bowdle Nursing Home's Medicare short-stay residents. How to read these, and what Medicare pays for.
CMS reports none of these results for this home: The number of residents or resident stays is too small to report. Call the facility to discuss this quality measure.
Source: CMS Skilled Nursing Facility Quality Reporting Program - Provider Data, released 2026-09-30. Better, no different and worse are CMS's own comparisons with the national rate, after adjusting for how sick residents were. Medians of homes and the state counts are worked out by us from the same file.
Owners and operators
Legal business name: BOWDLE HOSPITAL.
| Name | Role | Type | Share | Since |
|---|---|---|---|---|
| City of Bowdle | 5% or greater direct ownership interest | Organization | 100% | 02/01/1987 |
| Kessler, Lacey | W-2 managing employee | Individual | 08/21/2017 | |
| Kleffman, Darwyn | W-2 managing employee | Individual | 05/20/2019 | |
| Barnhardt, Darryn | Corporate director | Individual | 09/01/2022 | |
| Bobby, Margaret | Corporate director | Individual | 05/01/2022 | |
| Boschee, Rick | Corporate director | Individual | 05/01/2000 | |
| Gab, Rex | Corporate director | Individual | 09/01/2022 | |
| Gunderson, Michael | Corporate director | Individual | 05/01/2017 | |
| Maier, Russell | Corporate director | Individual | 05/01/2023 | |
| Shaykett, Amber | Corporate director | Individual | 09/01/2022 | |
| Kleffman, Darwyn | Corporate officer | Individual | 05/20/2019 | |
| Kessler, Lacey | Operational/managerial control | Individual | 11/19/2024 | |
| Kleffman, Darwyn | Operational/managerial control | Individual | 11/19/2024 | |
| Kessler, Lacey | Adp of the SNF | Individual | 12/10/2024 | |
| Kleffman, Darwyn | Adp of the SNF | Individual | 12/10/2024 |
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.
- What changed in infection control since the last inspection, and who on staff is the infection preventionist?Inspectors cited 2 problems in this area, most recently on July 25, 2025: "Provide and implement an infection prevention and control program."
- How many nurses and aides work each shift, nights and weekends included?Inspectors cited 1 problem in this area, most recently on July 25, 2025: "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."
- Can we see a week of menus and the kitchen, and how are special diets handled?Inspectors cited 1 problem in this area, most recently on February 8, 2024: "Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards."
- How are medications reviewed, and how often are antipsychotic or sedating drugs used?Inspectors cited 1 problem in this area, most recently on February 8, 2024: "Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist."
Other nursing homes nearby
- Walworth County Care Center, Inc Selby, 18.4 mi · 5 of 5 stars · 5 citations
- Avera Eureka Health Care Center Eureka, 22.1 mi · 4 of 5 stars · 10 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 Bowdle Nursing Home's Medicare star rating?
- CMS rates Bowdle Nursing Home 4 out of 5 stars overall, with 4 for health inspections, 4 for staffing and 3 for quality measures (CMS data as of September 1, 2026).
- How many deficiencies did Bowdle Nursing Home get at its last inspection?
- 2 health deficiencies at the standard inspection on July 25, 2025. The South Dakota average is 6.7.
- Has Bowdle Nursing Home been fined?
- CMS lists no fines in the last three years.
- Does Bowdle Nursing Home 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 Bowdle Nursing Home?
- CMS lists 15 owners and managers. Legal business name: BOWDLE HOSPITAL.
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.